Therapy for Body Focused Repetitive Behaviors (BFRBs)

Break Free from BFRBs with Specialized, Evidence-Based Therapy
Body-Focused Repetitive Behaviors (BFRBs)—such as hair pulling (trichotillomania), skin picking (excoriation disorder), or nail biting—can feel impossible to control. At CBT for Better Living, we use evidence-based approaches like Cognitive Behavioral Therapy (CBT), Habit Reversal Training (HRT), and Acceptance and Commitment Therapy (ACT) to help you understand your triggers, respond skillfully to urges, and build healthier coping tools. Together, we’ll help you regain a sense of control, confidence, and freedom in your daily life.

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Change is possible. The first step to living better can start today!

Gain Freedom from BFRBS

Compassionate Support Tailored to Your Needs

Our therapy approach is focused on partnering with you to break free from Body-Focused Repetitive Behaviors (BFRBs). We understand how overwhelming and isolating these behaviors can feel, but you don’t have to face them alone. Together, we’ll create a safe, non-judgmental space to understand your patterns, develop effective strategies to manage urges, and take meaningful steps toward regaining control and living in alignment with your values.

Effective Treatments for BFRBs

Our clinicians have specialized training in evidence-based treatments for Body-Focused Repetitive Behaviors (BFRBs), including Cognitive Behavioral Therapy (CBT), Habit Reversal Training (HRT), Comprehensive Behavioral (ComB) model, and Acceptance and Commitment Therapy (ACT). Whether you’re struggling with hair pulling, skin picking, or other repetitive behaviors, we are equipped to help you understand your triggers, manage urges, and regain a sense of control. Treatment often includes developing awareness of patterns, practicing competing responses, addressing underlying emotions or beliefs that maintain the behavior, and building effective coping and emotion regulation skills so you can re-engage with the things that matter most to you.

Accessible, Personalized Therapy

We’re committed to making therapy accessible to individuals of all ages with flexible options to fit your needs. Choose from virtual sessions for residents of NY, NJ, CT, TX and FL, or in-person therapy in Manhattan. Our personalized approach starts with identifying your key goals and developing new skills to help manage and overcome trauma.

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What are BFRBs?

Body-Focused Repetitive Behaviors (BFRBs) are self-grooming behaviors that result in damage to the body, such as hair pulling, skin picking, nail or cheek biting. These behaviors often develop as a way to manage stress, anxiety, boredom, or uncomfortable sensations—but over time, they can become distressing and difficult to control. Many people with BFRBs feel shame or frustration, yet these behaviors are not a sign of weakness or lack of willpower. With the right support and evidence-based treatment, recovery is absolutely possible.

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Common BFRBs We Treat:

Hair pulling (Trichotillomania)

Skin picking (Excoriation Disorder/Dermatillomania)

Nail biting (Onychophagia)

Cuticle or scab picking

And More

Don’t let BFRBs hold you back from the life you’re want to live. With our compassionate support and evidence-based techniques, you can begin your journey toward a more free and fulfilling life.

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Frequently Asked Questions

What is your availability?

We offer appointments Monday-Friday and currently on weekends, during morning, afternoon, and evening hours.

What are the fees?

Please reach out for more information on rates. Payment is due at the time of the appointment.

Do you accept insurance?

Our services are private pay and we are considered out-of-network providers. Many people with out-of-network coverage can receive full or partial reimbursement for the cost of sessions through their health insurance. The amount covered will depend on the insurance plan. After each session, we can provide you with a document, called a “superbill” that has all of the necessary information required to submit to your insurance company for reimbursement.

How do I know if I have out-of-network coverage and if so, how does it work?

You can call your insurance company to inquire about your specific coverage and reimbursement. Here are some helpful questions to ask:

Do I have out-of-network coverage?
If so, is there an annual deductible? Have I met it? If no, how much has been met?
What percentage do you cover for out-of-network mental health providers?
Is there a maximum amount you reimburse per visit or per year?
Is there a claim form that I must use to submit for reimbursement?
How much time do I have to submit a claim after my session?
Do I need a pre-authorization? If so, how do I obtain it?