
Keep Your Hair On
Understanding Urges to Pick, Pull or Bite
Author: Clare Mackay
Narrator: Clare Mackay
Unabridged: 5 hr 37 min
Format: Digital Audiobook Download
Publisher: Little, Brown Book Group
Published: 04/02/2026
Categories: Nonfiction, Self-help, Compulsive Behavior, Eating Disorders & Body Image, Psychology, Psychopathology
Includes:
Bonus Material
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Synopsis
Keep Your Hair On combines personal experience with scientific inquiry to explore the misunderstood world of hair pulling, skin picking and nail biting. These behaviours are fairly common and can cause a lot of distress, but have been largely neglected by medical science, leaving many to suffer in silence.
Neuroscientist Clare Mackay shares her own four-decade struggle with hair pulling, while examining what drives these behaviours and why they can make people feel so bad. Drawing on psychology, neuroscience, animal behaviour, dermatology and lived experience, she challenges the stigma and oversimplified assumptions surrounding BFRBs.
Mackay offers compassionate insights into why these behaviours develop, why they're so hard to stop, and how shame compounds the struggle. Rather than promoting quick fixes, she encourages understanding over judgement and introduces new avenues for management, including the power of self-compassion. This is not a self-help manual, but it may help - by reframing BFRBs not as signs of personal failure, but as interesting, deeply human behaviours that deserve curiosity, care and connection.