While is there overlap of BFRBs with OCD and Cutting, there are key differences that a crucial for effective treatment and to respect the self concept of the person with a BFRB.

Body Focused Repetitive Behaviors, often shortened within this community as BFRBs are frequently misunderstood by well meaning others in attempt to link BFRBs with something they are already familiar. I do appreciate and welcome the efforts of someone new to …

BFRBs: Not OCD, Not Self Harm. How and Why. Read more »

  If you are sheltering in place, working from home, homeschooling, or socially distancing, you are probably navigating new triggers for your Trichotillomania and Excoriation disorder. I have helped clients through Body Focused Repetitive Behaviors (BFRBs) for almost 10 years …

18 Tips for Quarantine with Trichotillomania or Excoriation Disorder Read more »

I am writing to remind my clients and potential future clients that I am happy to provide mental health services via phone or online video conference (VSee or Google Meet). If you are concerned about going out, that doesn’t mean …

Remote Online Counseling Available- Phone or Online Read more »

Group Room at Courage Counseling

Group therapy is when about 3-12 clients, who do not know each other outside of the therapy setting, meet weekly with a therapist to participate in a therapeutic experience that is designed for individual enrichment. Group therapy can address issues …

Seven Reasons to Choose Group Therapy Read more »

Many people who struggle with trichotillomania and skin picking disorder find using fidgets helpful, but this is only a small part of effective treatment.

When trying to get control of skin picking disorder (Excoriation disorder), hair pulling disorder (trichotillomania), and other body focused repetitive behaviors (BFRBs), there tends to be a lot of discussion about fidgets. But are they the cure? Do they help? …

Think Outside of the Fidget Box Read more »

Worksheet for Children to Log and keep track of their hair pulling and skin picking behaviors.

Logging hair pulling and skin picking episodes is hard enough for adults and it can be especially daunting for children. I have created a simplified log designed to be more functional for a child’s needs. The spaces are larger to …

Child Version of Picking & Pulling Log Read more »