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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Meet the specialists

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
 

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

— Christine Block, Counselor in Houston, TX

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
 

The treatment of choice for BFRBs is Cognitive Behavioral Therapy (CBT). There is a specific kind of CBT approach created for BFRBs called the comprehensive behavioral treatment (ComB). At the beginning of treatment, I will walk us through an assessment to help both of us understand how BFRBs are impacting your life. You’ll learn about BFRBs, understand how to relate to BFRBs in a more empowered, compassionate way, and use individualized strategies that we will create together.

— Andrea Millen, Clinical Psychologist in Portland, OR

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
 

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

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
 

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 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
 

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