Abstract
Dermatologists are often the first to treat the medical consequences of body-focused
repetitive behaviors (BFRBs) such as hair pulling, skin picking, and others. BFRBs
are still under-recognized, and effectiveness of treatments is known only in limited
circles. Patients exhibit varied presentations of BFRBs and repeatedly engage in these
despite the physical and functional impairments. Dermatologists are uniquely placed
to guide patients lacking knowledge about BFRBs and experiencing stigma, shame, and
isolation. We provide an overview of the current understanding of the nature and management
of BFRBs. Clinical suggestions for diagnosing and educating patients about their BFRBs
and resources for patients to seek support are shared. Most importantly, with patients’
readiness for change, dermatologists can guide patients towards specific resources
for self-monitoring their ABC (Antecedents, Behaviors, Consequences) cycles of BFRBs
and recommend specialized treatment options.
Keywords
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Article info
Publication history
Publication stage
In Press Accepted ManuscriptFootnotes
Declaration of Competing Interest: None
Funding: None
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© 2023 Elsevier Inc. All rights reserved.
