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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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

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

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

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

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

TICs Tourette Syndrome Trichotillomania Excoriation Disorder Misophonia

— Eli Felt, Psychologist in New York, NY

Well versed in Habit Reversal Training (HRT) and Comprehensive Behavioral (ComB) Treatment for Excoriation (Skin Picking) and Trichotillomania (Hair Pulling) Disorders, as well as Acceptance and Commitment Therapy (ACT) enhanced behavioral therapy.

— Daniel Chazin, PhD, ABPP, A-CBT, Addictions Counselor in Philadelphia, PA

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

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

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

I've been working with those who have body-focused repetitive behaviors since 2008. I use Habit Reversal Training, an evidence based treatment for BFRBs, to help you gain awareness into these behaviors while working on competing responses to ultimately reduce the problematic behavior.

— Jenna Overbaugh, Licensed Professional Counselor

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

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