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<h1>The Briefing: Body-focused repetitive behaviours, trichotillomania, treatment and support</h1><section class="abstract"><p>A lot of research goes into creating our stories. Here are some of the resources we used to put together our story on compulsive hair pulling.</p>
</section><p>Whether hair pulling, skin picking or cheek biting, body-focused repetitive behaviours (BFRBs) blight many people’s lives. How can science help us understand and treat these distressing conditions better? In <a href="https://mosaicscience.com/story/compulsive-hair-pulling-skin-picking-trichotillomania-bfrbs-ocd?utm_source=reading-list&amp;utm_medium=referral-mosaic&amp;utm_campaign=publication-week-marketing">this feature for Mosaic</a>, Sara Talpos explores the impacts of BFRBs.</p>
<p>If you want to dive deeper into this topic, here’s some further reading. We’ve broken things down into key subtopics, but otherwise these links aren’t listed in any particular order – so feel free to dip in and out.</p>

<h3>Exploring BFRBs</h3>

<p>This <a href="http://www.bfrb.org/storage/documents/Expert_Consensus_Treatment_Guidelines_2016w.pdf">booklet by the TLC Foundation for Body-Focused Repetitive Behaviors</a> provides more information on the symptoms, causes and treatment of BFRBs.</p>
<p>This <a href="https://www.bustle.com/p/ive-lived-with-trichotillomania-for-a-decade-heres-what-i-want-you-to-know-9739295">Bustle article</a>&nbsp;is written by someone with lived experience of trichotillomania&nbsp;who wants to tell others what it’s like.</p>

<h3>Sensory over-responsivity</h3>

<p>This <a href="https://www.ncbi.nlm.nih.gov/pubmed/29407358">2018 study</a>&nbsp;found that people with BFRBs had greater sensitivity to sensory stimulation than individuals with subclinical BFRBs and healthy individuals.</p>

<h3>Treating BFRBs</h3>

<p>This <a href="https://www.ncbi.nlm.nih.gov/pubmed/28005403">2017 study</a>&nbsp;found that habit reversal training can be an effective treatment for young people with trichotillomania.</p>
<p>This <a href="https://www.dovepress.com/optimizing-psychological-interventions-for-trichotillomania-hair-pulli-peer-reviewed-fulltext-article-PRBM">study, published in 2015</a>, explores the effectiveness of combining different types of treatment for trichotillomania.</p>
<p>This <a href="https://www.ncbi.nlm.nih.gov/pubmed/28429625">2017 study</a>&nbsp;found that adults who have trichotillomania and depression or an anxiety disorder exhibited unique differences that may have implications for treatment.</p>

<h3>Support and advice</h3>

<p><a href="https://www.trichotillomania.co.uk/about.php">Trichotillomania Support</a> provides information on treatments and self-help advice. It also has an online forum for advice and support from people affected by BFRBs.</p>
<p><a href="http://www.bfrb.org/find-help-support">The TLC Foundation for Body-Focused Repetitive Behaviors</a> provides advice, information and a database of therapists and support groups.</p>
<p>This <a href="https://www.youtube.com/user/TrichJournal/featured">YouTube channel</a> by a British vlogger called Beckie Jane Brown chronicles her experiences with trichotillomania.</p>

<h3>Read more Mosaic stories on trichotillomania and sensory over-responsivity </h3>

<p>In <a href="https://mosaicscience.com/story/why-i-pull-out-my-hair-trich-ocd-bfrbs-therapy?utm_source=reading-list&amp;utm_medium=referral-mosaic&amp;utm_campaign=publication-week-marketing">‘Why I pull out my hair’</a>, one person tells us what trichotillomania is like for her.</p>
<p>In <a href="https://mosaicscience.com/story/highly-sensitive-people-sensory-processing-disorders/">‘Why are so many of us over-sensitive?’</a>, Emma Young explores what it’s like when a gentle glow feels like a spotlight and everyday sounds hurt your ears, and discovers that there may be an upside to being highly sensitive.</p>

<span>Newsletter:&nbsp;</span>
<p><em>In the UK and Republic of Ireland, the</em>&nbsp;<em><a href="http://www.samaritans.org/how-we-can-help-you/contact-us">Samaritans</a></em>&nbsp;<em>can be contacted on 116 123. In the USA, the&nbsp;National Suicide Prevention Lifeline is 1-800-273-TALK.</em></p>

