Evidence-based treatment, life-changing results

Body-Focused Repetitive Behaviors (BFRBs)

Specialized treatment for hair pulling, skin picking, and related behaviors that goes beyond surface-level solutions.

Body-Focused Repetitive Behaviors might make you feel isolated, but you’re far from alone:

  • Trichotillomania (hair pulling) affects 1-2% of the population
  • Excoriation (skin picking) is experienced by up to 5% of people
  • Many more struggle with nail biting, cheek biting, and related behaviors

These aren’t just “bad habits” – they’re complex conditions influenced by various factors. But with the right support and strategies, it’s possible to reduce Body-Focused Repetitive Behaviors’ impact on your life and rediscover your confidence.

What to Expect from BFRB Treatment

Comprehensive Assessment

In our first sessions, I’ll work to understand your unique BFRB experience, including its history, triggers, and impact on your life.

Collaborative Goal Setting

We’ll define success together based on your needs and aspirations. This isn’t about achieving “perfection,” but about improving your quality of life.

Customized Treatment Plan & Skill Development

Using insights from our assessment, that focuses on providing an evidence-based approach: Comprehensive Behavioral Treatment (ComB).


Frequently Asked Questions

What exactly are Body-Focused Repetitive Behaviors (BFRBs)?

BFRBs are recurrent, body-focused behaviors like hair pulling (trichotillomania), skin picking (excoriation), or nail biting. They’re complex conditions involving physical urges, emotional states, and often automatic or unconscious actions.

What if I’ve tried to stop my BFRB before and failed?

Previous attempts are not failures – they’re valuable experiences that we can learn from. My evidence-based approach addresses BFRBs from multiple angles.

Do you offer in-person and virtual sessions?

At this moment, I only offer virtual sessions. This allows you to receive specialized OCD treatment in a way that best fits your life.

How do I get started?

Getting started is simple. Book a free 15-minute consultation with me. During this call, we’ll discuss your specific concerns and determine if we’re a good fit. If we decide to move forward, we’ll schedule your first full session and begin your journey towards freedom from anxiety.

Is BFRB treatment covered by insurance?

Many insurance plans cover BFRB treatment. I’m in-network with Aetna and Optum and can provide superbills for out-of-network reimbursement. We’ll discuss your options during your initial consultation.


Compassionate care for complex challenges

I focus on treating Body-Focused Repetitive Behaviors (BFRBs) such as trichotillomania (hair pulling), excoriation (skin picking), and onychophagia (nail biting) etc. These complex conditions affect millions across the United States, significantly impacting daily life, self-esteem, and overall well-being.

My approach integrates Comprehensive Behavioral (ComB) Treatment with elements of other modalities. This personalized method addresses not just the physical manifestations of BFRBs, but also the underlying sensory, cognitive, emotional, and environmental factors. As a certified Cognitive Behavioral Therapist, I bring a wealth of knowledge to each session, combining the latest research with compassionate, individualized care. If you’re ready to take the first step towards managing your BFRB, I’m here to support you on your journey to healing and self-acceptance.

About Therapy for the Anxious Mind

Nathalie Torres transforms anxiety and OCD from roadblocks into stepping stones on your path to self-discovery. She blends evidence-based treatments with cultural insight, empowering you to author a life of meaning and purpose.