Body-focused repetitive behavior disorders

A group of disorders characterized by recurrent, difficult-to-control behaviors directed at the body – such as hair pulling, skin picking, or nail biting – that result in physical damage and are accompanied by a sense of tension before and relief after performing the behavior.

Symptoms

• Recurrent, difficult-to-control body-focused behaviors (also: habitual body manipulation, repetitive body manipulations, compulsive body touching, habitual body movements, repeated manipulations)
• Inability to resist repetitive behavior (also: Difficulty resisting repetitive behavior, difficulty resisting behavior, lack of control over behavior, inability to resist impulse, difficulty controlling impulses)
• Tension or discomfort preceding performance of behavior (also: feeling of tension before behavior, tension before action, inner tension, mounting tension, feeling of pressure before behavior)
• Temporary relief or pleasure after performing behavior (also: pleasure or relief after action, relief after action, satisfaction after action, feeling of relief after action, pleasure after action)
• Reduction of tension after performing ritual (also: pleasure or relief after action, relief after action, satisfaction after action, feeling of relief after action, pleasure after action)
• Damage to skin/hair/nails resulting from own behavior (also: Visible damage to skin, hair or nails as result of behavior, damage to skin or hair, damaged skin, wounds on skin, damaged hair)

ICD-11 diagnostic criteria

• powtarzające się zachowania skierowane na ciało
• nieudane próby ograniczenia zachowania
• uszkodzenia ciała lub włosów
• pogorszenie funkcjonowania

How to recognise

In the ICD-11 framework, the core symptoms taken into account when recognising Body-focused repetitive behavior disorders are:

• trudność w powstrzymaniu zachowania

Differential diagnosis

When diagnosing Body-focused repetitive behavior disorders, the following ICD-11 disorders should be considered in the differential diagnosis:

• Zaburzenie obsesyjno-kompulsyjne (6B20)
• Trichotillomania (6B25.0)
• Zaburzenie z przeczosami (6B25.1)

Synonyms and related terms

habitual body manipulation, repetitive body manipulations, compulsive body touching, habitual body movements, repeated manipulations, manipulating skin or hair, compulsive manipulation, constantly touches body, plays with skin, manipulates hair, repeats body movements, unconsciously touches body, has habit of manipulation, Difficulty resisting repetitive behavior, difficulty resisting behavior, lack of control over behavior, inability to resist impulse, difficulty controlling impulses, loss of control over behavior, lack of inhibition of behavior, inability to stop action, cannot stop themselves, does not control behavior, does it despite wanting to stop, hard to stop, has control problem, feeling of tension before behavior, tension before action, inner tension, mounting tension

Frequently asked questions

What are the symptoms of Body-focused repetitive behavior disorders?

Symptoms associated with Body-focused repetitive behavior disorders (ICD-11 6B25) include: Recurrent, difficult-to-control body-focused behaviors, Inability to resist repetitive behavior, Tension or discomfort preceding performance of behavior, Temporary relief or pleasure after performing behavior, Reduction of tension after performing ritual, Damage to skin/hair/nails resulting from own behavior.

How is Body-focused repetitive behavior disorders diagnosed according to ICD-11?

According to ICD-11, the diagnostic criteria for Body-focused repetitive behavior disorders (6B25) include: powtarzające się zachowania skierowane na ciało; nieudane próby ograniczenia zachowania; uszkodzenia ciała lub włosów; pogorszenie funkcjonowania.

What disorders are in the differential diagnosis of Body-focused repetitive behavior disorders?

The differential diagnosis of Body-focused repetitive behavior disorders (6B25) includes: Zaburzenie obsesyjno-kompulsyjne (6B20), Trichotillomania (6B25.0), Zaburzenie z przeczosami (6B25.1).

WHO ICD-11 source

View this entry in the official WHO ICD-11 browser: 6B25 – WHO ICD-11