Other Body-Focused Repetitive Behaviors


In addition to Hair-Pulling and Skin-Picking, there are other Body-Focused Repetitive Behaviors that people seek therapy for. For instance:

  • Nail biting (Onychophagia)
  • Nose-picking (Rhinotillexomania)
  • Hair cutting (Trichotemnomania)

Meanwhile, the list above is not exclusive. Therefore, if you have difficulty controlling a grooming behavior, and it causes distress as well as impairment, then you could have a BFRB. Please keep in mind that you don’t have to have a name for it. If you are struggling, you deserve support regardless.


There are two primary treatments for BFRBs: the Comprehensive Behavioral Model (COMB) & Habit Reversal Training (HRT). These treatments support an individual’s unique reasons for performing their BFRB. At the same time, ComB and HRT follow a specific structure. Most people engage in their BFRB for numerous reasons and thus benefit from learning a variety of approaches in order to support themselves. One common skill taught in treatment is “urge surfing,” that is, learning to tolerate an urge. Many people also benefit from considering thinking patterns that inform their behavior. Also, given that some people do the behavior to manage emotions, treatment can focus on dealing with feelings in a healthy way. In sum, everyone’s BFRB is unique. Therefore, developing an understanding of your behavior is central to effective treatment.

Even though treatment is individualized, logging is a universal part of this therapy for BFRBs. Not only does logging support clarity about why you do the behavior, it also supports awareness. This awareness is crucial because it is the cornerstone of behavior change.


Are you or a loved one looking for help addressing BFRBs? Lauren uses ComB and HRT to support Individuals with BFRBs. You can learn more about the treatments and services she provides here.


Lauren is a licensed psychotherapist in

several states. Learn more about where

Lauren sees Clients, below.

Pastel skies and a pristine beach in Northern California, one of the areas where Lauren helps people with BFRBs.


When she is offering face to face, Lauren does in-person therapy in Newport Beach. She also provides online therapy for BFRBs throughout California. Her Clients span from San Francisco down to Southern Orange County and San Diego.

The red rock spires of Bryce Canyon in Utah, one of the states where Lauren offers counseling for BFRBs.


Lauren provides treatment for BFRBs in the state of Utah. Since she provides teletherapy, she works with people who live in different areas of the Beehive State – from Salt Lake City and its suburbs, like West Jordan, Syracuse, Highland and Riverton, to Park City and St. George.

Clear turquoise waters in the Keys, one of the places where Lauren offers online treatment for BFRBs  in Florida.


Lauren also offers treatment for BFRBs online in Florida, and sees people from all corners of the Sunshine state. Whether you’re from Naples, Orlando, Miami, or Boca Raton, Lauren can provide specialized counseling remotely in your area.

The iconic red rock and lush greenery of Sedona, one part of Arizona where Lauren offers therapy for BFRBs online.


Lauren also practices teletherapy in Arizona. If you’re seeking help in Phoenix, Sedona, Scottsdale or Tucson, Lauren offers specialized therapy for BFRBs online across the Grand Canyon State.

The lavender fields of Provence, France, one international locale where  Lauren provides counseling.


In addition to all of the locations previously listed, Lauren offers teletherapy for BFRBs to a number of countries internationally.

Cozy couch and computer: all you need for teletherapy and what your therapy with Lauren could look like.


Online therapy isn’t right for everyone. An assessment must be done to determine if online therapy is appropriate for your needs. You can reach out here to learn more.


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For more information about working with Lauren

call 310-824-5200 ext. 4 to speak with Client  

Coordinator Lisa O’Reilly at the 

OCD Center of Los Angeles

310-824-5200 ext. 17


1151 Dove St., Ste. 295
Newport Beach, CA 92660

©2021 by Lauren McMeikan Rosen, LMFT.

Disclaimer: The information contained on this website is intended for informational and education purposes only and is not meant to be a replacement for therapy. If you are interested in treatment, you can email me and I will happily provide you with more information