EXPERT CARE FOR TRICH & SKIN PICKING
Specialized Treatment for Body-Focused Repetitive Behaviors (BFRBs)
Body-Focused Repetitive Behaviors such as hair pulling (trichotillomania) and skin picking (excoriation disorder) are complex, neurobehavioral conditions — not habits, bad behaviors, or failures of willpower. For many individuals, hair pulling and skin picking extend far beyond physical symptoms. People often describe feelings of shame, frustration, secrecy, and isolation. Over time, these behaviors can affect confidence, social comfort, emotional well-being, and daily functioning. You are not alone in this experience — and effective, compassionate treatment is available for children, teens, and adults.
Gold-Standard Treatment for BFRBs
The most effective treatment for hair pulling and skin picking is a structured behavioral approach based on the ComB Model (Comprehensive Behavioral Model) and Habit Reversal Training (HRT).
These evidence-based methods focus on:
• Identifying personal triggers and patterns
• Addressing sensory, emotional, cognitive, and behavioral factors
• Teaching targeted behavior skills
• Shift of relationship with urges
• Building long-term self-regulation skills
This approach moves beyond simple “urge control” and instead targets the full system that maintains BFRBs, leading to more durable and meaningful change. A house full of "fidgets" is rarely enough to treat a BFRB.
Expertise You Can Trust
Our clinicians work with BFRBs everyday, developing deep expertise in complex symptom patterns, treatment resistance, comorbid anxiety, and long-standing behaviors. Through structured and precise treatment children, teens, and adults can find freedom from their BFRB, for some in 10-12 sessions.