Onychotillomania

Onychotillomania is a condition characterized by the compulsive picking or tearing of the nails. This behavior can lead to significant nail damage and has been associated with various psychological conditions.

Definition

Onychotillomania is a form of body-focused repetitive behavior (BFRB) that involves compulsive picking or tearing of the nails. It is considered a type of impulse control disorder and is often associated with conditions such as obsessive-compulsive disorder (OCD) and body dysmorphic disorder (BDD).

Symptoms

The primary symptom of onychotillomania is the recurrent picking or tearing of the nails. This behavior can lead to significant nail damage, including onycholysis (separation of the nail from the nail bed), paronychia (infection of the skin around the nail), and permanent nail deformity. Individuals with onychotillomania may also experience emotional distress and impairment in social or occupational functioning.

Causes

The exact cause of onychotillomania is unknown, but it is thought to be influenced by a combination of genetic, environmental, and psychological factors. It is often associated with conditions such as OCD and BDD, suggesting a possible link with abnormalities in the serotonin system.

Treatment

Treatment for onychotillomania typically involves a combination of medication and cognitive behavioral therapy (CBT). Medications such as selective serotonin reuptake inhibitors (SSRIs) and tricyclic antidepressants (TCAs) may be used to help manage symptoms. CBT can help individuals learn to identify and change unhealthy thought patterns and behaviors.

See also

• Trichotillomania
• Dermatillomania
• Body dysmorphic disorder
• Obsessive-compulsive disorder

Onychotillomania Resources
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