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Bruxism, particularly awake bruxism, is strongly influenced by various psychological factors. Understanding these can aid in effectively managing and treating the condition. Stress and anxiety are the most common psychological triggers for bruxism. The body's fight-or-flight response may increase muscle activity, including jaw clenching or teeth grinding. This reaction can be both a conscious response when awake and an unconscious one during sleep, with chronic stress exacerbating these symptoms. Emotional disturbances such as anger, frustration, or suppressed emotions can also initiate bruxism. It may serve as a coping mechanism for some individuals, allowing them to release emotional tension. Interpersonal conflicts in personal or professional settings can escalate psychological stress and trigger bruxism. Life pressures like work deadlines, financial concerns, or personal relationship issues commonly contribute to these episodes. Individuals with personality traits aligned with perfectionism, competitiveness, or hyperactivity are more susceptible to bruxism. These traits can increase the likelihood of stress and anxiety, fostering conditions conducive to bruxism. Bruxism is linked with various mental health issues, including depression, anxiety disorders, and obsessive-compulsive disorder (OCD). It is prevalent among those with post-traumatic stress disorder (PTSD), where it can act as a physical expression of psychological trauma. Given the significant role of psychological factors, treatments often include psychological interventions: Cognitive Behavioral Therapy (CBT) helps individuals develop healthier thinking patterns and effective stress management techniques, which can alleviate bruxism. Stress Management Techniques such as deep breathing, progressive muscle relaxation, yoga, or meditation can reduce stress and, consequently, bruxism episodes. Biofeedback therapy utilizes sensors to monitor physical responses to stress, like muscle tension, teaching individuals to control their muscle activity and potentially reduce bruxism.