Body-focused repetitive behaviors upset and mystify many of us. Here, learn about its causes, its link to ADHD, and its treatment options.
. Based on my experience, many patients with BFRBs do not have OCD, but ADHD. Anecdotal evidence suggests that attention deficit predisposes them to developing these problems.Individuals with ADHD have poor impulse control, which is a major feature of BFRBs. Lots of people want to squeeze an unsightly blackhead, but they don’t because they have “stop” mechanisms. Having ADHD makes urges harder to control.
BFRBs elevate dopamine levels in the brain, and the ADHD brain needs more stimulus to feel rewarded than non-ADHD brains. Some patients say that BFRBs are a form of fidgeting. One patient says that she focuses better in class when she chews the inside of her cheek. Behavior therapy is a good first-line strategy for managing BFRBs. Habit reversal training brings the best results. The goal of this therapy is to replace the BFRB with another action when the urge strikes. HRT a) charts the history of the BFRB; b) identifies its triggers, situational and emotional; c) determines the frequency of the behavior; and d) comes up with a competing response. Mindful awareness alone may reduce the frequency and/or intensity of the BFRB.
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