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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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

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

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 ,

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

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

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

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

— Christine Block, Clinical Social Worker in Houston, TX

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

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

TICs Tourette Syndrome Trichotillomania Excoriation Disorder Misophonia

— Eli Felt, Psychologist in New York, NY

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've completed advanced therapist training on treating this issue and sought out other relevant training and information. Rather than oversimplifying treatment by focusing on just getting rid of these behaviors, I work with my clients on exploring deeper unmet needs or relationship issues/dynamics that might be driving the behaviors. Our focus will typically include identifying what needs these behaviors are meeting, which might include sensory-related issues and/or underlying emotional needs.

— Nicole Powell Cantu, Licensed Clinical Social Worker

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 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