|SSM Cardinal Glennon Children's Medical Center|
Your Child's Habits
Many kids have habits that can be downright annoying. Four of the most common are:
Although these habits may bother or even worry you, relax. In most cases, a habit is just a phase in the normal developmental process and is not cause for alarm.
What's a Habit?
A habit is a pattern of behavior that's repeated, and the child doing it usually isn't even aware of it. But while kids may be blissfully unaware of a habit, their parents aren't so lucky.
And if your little one usually has one hand stuffed in the mouth and the other entwined in the hair, don't be surprised: Habits tend to happen in clusters.
Here's the lowdown on the most common habits among kids and teens:
If nails chewed to the nub are familiar to you, you're not alone. Nail biting or picking is one of the most common childhood habits. An estimated 30% to 60% of kids and teens chew on one or more fingernails. And, occasionally, a child may also bite his or her toenails.
Boys and girls appear equally prone to the habit in earlier years; however, as they get older, boys are more likely to be nail biters.
If one of your kids is a hair twirler, odds are it's your daughter. Most kids who twist, stroke, or pull their hair are girls.
Hair twirling may appear in early childhood as a precursor to hair pulling, either with or without hair loss. But many hair twirlers and pullers stop as they get older. For those who don't, simple behavior modification can help them break the habit.
Nose picking appears to be a habit that, although it usually begins in childhood, may actually linger into adulthood. If you find that hard to believe, consider that a 1995 study of adults found that 91% picked their noses regularly — and about 8% of them reported that they eat what they pick!
Kids' preference for thumbs as the finger to suck is thought to be the result of the thumb coming into contact with the mouth during movements they made an infants. Some kids also suck their fingers, hands, or their entire fists in addition to, or instead of, their thumbs.
Most thumb suckers are younger kids and up to half of 2- to 4-year-olds suck their thumbs. Many kids suck their thumbs to calm and comfort themselves. But frequent or intense thumb sucking beyond 4 to 5 years of age can cause problems, including dental issues (such as an overbite), thumb or finger infections, and being teased.
What Causes a Habit?
Experts aren't always sure what causes a habit, but do know that they're learned behaviors that usually provide a positive outcome for the child.
Habits may develop as entertainment for a bored child or, more commonly, as a coping mechanism to soothe an anxious one. The next time you see nail biting or hair twirling, try to recall if your child has recently had a stressful experience. If so, the behavior might be your child's attempt to relieve tension, much as you would by working out at the gym. On the other hand, some kids engage in habits when they're relaxed, such as before falling to sleep or quietly listening to music.
Some habits may be leftovers from infancy. In infants, thumb sucking is a common self-comfort behavior that has pleasurable associations with feedings and the end of hunger. So it may linger into childhood because of its positive associations.
Or perhaps the explanation for your child's nail biting is in your mirror. Do you bite your nails? Studies suggest that nail biting may have a strong familial or genetic component.
Other kids engage in habits to attract attention or to manipulate their parents. If kids feel that their parents are ignoring them, they may engage in the annoying habit because they know that it will get a reaction from Mom or Dad.
Coping With Your Child's Habit
The good news is that most habits disappear, usually by the time a child reaches school age, because the child no longer needs it or outgrows it.
But if you think it's time to help your child break a habit, consider these steps:
For the best success, it's important that kids be motivated to break the habit. And because habits take time to develop, they're also going to take time to be replaced by alternative behavior, so be patient.
When Is a Habit No Longer Just a Habit?
In some cases, a habit is the result or the cause of a physical or psychological problem. For example, a nose-picker might be uncomfortable because there's actually an object stuck in the nose. And the habits themselves can cause some medical complications, such as:
A habit may no longer be a simple habit if it negatively affects a child's social relationships or interferes with daily functioning.
Older kids who constantly suck their thumb might be experiencing significant stress or anxiety. If kids are the subject of teasing at school or have difficulty talking because they won't take their thumbs out of their mouths, the behavior has gone beyond a simple habit. Kids who pull their hair out may have trichotillomania, a condition that results in hair loss. And habits that are in response to obsessive thoughts may be a sign of OCD.
However, most habits don't cause any significant problems and tend to improve as kids get older. But if you're concerned about your child's habits, talk with your doctor.
Reviewed by: Steven Dowshen, MD