By Annabelle P., HabitAware Keen Family
Do you find yourself biting your nails when you are stressed, tired, bored or anxious? Nail biting is not uncommon - and it’s not always just a “bad habit.” Like a bad habit, nail biting is an unwanted pattern of behavior - it’s something you don’t want to be doing. But, nail biting becomes more than just a bad habit when it moves past being a harmless physical action and becomes a medical condition that impacts your quality of life socially, physically and emotionally.
Going from a “bad habit” to impacting my social, physical and emotional well-being is what happened to me - and what has happened to millions others like me - as 20-30% of the U.S. live with chronic nail biting.
Chronic nail biting is medically known as the mental health condition onychophagia. Onychophagia is part of a group of conditions called Body Focused Repetitive Behaviors (BFRBs). BFRBs also include compulsive hair pulling (trichotillomania), excessive skin picking (dermatillomania) and other repetitive self-grooming behaviors that are often subconscious and uncontrollable. Even though BFRBs are self-soothing mechanisms, these behaviors still tend to cause damage to both body (hair, skin, nails) and mind.
When I was 7 years old, I started pulling my eyelashes. (l later learned this is called compulsive hair pulling, or trichotillomania). At 7, I had no idea why I was doing this. My parents too had no clue that it was a medical condition. They were just as confused as I was and sadly, thought something was “wrong” with me because I had this undesirable behavior. Though they understand I wasn’t aware of my eyelash pulling in the moment, they didn’t understand that it could potentially lead to social issues down the road.
I don’t blame them as it was the late 80s and they didn’t have access to the information we now have at our fingertips. They did the best they could. They talked to my teachers and explained the eyelash hair pulling behavior. They also would give me stuffed animals to play with and keep my hands busy. They never said what I was doing was “bad” and they never punished me for it. They just tried helping me replace the eyelash pulling with something else. And it worked...until it didn’t. I was able to stop pulling my hair, but instead my behavior quickly shifted to nail biting. I was just following orders rather than trying to change the behavior on my own.
My parents weren’t thrilled about it, but to them nail biting was a “lesser evil.” They felt that because a lot of people bite their nails it was less socially ostracizing. And that was that. I can’t blame myself or my parents because it was an issue more complex than we realized back in the 80s. If my parents knew how to support my BFRB recovery, things might have been different but it wasn't available back then.
I continued biting my nails for nearly 20 more years because there was no more intervention or interfering from my parents. As a kid, I wasn’t taught the skills needed to be aware of the nail biting, nor the skills to replace the unwanted nail biting. So my nail biting went from something casual and socially acceptable to something unchecked. I struggled to hide. As I got older, my nail biting got harder and harder to control to the point of getting infections in my fingers, near my cuticles.
As a kid with a BFRB, I felt really alone and tried to hide it as much as possible for fear of being made fun of or judged. I stopped hanging out with friends because it was easier to do that than to explain why I had so many bandaids on my nails. I remember one time in middle school, my dad pulled up the driveway to a friend’s house to drop me off at her birthday party. I got last-minute jitters and ducked down in the backseat, crying and begging him to take me home — I didn’t want to be caught.
My nail biting wasn’t killing me in the physical, but I felt like I was dying inside.
Growing up with this seemingly harmless nail biting “habit” meant constantly worrying my bandaids would fall off or someone would be grossed out at the damage I was doing to my cuticles and fingertips. The scars were permanent reminders that not only fed my internal guilt and ate away at my self-esteem, but also gave middle school bullies a reason to have their fun.
It was hard feeling like no one understood my struggle. When people don’t understand why I couldn’t “just stop” nail-biting behavior, they are showing their judgement against people like me. This lack of compassion and understanding led to stares, whispers and jeers.
It is isolating and strengthened the narrative in my mind that there was something wrong with me.
All of which made it feel like life was over.
The stress my nail biting caused, the physical marks it left and the mental anguish of going outside “looking like that” all made daily living a chore. Compulsive nail biting, just like hair pulling and skin picking are trance-like. For those of us with these BFRBs, we aren’t able to live and enjoy life because our time is spent locked in a bathroom fixing a wig or makeup to cover it up. If not locked in a bathroom, we are locked in our own heads — trying to convince ourselves no one will notice and that we should just go out to that party we were invited to — only to finally give in to our BFRB and sit at home.
And so we miss out on life’s key moments with friends and family, losing out on the opportunity to share in laughter, joy and life.
When I turned 25 I began to look inward at the “why” behind my nail biting and realized it was my body’s way of easing my stress and anxiety. With access to the internet I was able to learn more about my nail biting condition and found community. I was not alone anymore.
It was incredibly hard to stop nail biting on my own because it wasn’t something I realized was happening. I tried a lot of things to stop nail biting - from funny looking thumb guards to that nasty tasting nail polish. None of it helped because it wasn’t helping me understand and deal with the urge.
Then a year ago, I found HabitAware Keen, a smart bracelet that was invented by a woman with compulsive hair pulling disorder to help people like me stop nail biting, skin picking and hair pulling. I watched her TEDx video about it and was really fascinated by this habit-tracking bracelet and the methodology to stop my nail biting.
1. Build Awareness of Nail Biting
The premise of this sleek wearable is simple - I connected Keen to the mobile app and “trained” it for my nail biting movements. Then, the bracelet recognized when I was biting my nails and vibrated. The goal of the vibration was to help me build awareness of this trancelike behavior. The vibration was a gentle “hug” on the wrist and a discreet reminder that my hands weren’t where I wanted them to be. This step is about simply being aware and noticing the behavior is happening, in a non-judgemental way.
2. Reflect on the Triggers Behind the Nail Biting
HabitAware is more than a company - knowing that the founder lived through a similar condition gave me hope that I too could stop nail biting. I feel great knowing I am part of a community actively doing the work to make positive self change...and greater still knowing that “stopping” isn’t the end all be all and that’s it’s ok to slip every now and then. I’m in a much healthier mentality and have much healthier nails now too!
Here’s what other people had to say about using the HabitAware Keen bracelet to stop nail biting:
What an amazing BFRB Awareness Week we had this year! We reached 37,000+ people through our posts, events, and videos, definitely meeting our goal of spreading awareness.
Thank you to all those who joined our conversations and helped us cultivate understanding and empathy this week. Also a big thank you to all of the advocates who were featured in our events this week!
Check out the Catalogue of Events.
Not sure which size is right for you?
It's important that Keen has a snug fit on your wrist. Here's a quick guide to help you decide which bracelet size to order:
Fits kids and adults with small-medium wrists
min: 5.25 inches (13.3 cm)
max: 7.50 inches (19.0 cm)
Fits adults with large wrists
min: 6.15 inches (15.6 cm)
max: 8.50 inches (21.6 cm)
Fits kids and adults with small-medium wrists
min: 5.1 inches (13.0 cm)
max: 6.8 inches (17.2 cm)
Fits adults with medium-large wrists
min: 6.3 inches (16.0 cm)
max: 8.2 inches (20.8 cm)