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!

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What would it be like to feel more in control of your BFRB? This is an area of difficulty I have extensive training and experience in. I offer both individual and group therapy for these treatment issues.

— Alison Schweichler, Counselor in Orchard Park, NY

I have extensive training and experience in treating Trichotillomania and other BFRBs.

— Eryn Hicker, Licensed Clinical Social Worker

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

If you or your loved ones are struggling with a body-focused repetitive behavior such as trichotillomania, dermatillomania or onychophagia, you know that the experience is often accompanied by feelings of isolation, shame, and a myriad of other difficult emotions. Drawing from several different treatment modalities, including the ComB model, CBT and DBT, I will tailor treatment to your needs and support you in your BFRB management head-on.

— Miriam Kassow, Psychotherapist in New York, NY

BFRBs function differently in each individual. In some cases, it's harmless stimming but it can also progress to highly destructive habits. I use ERP and Habit Reversal Training to develop a treatment plan that respects folks' neurological needs for stimulation while reducing or eliminating harmful picking/pulling behaviors.

— Katie Playfair, Licensed Professional Counselor in Vancouver, WA

BFRBs can be driven by anxiety or neurodivergence and it's important to know the difference. Together, we will figure out the FUNCTION of your BFRB and pick the right interventions to reduce its destructive power while honoring underlying sensory needs.

— Katie Playfair, Licensed Professional Counselor in Vancouver, WA

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

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 New Orleans, LA

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

Body-Focused Repetitive Behaviors (BFRB) include things such as trichotillomania (hair pulling), skin excoriation (skin picking), and nail biting. As a therapist, I utilize the ComB Model to address and reduce these behaviors.

— Rebecca Cooper, Clinical Social Worker in Las Cruces, NM

My clients have had the success they were seeking- ending the picking, and the pulling, etc. -that had been interrupting their lives for years. Imagine the relief they felt, when their hands started protecting the skin . If you are ready for change, and ready for these behaviors to become- "Something you Used to do" Please give me a call

— Stacey Horn, Licensed Clinical Social Worker in ,

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

I received training in the Comprehensive Model for Behavioral Treatment (ComB) at TLC Foundation's Professional Training Institute. I will conduct a thorough functional analysis, investigating the five domains that are known to play a role in promoting and sustaining these behaviors. Together, we will work collaboratively to create a personalized intervention plan that directly targets your triggers with some troubleshooting along the way.

— Jenna Line, Therapist in Frederick, MD

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 New Orleans, LA