Habit Disorders
What are Habit Disorders?
Habit disorders such as hair pulling (trichotillomania) and skin picking (excoriation disorder) involve repetitive behaviours that can feel difficult to control. These behaviours are often carried out in response to urges, tension, or uncomfortable internal states.
For some people, the behaviour may happen automatically without full awareness. For others, it may be more deliberate, often linked to a sense of relief or temporary calm after acting on the urge.
These patterns can become repetitive over time, creating cycles that feel hard to interrupt. This can lead to frustration, shame, or a sense of being stuck in behaviour that does not feel fully within your control.
The aim of therapy is to help you understand these patterns, reduce the intensity of urges, and develop more supportive ways of responding.

How habit disorders can show up
Habit disorders can present in different ways depending on the individual and the specific behaviour involved.
Hair pulling may involve pulling from the scalp, eyebrows, eyelashes, or other areas, often in response to urges or specific sensations.
Skin picking may involve focusing on perceived imperfections or irregularities, sometimes leading to damage or irritation.
These behaviours may occur during periods of stress, boredom, or when focusing on tasks, and can sometimes happen without full awareness.
Over time, the behaviour can become habitual, making it feel more automatic and difficult to stop.
What causes habit disorders
Habit disorders often develop through a combination of emotional, behavioural, and sensory factors.
Urges may be linked to tension, anxiety, or a need for relief, with the behaviour providing a temporary sense of release.
Repetition reinforces the pattern, making the behaviour feel more automatic over time.
There may also be sensory aspects, such as the feeling of pulling or picking, that contribute to the behaviour.
Understanding these factors is key to reducing the cycle and developing new ways of responding.

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Habit Disorders
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Habit Disorders
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