01/02/2026
BFRBs are not simply “bad habits,” and they are not a failure of discipline.
Hair pulling, skin picking, and related behaviors are driven by neurophysiologic processes involving sensory processing, emotional regulation, and habit circuitry in the brain. Research shows significant overlap with OCD and substance use disorders, including pre-urge tension, temporary relief, and difficulty inhibiting the behavior despite negative consequences.
That is why telling a child to “just stop” is ineffective and often harmful. We would never tell someone with OCD to stop compulsions or someone with addiction to stop using without addressing the underlying process.
When parents respond with fear, urgency, or frustration, the child’s nervous system often interprets this as threat or shame, which can intensify urges and increase secrecy. When parents respond with curiosity, awareness, and collaboration, the nervous system can begin to regulate. Behavior changes when the nervous system feels supported, not pressured.
This carousel walks through common parenting responses, what children actually hear internally, and evidence-based alternatives rooted in awareness training and nervous system regulation.
If this resonates, consider saving or sharing with another parent who may need this perspective. Awareness changes the conversation, and connection changes outcomes.