This is an On-Demand course that includes a video recording and a handout of slides that accompany the talk.

Nancy J. Keuthen, Ph.D.

Body-focused repetitive behaviors (BFRBs), including hair pulling and skin picking, are receiving increasing recognition given their prevalence rates, potential medical complications and functional impact. Although empirical evidence supports CBT as the first-line intervention, these disorders can remain challenging to treat. This webinar will review existing treatment approaches and highlight ways to improve treatment efficacy.

Learning Objectives

After completing this course participants will be able to:

  • List the different BFRB subtypes and how to tailor treatment accordingly;
  • Explain existing challenges in the treatment of BFRBs;
  • Utilize habit reversal and stimulus control strategies to treat BFRBs;
  • Select ACT and DBT tools to enhance treatment outcome.



Dr Nancy Keuthen is the Director of the Trichotillomania Clinic and Research Unit at Massachusetts General Hospital and Associate Professor of Psychology at Harvard Medical School. She has treated and empirically studied OC spectrum conditions for over 20 years. She is the author of a popular text on hair pulling and co-edited a text on hair pulling and skin picking. She has served as chair and vice-chair of the Scientific Advisory Board of the TLC Foundation for Body-Focused Repetitive Behaviors and has been a long-term member of the Scientific Advisory Board of the International OCD Foundation. She has published over 100 peer-reviewed papers and is currently a PI on a collaborative multi-site project collecting extensive phenotypic, neurocognitive and neuroimaging data on hair pullers and skin pickers.

Licensing and Continuing Education Requirements

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The Evidence-Based Practice Institute is approved by the American Psychological Association to offer continuing education for psychologists. The Evidence-Based Practice Institute maintains responsibility for the program and its content.  The Evidence-Based Practice Institute allocates 1.5 CE credits for this course following APA guidelines. After you successfully complete the course, fill out an evaluation form, and pass an exam, your CE certificate will be emailed to you.

Licensing and continuing education requirements vary by state. Please contact your state's regulatory authority to verify that this course meets your licensing and/or continuing education requirements.