Ever catch yourself doing something you can’t quite control? Maybe it’s pulling your hair when stressed, picking your skin without realizing, or any behavior that feels… automatic? Maybe you have tried stopping multiple times with no luck. These aren’t just “bad habits” – and they deserve more than simplistic “just stop” advice.
These often-overlooked behaviors can lead to emotional distress, shame, and physical damage. Understanding BFRBs is the first step toward effective management. It’s representation can vary and at times, individuals may be engaging in more than one of these categories:
- Hair Pulling (Trichotillomania)
- Skin Picking (Excoriation or Dermatillomania)
- Nail Biting
- Cheek or Lip Biting/Picking
- Chronic Nose Picking
BFRBs can go beyond this list as it is complex and its presentation can vary from person to person.
What to Know About Comprehensive Behavioral (ComB) Treatment

It’s Not You, It’s Your Brain
Those automatic behaviors? They’re not character flaws. They’re your brain’s (misguided) attempt to meet real needs. ComB helps you understand what’s actually driving these patterns – and finally do something about it.

A Framework That Actually Makes Sense
ComB breaks down what’s really happening in your brain and body when these behaviors kick in. We map out your specific triggers – physical, emotional, environmental – and build solutions that actually stick.

Science Meets Real Life
Sure, the research behind ComB is solid (and I’m happy to nerd out about it). But what matters is that it works in real life – during work stress, family drama, and everything in between; as long as you put your part in.
Frequently Asked Questions
What makes ComB different from other treatments?
ComB is a form of therapy that helps you analyze at a very closely the sequence of behaviors you are engaging in. It will give you insight on why you are doing what you’re doing.
What kinds of behaviors can ComB help with?
ComB aims to treat skin-picking, hair-pulling, nail biting, cheek biting, and chronic nose picking etc. This list is not exhaustive as body-focused repetitive behaviors are unique and can vary from person to person.
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.
Your Next Step
Whether you’re dealing with BFRBs (body-focused repetitive behaviors), feeling stuck in patterns you can’t shake, or just tired of the same old “just stop” advice – there’s a better way forward.
Comprehensive Behavioral (ComB) Treatment for Body-Focused Repetitive Behaviors (BFRBs) is a structured, practical approach designed to help individuals manage and reduce behaviors like hair pulling, skin picking, nail biting, and cheek biting, etc. It combines various modality techniques to create personalized strategies to discover what is conditioning and reinforcing these behaviors. Some modalities I may draw upon are from Cognitive Behavior Therapy (CBT), Dialectical Behavior Therapy (DBT) skills, Exposure and Response Prevention (ERP), and mindfulness practices.
ComB focuses on understanding the underlying causes of behavior and aims to foster lasting change. If you are ready to learn more and decrease these behaviors please contact me for a free consultation!