10 Tips to Manage Your BFRBs (Body Focused Repetitive Behaviour)

November 30, 2023

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Most people are not aware that body-focused repetitive behaviors (BFRBs) exist. These are a group of mental health conditions characterized by repetitive, compulsive actions.

These behaviors go beyond simple habits—they can cause physical harm. Common examples include hair pulling (trichotillomania), skin picking (dermatillomania), and nail biting (onychophagia).

BFRBs can significantly impact both physical and mental well-being. Fortunately, there are effective strategies to help manage them. Below are 10 practical tips.

Tip 1: Understand your triggers

Triggers are situations or stimuli that lead to BFRB behaviors, such as stress, anxiety, boredom, or social discomfort. Identifying your triggers is a key first step.

Keeping a journal can help you recognize patterns and develop strategies to manage or avoid these triggers.

Tip 2: Practice mindfulness

Mindfulness involves staying present and observing your thoughts and feelings without judgment. This can help you become more aware of urges and better able to resist them.

Techniques such as deep breathing, meditation, and yoga can be helpful.

Tip 3: Engage in alternative activities

Replacing BFRB behaviors with other activities can reduce urges. Options include drawing, reading, knitting, or exercising.

Choose activities that are easy to access so you can use them when urges arise.

Tip 4: Create a supportive environment

A strong support system can make a big difference. Friends and family can provide encouragement and accountability.

You can also adjust your surroundings by removing triggers or creating a calm, safe space.

Tip 5: Develop a self-care routine

Self-care includes maintaining good sleep, a balanced diet, and regular exercise.

You can also incorporate practices like meditation, therapy, or relaxation techniques into your daily routine.

Tip 6: Seek professional help

Professional support is often essential. Cognitive-behavioral therapy (CBT) is commonly used to treat BFRBs by helping individuals identify triggers and build healthier coping strategies.

Specific approaches like Habit Reversal Training (HRT) and Comprehensive Behavioral (ComB) treatment are particularly effective.

Working with a trained therapist can provide structured guidance and long-term support.

Tip 7: Use fidget tools

Fidget tools can help redirect the urge to engage in BFRBs. Examples include stress balls, fidget spinners, or puzzle cubes.

Fidget tools for managing BFRBs

Tip 8: Develop a positive self-image

BFRBs can lead to feelings of shame or frustration. Building a positive self-image is important for long-term progress.

Focus on strengths, reframe negative thoughts, and consider support groups or therapy for encouragement.

Tip 9: Set achievable goals

Set realistic and specific goals to stay motivated. Focus on small, consistent actions rather than perfection.

Celebrate progress and avoid being overly critical of setbacks.

Tip 10: Practice self-compassion

Be kind to yourself during the process. Progress takes time, and setbacks are part of growth.

Treat yourself with the same understanding you would offer a friend.

Summary

Managing BFRBs can be challenging, but it is achievable with the right strategies. Understanding triggers, practicing mindfulness, building supportive environments, and seeking professional help all play important roles.

With consistency and support, individuals can reduce symptoms and improve overall quality of life.

Author: Joanna Jeffers, M.A., C.Psych.

Joanna Jeffers

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