What are BFRBs?
Body-Focused Repetitive Behaviors aren’t just “bad habits”; they are complex and often misunderstood conditions. They might make you feel isolated, embarrassed, frustrated, and ashamed, especially if you have tried to stop with no success. They are known as self-grooming behaviors that can unintentionally cause harm. You may find yourself fully aware of engaging in these behaviors, but other times, you may have not even realized you were doing them. Some of these behaviors include but are not limited to skin-picking, nail biting, or hair-pulling etc. It could feel incredibly difficult to stop these behaviors due to the strong urge and rewarding experience that comes from it.
Excoriation Disorder
Excoriation Disorder, also known as, skin picking disorder, can happen anywhere on the body. Some examples are picking at pimples, cuticles, scabs, or picking at lips. You may find yourself skin picking with your hands or having to use tweezers and a mirror. The damage to the skin may be noticeable and cause you distress as you feel you have to cover these areas with makeup or clothing.
Trichotillomania
Trichotillomania, also known as, hair pulling disorder, can occur wherever we have hair on our bodies. Some common hair puling sites are eyelashes, scalp, eyebrows, and genitals. Some individuals may even find themselves ingesting the hair they have pulled out.
Other Common BFRBs
BFRB’s are not limited to only skin picking and hair pulling and can include:
- Cheek biting
- Nail biting
- Nose picking
- Lip biting
Common Experiences:
- Hiding bald spots or scabs with hats, makeup, or clothing
- Skipping class or work after a picking or pulling episode that has caused visible damage
- Not realizing you were engaging in picking or pulling while sitting in class or a meeting
- Constantly worrying that someone will notice and call you out
- Struggling to concentrate due to the strong urges to pick and pull
- Experiencing shame when comparing yourself to others
- Have a diagnosis of Obsessive Compulsive Disorder or an anxiety disorder
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).
Treatment for BFRBs in California & Minnesota
Compassionate care for complex challenges
BFRBs can make you feel out of control, but with the right support and strategies, it’s possible to reduce Body-Focused Repetitive Behaviors’ impact on your life and rediscover your confidence.
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 can significantly impact daily life, self-esteem, and overall well-being. I offer online therapy for BFRBs, using an evidenced based approach called Comprehensive Behavioral (ComB) treatment. Together, we will work on identifying your triggers and strategies that work for you so you can be more present in your life. My approach integrates Comprehensive Behavioral (ComB) Treatment with elements from 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. Online treatment is available to adults in Minnesota and California.
