Struggling with hair pulling or skin picking? Evidence-based help for body-focused repetitive behaviors (BFRBs) is here.

“The definitive guide for those who pick or pull.”
—Reid Wilson, PhD, author Stopping the Noise in Your Head

If you live with trichotillomania (hair pulling disorder) or dermatillomania (skin picking disorder), you may feel ashamed, frustrated, or stuck in cycles you can’t seem to break. Body-focused repetitive behaviors often intensify with stress, anxiety, boredom, or sensory triggers—but they are treatable.

In this comprehensive, CBT-based guide, three leading clinicians present a structured treatment plan to help you reduce urges, interrupt patterns, and regain control.

In this book, you’ll learn how to:

Identify the psychological and sensory triggers behind hair pulling and skin picking
Understand the patterns that maintain body-focused repetitive behaviors
Reduce urges using proven cognitive behavioral therapy (CBT) techniques
Manage stress, anxiety, and emotional triggers more effectively
Create a personalized action plan for long-term recovery
Build sustainable skills to prevent relapse

Through guided exercises and step-by-step tools, you’ll gain practical strategies to break free from BFRBs—without shame or self-blame.

With time, practice, and evidence-based support, you can overcome body-focused repetitive behaviors and feel more confident and in control of your life.

Charles S. Mansueto