Is BFRB a symptom of ADHD?
BFRB, or Body-Focused Repetitive Behaviors, are a group of disorders that involve recurrent, compulsive behaviors that cause damage to the body. Examples of BFRBs include trichotillomania (hair pulling disorder), skin picking disorder, and nail biting.
BFRB is not considered a symptom of ADHD, but there may be a higher risk of individuals with ADHD developing BFRBs. This is because both ADHD and BFRBs share some common features, such as impulsivity, difficulty with self-control, and a tendency towards repetitive behaviors. Additionally, individuals with ADHD may engage in BFRBs to cope with stress, anxiety, or other emotions.
However, it’s important to note that not all individuals with ADHD will develop BFRBs, and not all individuals with BFRBs will have ADHD. Treatment options for BFRBs typically include therapy and/or medication, depending on the severity of the behaviors and any co-occurring conditions.
Is there a connection between ADHD and BFRB?
Yes, there appears to be a connection between ADHD (Attention Deficit Hyperactivity Disorder) and BFRB (Body-Focused Repetitive Behaviors). BFRBs are a group of disorders that involve repetitive self-grooming or self-injurious behaviors, such as hair pulling (trichotillomania), skin picking (excoriation disorder), and nail-biting.
Research suggests that individuals with ADHD are more likely to develop BFRBs than those without ADHD. The prevalence of body-focused repetitive behaviors is much higher in people who suffer from ADHD when compared to people who don’t suffer from ADHD. The link between BFRDs and ADHD extends to Skin Picking Disorder (SPD), hair-pulling (trichotillomania), nail-biting (onychophagia), and nose-picking (rhinotillexomania). Additionally, both ADHD and BFRBs are thought to involve dysregulation of the dopamine neurotransmitter system in the brain, which may contribute to their co-occurrence.

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Furthermore, both conditions have been associated with impairments in executive functioning, which involves cognitive processes such as planning, organization, and impulse control. This may explain why individuals with ADHD and BFRBs often have difficulty controlling their urges to engage in repetitive behaviors.
Overall, while the exact relationship between ADHD and BFRBs is still being studied, it appears that the two conditions are closely linked and may share similar underlying neurological and cognitive mechanisms.
The Connection Between ADHD and Skin Picking Disorder (SPD)
Attention Deficit Hyperactivity Disorder (ADHD) is increasingly being recognized as a complex mental health disorder that can manifest in multiple ways, including skin picking disorder (SPD). Though the connection between these two conditions is not fully understood, there is ample evidence to suggest that the two are closely related.

As you can see from the diagram above, there are basically three categories that people fall into in terms of ADHD and Skin Picking.
- People who only have ADHD
- People who only have Skin Picking Disorder
- People who suffer from both ADHD and Skin Picking Disorder
Crucially, there is a sizeable percentage of people who suffer from both conditions. People who fall into this category often have it worst. Their ADHD can serve as a trigger for SPD, and vice versa. When these two conditions are combined, it can accelerate and exacerbate the self-destructive behaviors that skin pickers know all too well.
If you suspect that you have ADHD and SPD, it may be possible to treat both conditions by working with a psychiatrist.
The Connection Between ADHD and Hair Pulling (trichotillomania)
ADHD (Attention-Deficit/Hyperactivity Disorder) and hair pulling, also known as trichotillomania or TTM, can be connected in a number of ways. Trichotillomania is a compulsive behavior that involves pulling out hair from the scalp, eyebrows, or other areas of the body.
While hair pulling is not a symptom of ADHD, there are some potential connections between the two conditions:
Comorbidity: ADHD and trichotillomania can co-occur in some individuals, meaning they are diagnosed with both conditions at the same time. Research suggests that up to 30% of people with trichotillomania may also have ADHD.
Similar underlying mechanisms: Both ADHD and trichotillomania may involve abnormalities in brain function and neurotransmitters such as dopamine and serotonin. These chemical imbalances can contribute to impulsive behavior, difficulty regulating emotions, and difficulty focusing attention.
Coping mechanisms: Some individuals with ADHD may engage in hair-pulling as a way to cope with stress, anxiety, or boredom. Similarly, hair pulling can serve as a form of self-soothing behavior for individuals with trichotillomania.
It is important to note that not everyone with ADHD or trichotillomania will experience both conditions, and there may be many different reasons why someone engages in hair pulling. Treatment options for ADHD and trichotillomania can include medication, therapy, and self-care techniques to manage symptoms and improve overall well-being.
The human mind and body can be complex, and the co-occurrence of ADHD and hair pulling, also known as trichotillomania or TTM, can highlight this complexity. Based on the diagram above, there are three main categories into which individuals with these conditions fall into:

- Those who solely experience symptoms of ADHD.
- Those who solely experience symptoms of Skin Picking Disorder.
- Those who suffer from both ADHD and Trichotillomania.
It’s important to note that individuals who experience both conditions may be particularly susceptible to the negative impact of these behaviors. ADHD symptoms can trigger episodes of TTM, and vice versa, which can exacerbate the negative impact of these self-destructive behaviors.
If you suspect that you may be experiencing both ADHD and TTM, it’s important to seek help from a qualified psychiatrist who can help you address both conditions simultaneously. Taking action to manage these conditions can help improve your quality of life and prevent further negative impacts on your mental and physical well-being.
Is Skin Picking A Sign of ADHD?
Skin-picking disorder, also known as dermatillomania, is not a symptom of ADHD. However, individuals with ADHD may be at a higher risk for developing skin-picking disorder.
ADHD and skin-picking disorder are both mental health conditions that can involve impulsivity and difficulty with self-control. Some individuals with ADHD may engage in skin picking as a way to cope with stress or boredom, similar to how some individuals with skin picking disorder may pick their skin as a way to cope with anxiety or other emotions.
Research has found that there is a higher prevalence of skin-picking disorder in individuals with ADHD compared to the general population. It’s important to note that not all individuals with ADHD will experience skin-picking disorder, and not all individuals with skin-picking disorder will have ADHD.
If you are concerned about symptoms of skin-picking disorder or ADHD, it’s important to seek help from a qualified healthcare professional who can provide a diagnosis and appropriate treatment recommendations.