“…Treatments that have been designed for various nervous habits have been effective in the management ofmild onychophagia (1, 7,8) but not for the severe form (5). Severe onychophagia can be considered a different be" haviour altogether because of the degree of self-harm in· volved (9). Various reports have demonstrated serious medical complications associated with the severe form of onychophagia, including bleeding, infection, scarring, and significant pain (5,(10)(11)(12)(13), which are not present in the mild form.…”