Body-Focused Repetitive Behaviours (BFRBs) are a group of related disorders characterized by repetitive behaviours that cause harm or damage to the body. Common BFRBs include hair pulling (trichotillomania), skin picking (excoriation disorder), and nail biting (onychophagia).

The exact cause of BFRBs is not known, but several factors may contribute, including genetics, neurology and brain function, stress or anxiety, and/or comorbid mental health conditions, such as OCD or depression.

Symptoms of BFRBs include:

• Recurrent behaviours such as hair pulling, skin picking, or nail biting, resulting in damage to the body

• Attempts to reduce or stop the behaviours

• Significant distress or impairment in social, occupational, or other areas of functioning due to the behaviours

One of the most effective treatment approaches for BFRBs is Habit Reversal Training (HRT), a form of Cognitive-behavioural therapy (CBT) that helps individuals identify triggers and develop alternative responses. Mindfulness and relaxation techniques are often incorporated to help reduce stress and increase awareness of the behaviours. Medications may also be used to help manage symptoms.

BFRBs are complex conditions that can have far-reaching effects on an individual's health and quality of life. At ClearStream Psychology, we perform a thorough assessment to explore your history and symptoms, and help you make sense of what you’re dealing with. Then we collaborate with you to develop a customized treatment plan that meets your unique needs and treatment goals using effective therapeutic strategies supported by research. With the right support and strategies, you can learn to modify your behaviours and make meaningful improvements to your well-being. Let us help you get back into the flow of life!