Body-focused repetitive behavior (BFRB)

Body-focused repetitive behavior (BFRBs) refers to compulsive and repeated actions of self-grooming behaviors. This can include everything from biting your nails to picking your skin to pulling out your hair. Most of these behaviors are relatively common and, for most people, benign. However, when the frequency of these behaviors increases, the impact is beyond that of a “bad habit”. For example, conditions like trichotillomania (repetitive hair pulling) or dermatillomania (repetitive skin picking) can cause baldness or skin infections and affect an individual’s ability to work or socialize. If you are worried that your “nervous habits” are beyond your control, reach out to one of TherapyDen’s BFRB experts today!

Meet the specialists

Along with my training in OCD, I also have received training in the treatment of body-focused repetitive behaviors including trichotillomania and excoriation disorder.

— Kristin Fitch, Clinical Psychologist in Metairie, LA
 

I have training in treating BFRB's such as hair pulling and skin picking. I use Cognitive Behavioral Therapy to support individuals in habit reversal, as well as coping with anxiety and depression that can result from BFRB's.

— Khloe Clawson, Counselor in Seattle, WA

Trichotillomania (hair pulling), dermatillomania (skin picking) Cognitive behavioral therapy, habit reversal therapy

— Christine Block, Counselor in Houston, TX

I have been trained and certified through the international TLC Foundation for Body-Focused Repetitive Behaviors to offer the most up-to-date, evidence-based treatments available for BFRB’s. These include the “ComB” model of comprehensive behavioral treatment and Mindfulness-Based Impulse Reduction.

— Danielle Bush, Licensed Clinical Social Worker in San Rafael, CA
 

Comprehensive Model for Behavioral Treatment (ComB) is an evidence based treatment for BFRBs and my approach in effecting long-lasting change and recovery. Coupled with a hefty dose of self-compassion and psychoeducation, we will dig deep into the behavior (whether it's skin picking, nail biting, hair pulling, etc) and assess all the functions it is serving and replace them with new strategies.

— Emily Weems, Clinical Social Worker in Houston, TX

Trichotillomania (hair pulling) and excoriation disorder (skin picking) can cause sufferers to feel isolated and lost. I can help get you on the road to recovery.

— Lauri Shedd, Clinical Social Worker in St Louis, MO
 

I have expertise in the treatment of BFRBs, including hair pulling and skin picking. I use the research supported Combined Behavioral (Com-B) methods for treatment of these difficulties. Together, we determine the cues and drives for these behaviors and seek to meet needs in a less harmful and more productive way through satisfying sensory needs and emotion management strategies.

— Kimberly Dwyer, Clinical Psychologist in Centennial, CO

I have specialized training in treating BFRBs, and have found a treatment approach that combines elements of CBT, ERP, HRT, and mindfulness to be very effective in treating these disorders. There is not a one-size-fits-all treatment for BFRBs, so it is very important to first understand why you are doing the behaviors or what needs they are serving.

— Laura Chackes, Clinical Psychologist in Creve Coeur, MO
 

I treat Trichotillomania and other Body-Focused Repetitive Behaviors using ComB (Comprehensive Behavioral Treatment of Trichotillomania), which incorporates cognitive therapy, behavioral therapy, and habit reversal.

— Michael Greenberg, Clinical Psychologist in Beverly Hills, CA