Body Focused Repetitive Behaviors
Body Focused Repetitive Behaviors (BRFB) include: Skin picking, hair pulling, nail biting, cheek and lip biting/chewing. These disorder can be triggered by stress, anxiety and other emotions, and tend to triggers significant amounts of shame and self critical thoughts.
Treating BRFBs, I utilize habit reversal therapy, and the ComB model by Charlie Mansueto et al. Treatment includes a comprehensive analysis into the behavior, keeping a log of the behavior during treatment, designing specific behavioral interventions, and working on both shame resilience and stress management.
In starting treatment for BRFBs, expect to work on monitoring frequency of the behavior, and committing to practicing different techniques to extinguish the habitual nature of the behavior.
For more information on BRFBS, check out the TLC foundation.