Anxiety Society

Skin Picking, Hair Pulling, and Evidence- Based Treatment


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In this episode, hosts Dr. Elizabeth McIngvale and Cali Werner explore body-focused repetitive behaviors (BFRBs) like hair-pulling and skin-picking with Dr. Suzanne Mouton-Odum, a leading expert in cognitive-behavioral therapy (CBT). They discuss the science behind BFRBs, the importance of comprehensive treatment, and how to reduce shame while promoting self-regulation. Whether you’re a professional, a parent, or someone experiencing these behaviors, this episode is packed with insights and actionable advice to foster understanding and support.

Key Points:

[0:00] - Introduction to Anxiety and Today’s Topic

Election Day sets the stage for a candid conversation about anxiety, self-regulation, and the challenges of navigating tense moments.

[8:15] - What Are BFRBs and Why Do They Matter?

Dr. Mouton-Odum defines BFRBs as self-regulation behaviors and dives into their complexity, including their emotional, sensory, and psychological triggers.

[17:50] - Dispelling Myths About Trauma and BFRBs

A discussion on why BFRBs are often misunderstood and not always linked to past trauma, emphasizing the importance of targeted treatment.


[27:00] - Comprehensive Behavioral Treatment (Comb)

Exploring the core principles of Comb therapy, including sensory, cognitive, emotional, motor, and environmental factors.


[43:30] - Breaking the Shame Cycle and Promoting Awareness

How understanding the function of behaviors can reduce shame and foster effective treatment for individuals struggling with BFRBs.



Quotable Moments:

[7:30] “Anxiety isn’t dangerous; it’s uncomfortable, but it’s part of living.”—Cali Werner


[20:45] “You are not the sum of your anxiety, OCD, or hair-pulling. You are a whole human being.”—Dr. Suzanne Mouton-Odum


[47:15] “Shame impacts the whole person. Addressing the behavior is just the beginning.”—Dr. Suzanne Mouton-Odum


Links Mentioned:

• TLC Foundation for Body-Focused Repetitive Behaviors: www.bfrb.org

• Anxiety Society Podcast Website: www.anxietysocietypodcast.com


Dr. Mouton-Odum’s expertise highlights the importance of addressing both the behaviors and the shame associated with BFRBs, while empowering individuals with practical tools. If you or someone you know struggles with BFRBs, this episode provides hope, insight, and actionable strategies. Don’t forget to subscribe, and join the Anxiety Society community to continue this important conversation.

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Anxiety SocietyBy Dr. Liz McIngvale and Cali Werner

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