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Major depressive disorder
Seasonal affective disorder
Premenstrual dysphoric disorder
Generalized anxiety disorder
Social anxiety disorder
Body focused repetitive disorders
Body dysmorphic disorder
Post-traumatic stress disorder
Physical and sexual abuse
Cluster A personality disorders
Cluster B personality disorders
Cluster C personality disorders
Somatic symptom disorder
Alcohol use disorder
Male hypoactive sexual desire disorder
Female sexual interest and arousal disorder
Genito-pelvic pain and penetration disorder
Attention deficit hyperactivity disorder
Disruptive, impulse control, and conduct disorders
Fetal alcohol syndrome
Autism spectrum disorder
Shaken baby syndrome
Neuroleptic malignant syndrome
Mood disorders: Pathology review
Amnesia, dissociative disorders and delirium: Pathology review
Personality disorders: Pathology review
Eating disorders: Pathology review
Psychological sleep disorders: Pathology review
Psychiatric emergencies: Pathology review
Drug misuse, intoxication and withdrawal: Hallucinogens: Pathology review
Malingering, factitious disorders and somatoform disorders: Pathology review
Anxiety disorders, phobias and stress-related disorders: Pathology Review
Trauma- and stress-related disorders: Pathology review
Schizophrenia spectrum disorders: Pathology review
Drug misuse, intoxication and withdrawal: Stimulants: Pathology review
Drug misuse, intoxication and withdrawal: Alcohol: Pathology review
Developmental and learning disorders: Pathology review
Childhood and early-onset psychological disorders: Pathology review
Body focused repetitive disorders
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Tanner Marshall, MS
Body-focused repetitive disorders is an umbrella term in the DSM-5 for disorders where individuals compulsively damage their physical appearance.
These used to be classified as impulse-control disorders, but now belong in the family of obsessive-compulsive disorders.
Two of the more well-known ones are trichotillomania, which is a hair-pulling disorder, and excoriation, which is a skin-picking disorder.
Obsessive-compulsive disorders are usually defined by psychological obsessions—thoughts, urges, and images that are unwanted, intrusive, and recurrent—as well as behavioral compulsions exhibited physically in response to the obsessions.
For body-focused repetitive disorders, though, the self-damaging behavior isn’t usually related to a conscious psychological obsession, but occurs instead when a person feels stressed, anxious, or even bored.
Once a person starts engaging in the self-damaging behavior, there’s usually a strong urge to keep doing it over and over again.
This can happen in multiple short episodes throughout the day, or during single long sessions that can last for hours at a time.
People with body-focused repetitive disorders aren’t always fully aware of their behavior while engaged in the compulsion, making it difficult to stop.
These behaviors are distinct from intentional behaviors aimed at improving physical appearance, like plucking one’s eyebrows.
They’re also not attributable to problems stemming from disorders like substance abuse, like, for example, the skin-picking associated with amphetamine or cocaine use.
Body-focused repetitive disorders don’t include compulsions resulting from other mental disorders, like picking at skin during a tactile hallucination, when someone thinks bugs are crawling under their skin.
They’re unrelated to behaviours made in response to irritating stimuli from other illnesses, like scratching at an itchy scabies rash.
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