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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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 extensive training and experience in treating Trichotillomania and other BFRBs.

— Eryn Hicker, Licensed Clinical Social Worker
 

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
 

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, Hypnotherapist

Struggling with Hair Pulling (Trichotillomania), Skin Picking (Excoriation), or Nail Biting Disorder (Onychophagia)? Serving children, teens, and adults, I evaluate and treat in a collaborative way while incorporating Cognitive Behavior Therapy (CBT) including ComB and Habit Reversal. If you are a parent of a child struggling with hair pulling or skin picking, I am here to provide support for you and help for your child.

— Barbara Baselice, Counselor in Allen, TX
 

I have experience helping those with BFRB's including skin picking and hair pulling. I use Exposure Response Prevention and Habit Reversal Training to address these.

— Rachel Davidow, Licensed Clinical Social Worker

I have extensive training in treating Trichotillomania (Hair pulling disorder) and Excoriation Disorder (compulsive skin picking) in children, adolescents, and adults. I utilize a combination of evidence-based behavioral therapies and recognize that every BFRB is unique to the individual. I provide a gentle, encouraging approach to treatment. We explore not only the pulling/picking/biting behavior but the underlying feelings behind the behaviors.

— Rennie Volpe, Licensed Professional Counselor in Conshohocken, PA
 

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

While you may not know them by their formal name, Body-focused repetitive behaviors (BFRBs), are recognizable as habits/behaviors that have gotten out of hand and that can seem very difficult to 'just stop.' Some of the more common ones can include pulling, picking, biting, or scraping one's hair, skin, or nails. I can help guide you through the treatment strategies to address these behaviors as well as the shame or stigma that unfortunately may sometimes accompany them.

— J. Oni Dakhari, Psychologist in Moorestown, NJ
 

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

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
 

The Comprehensive Model for Behavioral Treatment (ComB) is effective in addressing these behaviors, and involves identifying your triggers, including situations in which you are most likely to pick or pull, sensory cues and related intrusive thoughts. We then develop and try out an alternative plan and track the effectiveness of this approach. Together, we can develop a sustainable plan to help you best surf the urges to pick and pull.

— Lisa Conway, Clinical Psychologist

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