Reference
Guide | Reference

65  Body-Focused Repetitive Behaviors Prototype

65.1 Summary

  • A pattern of repetitive, hard-to-control behaviors focused on the body that provide temporary relief or tension reduction.

65.2 Prototype Features

  • Repetitive behaviors (e.g., skin picking, hair pulling).
  • Rising tension or urge before the behavior.
  • Relief or gratification after the behavior.

65.3 Threshold Guidance

  • Use when behaviors are recurrent and lead to distress, impairment, or injury.

65.4 Expected Domain Profile

  • Compulsivity and Perseveration: moderate.
  • Somatic Distress and Interoception: variable.

65.5 Time-Course and Trajectory

  • Chronic with stress-related spikes.

65.6 Differential and Red Flags

  • Dermatologic conditions driving scratching.
  • Substance effects or neurologic contributors.
  • Self-harm behaviors with different intent.

65.7 Specifiers (treatment-relevant, non-prescriptive)

  • Course/time pattern (chronic, fluctuating).
  • Contributors (stress, sensory dysregulation).
  • Risk modifiers (injury, infection risk).

65.8 Measurement Prompts

  • Frequency and duration tracking.
  • Body area impact log.

65.10 Documentation Snippet (1-2 lines)

  • “Repetitive skin picking with tension relief; Compulsivity 2; chronic course with stress-linked spikes.”