Instructor: Dr. Mike Twohig
CE Credit Hours: 8.5
Level: Beginner / Intermediate

This on-demand training includes six professionally produced modules teaching clinicians how to treat trichotillomania and skin picking using Acceptance and Commitment Therapy–Enhanced Behavior Therapy (A-EBT), an approach supported by more than 20 outcome studies worldwide and validated across in-person, telehealth, and web-based formats. Participants will learn how to diagnose trichotillomania, recognize common clinical presentations, and use standard psychological assessments, while gaining a deep understanding of Trigger Reduction, Habit Reversal, and ACT principles. The training also addresses common treatment challenges such as resistance, relapse, and fluctuating motivation, with practical strategies to support long-term recovery. Instruction is delivered through lectures, demonstrations, and recorded therapy sessions, including real-world examples from adults with skin picking and trichotillomania.

Instructor: Stacy Nakell, LCSW
CE Credit Hours: 3
Level: Intermediate / Advanced

For decades, Body-Focused Repetitive Behaviors were treated almost exclusively with Cognitive Behavioral Therapy, which has led to mixed results, including persistent relapses. This workshop will introduce therapists to the theory and practice of an integrative psychodynamic approach. This model is grounded in attachment theory and prioritizes both the exploration of the psychosocial roots of these behaviors and importance of the therapeutic relationship in reducing shame and building new emotional regulation strategies. Integration of mind, body, spirit and skin in the therapy room allows for exploration of the four main triggers of picking and pulling: isolation, frustration, boredom, and feeling trapped, and can lead to sustainable behavioral change.

Level: Beginner / Intermediate

Join clinical psychologist Dr. Max Maisel for a deep dive into the treatment of Body-Focused Repetitive Behaviors (BFRBs), including hair pulling, skin picking, nail biting, and more.

This comprehensive 6-hour workshop is designed for mental health professionals seeking practical, research-informed tools to address these often misunderstood and misdiagnosed conditions.

Through a process-based lens, participants will explore how to conduct meaningful assessments using the ComB model, implement Habit Reversal Training (HRT), and strategically integrate ACT, ERP, and mindfulness into clinical care. Real-world case examples, a live role-play demonstration of BFRB treatment in action, interactive exercises, and detailed tracking tools will equip you to tailor interventions for each client’s unique presentation.

Whether you're new to BFRB treatment or looking to expand your repertoire, this workshop offers a fresh and integrative framework grounded in compassion, nuance, and science.

Instructors: Drs. Marla Deibler and Renae Reinardy
CE Credit Hours: 13
Level: Beginner

Body-Focused Repetitive Behaviors (BFRBs) are repetitive self-grooming behaviors, such as trichotillomania (hair pulling) and excoriation disorder (skin picking), that fall within the scope of OCD and related disorders. Although BFRBs are common, affecting as many as 1 in 20 individuals, accessing accurate information and evidence-based treatment resources can be challenging. This workshop will provide up-to-date comprehensive evidence-based clinical training in the diagnosis, cross-cultural phenomenology, multifactorial self-reinforcing behavioral conceptualization, and current empirical review of the treatment of BFRBs. In-depth instruction will be provided in delivering integrative behavioral therapy (IBT) which entails a unified treatment protocol utilizing the full range of scientifically-supported psychological interventions to target under-addressed challenges of BFRBs and maximize/maintain treatment success.

Instructors: Jennifer Gola, PsyD, Marla W. Deibler, PsyD, ABPP & Renae Reinardy, PsyD

CE Credit Hours: 1
Level: Advanced

Treating Body-Focused Repetitive Behaviors (BFRBs), such as hair-pulling, skin-picking, and nail-biting, in children presents unique challenges, requiring clinicians to navigate complex developmental, emotional, behavioral, and family dynamics. This presentation will equip attendees with the latest evidence-based tools to overcome these challenges. Attendees will explore strategies to help children understand their behavior patterns, identify triggers, and build intervention skills and strategies through fun, engaging, and age-appropriate activities. Emphasis will be placed on how to communicate compassionately with parents, fostering their understanding of BFRBs, reducing stigma, and encouraging supportive environments. Additionally, the presentation will address the importance of tailoring interventions to individual needs and considering diversity factors, such as cultural background, family values, and developmental considerations, to ensure effective and inclusive care.

Instructors: Drs. Marla Deibler and Renae Reinardy

CE Credit Hours: 1
Level: Advanced

Body-Focused Repetitive Behaviors (BFRBs) are repetitive self-grooming behaviors, such as trichotillomania (hair pulling) and excoriation disorder (skin picking), that fall within the scope of OCD and related disorders. Although BFRBs are common, affecting as many as 1 in 20 individuals, accessing accurate information and evidence-based treatment resources can be challenging. This workshop will provide up-to-date comprehensive evidence-based clinical training in the diagnosis, cross-cultural phenomenology, multifactorial self-reinforcing behavioral conceptualization, and current empirical review of the treatment of BFRBs. In-depth instruction will be provided in delivering integrative behavioral therapy (IBT) which entails a unified treatment protocol utilizing the full range of scientifically-supported psychological interventions to target under-addressed challenges of BFRBs and maximize/maintain treatment success.Unrealistic beauty standards and perfectionistic expectations of physical appearance have been long-standing norms of our society and are reflected across contemporary life. They can be seen in our families, our communities, our work cultures, our leisure activities, and in other aspects of daily living. The ideals promoted by social media on the way we view ourselves and others are consequential. From digital tools that alter images and augmented reality beauty filters to Tik Tok and Reel makeup tutorials, we are constantly bombarded with images of quixotic beauty. When individuals are experiencing body-focused repetitive behaviors (BFRBs), such as hair pulling, skin picking, or nail biting, the promotion of such ideals can have a particularly negative impact on self-concept and present challenges to treatment and recovery. Furthermore, the value placed on hair, skin, and nails vary across ethnic groups, gender identities and sexual orientations, and may present additional challenges to care. This workshop will examine historical standards of beauty and their impact on self-esteem, value assigned by others, and mental health. The importance of considering these factors in case conceptualization will be discussed. Case examples will be presented to demonstrate how treatment outcomes may be improved by addressing these important factors in an individualized, integrative behavioral treatment of these disorders. 

Instructors: Drs. Marla Deibler and Renae Reinardy

CE Credit Hours: 1
Level: Advanced

This course is an advanced-level training designed for mental health professionals specializing in Body-Focused Repetitive Behaviors (BFRBs), such as trichotillomania, excoriation disorder, and related conditions. This course provides a unique opportunity to observe real-world conceptualization and treatment approaches in action, refine clinical skills, and observe consultative guidance on complex cases. Led by experts in the field, the training will discuss common treatment barriers and include  case discussions, review of evidence-based interventions, and Q&A to enhance participants' clinical expertise. Participants will leave with actionable strategies to address the nuances of BFRB treatment and improve therapeutic outcomes for their clients.