Identify triggers and patterns
Offer a comfort object like a blanket or stuffed toy
Keep hands busy with toys, puzzles, or fidget items
Use gentle reminders and positive reinforcement
Apply a bitter-tasting nail product if appropriate
Cover the thumb with a bandage or thumb guard
Encourage calming alternatives like deep breathing
Maintain a consistent bedtime routine
Reduce stress and anxiety triggers
Praise progress and small successes
Set clear, simple goals
Consult a dentist or pediatrician if needed