Tips for Approaching the Topic of Your Mental Health With Loved Ones

Body-focused repetitive behavior (BFRB) disorders involve compulsive behaviors that go far beyond occasional fidgeting. Two of the most common BFRBs are:

Dermatillomania -- Repeated skin picking that causes sores, scabs, or scarring

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

Inability to stop picking or pulling despite repeated attempts

Noticeable hair loss, skin damage, or infections

Feelings of relief followed by guilt or embarrassment

Avoiding social situations due to visible effects

Rituals around specific times, places, or triggers

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:

Habit Reversal Training (HRT) -- Learning to recognize triggers and replace behaviors

Cognitive Behavioral Therapy (CBT) -- Reshaping thought patterns that drive compulsions

Supportive coaching -- Building routines and accountability

Medication -- Anxiety, depression, and/or OCD medications can sometimes help

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!

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