<p>Whether hair pulling, skin picking or cheek biting, body-focused repetitive behaviours (BFRBs) blight many people’s lives. How can science help us understand and treat these distressing conditions better? In <a href="https://mosaicscience.com/story/compulsive-hair-pulling-skin-picking-trichotillomania-bfrbs-ocd?utm_source=reading-list&amp;utm_medium=referral-mosaic&amp;utm_campaign=publication-week-marketing">this feature for Mosaic</a>, Sara Talpos explores the impacts of BFRBs.</p>
<p>If you want to dive deeper into this topic, here’s some further reading. We’ve broken things down into key subtopics, but otherwise these links aren’t listed in any particular order – so feel free to dip in and out.</p>

<h3>Exploring BFRBs</h3>

<p>This <a href="http://www.bfrb.org/storage/documents/Expert_Consensus_Treatment_Guidelines_2016w.pdf">booklet by the TLC Foundation for Body-Focused Repetitive Behaviors</a> provides more information on the symptoms, causes and treatment of BFRBs.</p>
<p>This <a href="https://www.bustle.com/p/ive-lived-with-trichotillomania-for-a-decade-heres-what-i-want-you-to-know-9739295">Bustle article</a>&nbsp;is written by someone with lived experience of trichotillomania&nbsp;who wants to tell others what it’s like.</p>

<h3>Sensory over-responsivity</h3>

<p>This <a href="https://www.ncbi.nlm.nih.gov/pubmed/29407358">2018 study</a>&nbsp;found that people with BFRBs had greater sensitivity to sensory stimulation than individuals with subclinical BFRBs and healthy individuals.</p>

<h3>Treating BFRBs</h3>

<p>This <a href="https://www.ncbi.nlm.nih.gov/pubmed/28005403">2017 study</a>&nbsp;found that habit reversal training can be an effective treatment for young people with trichotillomania.</p>
<p>This <a href="https://www.dovepress.com/optimizing-psychological-interventions-for-trichotillomania-hair-pulli-peer-reviewed-fulltext-article-PRBM">study, published in 2015</a>, explores the effectiveness of combining different types of treatment for trichotillomania.</p>
<p>This <a href="https://www.ncbi.nlm.nih.gov/pubmed/28429625">2017 study</a>&nbsp;found that adults who have trichotillomania and depression or an anxiety disorder exhibited unique differences that may have implications for treatment.</p>

<h3>Support and advice</h3>

<p><a href="https://www.trichotillomania.co.uk/about.php">Trichotillomania Support</a> provides information on treatments and self-help advice. It also has an online forum for advice and support from people affected by BFRBs.</p>
<p><a href="http://www.bfrb.org/find-help-support">The TLC Foundation for Body-Focused Repetitive Behaviors</a> provides advice, information and a database of therapists and support groups.</p>
<p>This <a href="https://www.youtube.com/user/TrichJournal/featured">YouTube channel</a> by a British vlogger called Beckie Jane Brown chronicles her experiences with trichotillomania.</p>

<h3>Read more Mosaic stories on trichotillomania and sensory over-responsivity </h3>

<p>In <a href="https://mosaicscience.com/story/why-i-pull-out-my-hair-trich-ocd-bfrbs-therapy?utm_source=reading-list&amp;utm_medium=referral-mosaic&amp;utm_campaign=publication-week-marketing">‘Why I pull out my hair’</a>, one person tells us what trichotillomania is like for her.</p>
<p>In <a href="https://mosaicscience.com/story/highly-sensitive-people-sensory-processing-disorders/">‘Why are so many of us over-sensitive?’</a>, Emma Young explores what it’s like when a gentle glow feels like a spotlight and everyday sounds hurt your ears, and discovers that there may be an upside to being highly sensitive.</p>

Newsletter:&nbsp;
<p><em>In the UK and Republic of Ireland, the</em>&nbsp;<em><a href="http://www.samaritans.org/how-we-can-help-you/contact-us">Samaritans</a></em>&nbsp;<em>can be contacted on 116 123. In the USA, the&nbsp;National Suicide Prevention Lifeline is 1-800-273-TALK.</em></p>

<img src="https://mosaicscience.com/mwt-republish-img/1554/republish.gif" />This <a href="https://mosaicscience.com/story/briefing-reading-compulsive-hair-pulling-skin-picking-trichotillomania-bfrbs-ocd">article</a> first appeared on <a href="https://mosaicscience.com">Mosaic</a> and is republished here under a Creative Commons licence.
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