Your Child's Habits

Many kids have habits that can be annoying. Four of the most common are:

• nail-biting
• hair-twirling
• nose-picking
• thumb-sucking

These habits may bother or even worry you, but 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 might be 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:

Nail-Biting

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. Many kids and teens chew on one or more fingernails. And, occasionally, a child may also bite their toenails.

As they get older, boys are more likely to be nail biters than girls.

Hair-Twirling

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 lead-up 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.

But for those who start hair pulling as older kids or teens, the habit is harder to break and may be a sign of anxiety, depression, or obsessive-compulsive disorder (OCD).

Nose-Picking

Nose-picking appears to be a habit that, although it usually begins in childhood, may last into adulthood.

Thumb-Sucking

Kids' preference for thumbs as the finger to suck is thought to be due to the thumb's 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.

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:

• Calmly point out what you don't like about the behavior and why. This approach can be used with kids as young as 3 or 4 to help increase awareness of the problem. Say something like, "I don't like it when you bite your nails. It doesn't look nice. Could you try to stop doing that?" Most important, the next time you see the nail biting, don't scold or lecture. Punishment, ridicule, or criticism could cause the behavior to increase.
• Involve your child in the process of breaking the habit. If your 5-year-old comes home crying from kindergarten because the other kids made fun of his thumb-sucking, understand that this is a way of asking you for help. Parents can ask their kids what they think they could do to stop the habit or if they want to stop the habit. Think of some ways to work on breaking the unwanted habit together.
• Suggest alternative behaviors. For example, when if your child is a nail-biter, instead of saying, "Don't bite your nails," try saying, "Let's wiggle our fingers." This will increase awareness of the habit and may serve as a reminder. To occupy your child's attention, try providing a distraction, like helping you in the kitchen or working on a craft.
• Reward and praise self-control. For example, allow your little girl to use nail polish if she lets her nails grow. Or every time your son refrains from sucking his thumb, reinforce the positive behavior by praising him and giving him a sticker or other small prize.
• Be consistent in rewarding good behavior. If you fail to notice good behavior, it will disappear over time. The new, positive habit must be firmly established before the old one will disappear.

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 More Than 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 an object is stuck in the nose. And the habits themselves can cause some medical complications, such as:

• nosebleeds in the nose-picker
• ingrown or infected nails in the nail-biter
• dental problems, such as malocclusion (the failure of the teeth in the upper and lower jaws to meet properly), or thumb or finger infections in the thumb-sucker

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 feeling a lot of stress or anxiety. If kids are the subject of teasing at school or have trouble 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.

Most habits, though, don't cause any serious problems and tend to improve as kids get older. But if you're concerned, talk with your child's doctor.