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Wednesday, June 19, 2013
Anxiety and Stress Disorders
Nervous Habit or Compulsion
Hi. I am a 22 year old female and am working at my first job out of college. When I get stressed, I pick at the palm of my hand, sometimes to the point of bleeding. I had stopped picking for awhile, which took much strength, but have recently begun picking again. I also pick the middle of the bottom of my foot.
I was wondering whether you have ever heard of this before? I have been doing it for at least six years, but only during stressful times. Also, do you know why I pick at these places? Are they pressure points?
I know it would be easy to just say stop, but I can`t. Any advice?
What you are describing could be a "nervous habit" or it could be a "compulsion." It is impossible to tell with a brief internet description. I recommend that you talk to your primary care physician or a mental health professional to better help you figure out what is going on.
Nervous habits are common, repetitive actions we do to help us in stressful situations or when we are feeling some mild anxiety. The actions of nail biting, hair twirling, skin picking, etc. focus our sub-conscious attention on the activity and allow us to get through the stress or anxiety. The actions then become habits because we do them again and again because they were successful - we made it through the anxiety by biting our nails, so we continue to do so. Nervous habits often begin in childhood, and may continue into adulthood unless we find more successful ways to deal with stress and anxiety such as talking with friends and family, exercise, meditation, prayer, etc. Occasionally "nervous habits" continue just as habits because we have done them so often. They no longer serve a purpose to decrease anxiety, but we do them because we have done them for so long.
Compulsions are different, and are part of a more serious anxiety disorder called obsessive compulsive disorder (OCD). Compulsions are repetitive behaviors that a person almost feels driven to do. They are aimed at preventing or reducing distress (or preventing some dreaded event) but they are either not connected in a realistic way with what they are designed to prevent, or they are clearly excessive. For example, if someone feels driven to wash their hands ten times in a row each time they wash in order to kill germs, the excessive hand washing will not realistically decrease germs, but a person with OCD will feel anxious or upset if they don't do the handwashing 10 times.
People with compulsions eventually recognize that the behavior is excessive or unrealistic, but they feel powerless to stop the behavior because their level of distress is so high if they don't do the compulsion. Eventually, these compulsive behaviors interfere with a person's life -- they either take so much time or cause physical, work or social problems.
When a person finds it impossible to stop a behavior that has negative consequences for them, it is a good idea to get some professional help. Your aren't picking at your hand or foot because it is a pressure point - this is the habit or behavior that you have developed to help you deal with anxiety. However, when the "habit" becomes a problem itself, it is time to get professional help. Luckily, treatments today can really help people with these problems.
Nancy Elder, MD
College of Medicine
University of Cincinnati