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BFRB scale

BFRB Scale

1. Over plucking eyebrows

2. Scalp pulling only, begins in adulthood and only rarely occurs

3. Moderate skin picking, never on face or hands

4. Hair pulling from hidden from view areas only, skin picking including hands but not face and neck

5. Cheek chewing, bruxism, tongue chewing, not noticed by others

6.  6.1 Baby Tric – onset before the age of 5: Usually gone by age 8 or 9; 

     6.2 Trichotillomania from scalp which is not noticeable to others – up to 25% bald; 

     6.3 Beard pulling.

7.  7.1 Skin picking without any other BFRBs;

    7.2 Eyelash pulling

8. Hair pulling which results in baldness over 26%; parents may have mental health issues also

9. Combination of two or more BFRBs/OCDs

10. 10.1 Combination of two or more BFRBs and twitching, possibly also signs of BPD; 

     10.2 Noticeable impulse control problems in more than three areas of life