Body-focused repetitive behavior (BFRB) disorders involve compulsive behaviors that go far beyond occasional fidgeting. Two of the most common BFRBs are:
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Dermatillomania – Repeated skin picking that causes sores, scabs, or scarring
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Trichotillomania – Compulsive hair pulling from the scalp, eyebrows, eyelashes, or other areas
These conditions are often misunderstood; it’s not merely a habit or attention-seeking behavior. These actions are driven by anxiety, stress, boredom, or an urge to self-soothe. Over time, they can lead to emotional distress, shame, and even physical harm. These behaviors are real mental health conditions, and they can be treated.
Signs You May Be Dealing with a BFRB
The signs of a BFRB are usually clear:
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Inability to stop picking or pulling despite repeated attempts
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Noticeable hair loss, skin damage, or infections
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Feelings of relief followed by guilt or embarrassment
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Avoiding social situations due to visible effects
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Rituals around specific times, places, or triggers
Unfortunately, because these behaviors can be private or misunderstood, many people struggle silently for years.
How Therapy Breaks the Cycle
Therapists who specialize in BFRBs use evidence-based techniques to help you gain control and reduce harm. Treatment options include:
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Habit Reversal Training (HRT) – Learning to recognize triggers and replace behaviors
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Cognitive Behavioral Therapy (CBT) – Reshaping thought patterns that drive compulsions
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Supportive coaching – Building routines and accountability
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Medication – Anxiety, depression, and/or OCD medications can sometimes help
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Mindfulness and distress tolerance – Managing emotional discomfort without BFRB behaviors
If you struggle with dermatillomania, trichotillomania, or another body-focused behavior, know that help is available. Connect with us today to start working with a therapist who understands BFRBs and can guide you toward lasting change!