Biting, pulling, picking, or scraping at your own hair, skin, lips, cheeks, or nails are a few examples of BFRBs. These behaviors can cause physical harm and often continue even after many attempts to stop or reduce them. BFRBs are common and affect people of all ages, and are treatable with the right support.

Treatment: Comprehensive Behavioral Model (ComB Model):
BFRBs are self-soothing actions, and the reasons behind picking and pulling are unique to each person. Treatment is designed to help you better understand the thoughts, emotions, and behaviors that lead to hair pulling and skin picking. By recognizing what triggers these behaviors, you can begin to explore more helpfiul ways to cope with stress, anxiety, or boredom.

Therapy may involve:
  • Learning to identify the specific situations, feelings, or thoughts that lead to your picking or pulling.
  • Developing strategies to interrupt these behaviors when you feel the urge.
  • Finding more helpful ways to soothe yourself or deal with emotional discomfort.
  • Building self-awareness through mindfulness or relaxation techniques to manage stress.
  • Gradually reducing or eliminating the unwanted behaviors over time.

The goal is to help you gain more control over these behaviors and reduce the physical and emotional impact they may be having on your life.

Specialized Therapy in Arizona and PSYPACT states

Body-Focused Repetitive Behaviors (BFRBs)

Body-focused repetitive behaviors (BFRBs) are self-grooming actions that are done repeatedly.

Cheek Biting


Picking/biting lips



Nail Biting


Hair Pulling


Skin Picking

Common BRBs include:

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