Treatment response

Various cognitive-behavioural therapies (especially habit reversal, but also self-monitoring, use of bitter tasting substances, competing responses, and negative practice training) are probably effective in onychophagia. (38) Only one study has evaluated the pharmacological treatment of onychophagia. This double-blind cross-over study demonstrated that clomipramine (mean dose 120 mg/day) was significantly better than desipramine (mean dose 135 mg/day) in eliminating nail-biting, reducing nail-biting severity and impairment, and in improving overall clinical progress. (39)

Breaking Bulimia

Breaking Bulimia

We have all been there: turning to the refrigerator if feeling lonely or bored or indulging in seconds or thirds if strained. But if you suffer from bulimia, the from time to time urge to overeat is more like an obsession.

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