The Comprehensive Behavioral ( ComB ) Model is an evidence-based approach for treating Body-Focused Repetitive Behaviors ( BFRBs ) such as hair pulling (trichotillomania), skin picking (dermatillomania), and nail biting. ComB focuses on understanding the unique function these behaviors serve for each individual, rather than simply trying to stop them. This method helps identify the triggers—whether sensory, cognitive, emotional, environmental, or motor-related—so that more adaptive strategies can be developed.

How Our Approach is Different

At Zen Psychological Center, we take a neurodiversity-affirming approach to BFRBs. Instead of viewing these behaviors as harmful habits to be eliminated or “bad”, we recognize them through the lens of stimming and distress regulation—a natural way for many neurodivergent individuals to self-soothe.

🔹 We Don’t Focus on Stopping – Encouraging complete cessation can feel like masking, leading to more distress
🔹 We Identify Environments & Triggers – Understanding where, when, and why BFRBs occur is key to change
🔹 We Explore Emotional Connections – Recognizing the thoughts and feelings that arise during BFRB engagement helps in self-awareness and regulation
🔹 We Address Sensory Needs – Many engage in BFRBs to fulfill sensory cravings—our approach helps you find less harmful, but equally satisfying, alternatives

Rather than forcing change, we help you develop self-compassionate, sustainable strategies that align with your unique neurodivergent needs. Let’s explore ComB together!

📚 Learn More: Check out our resources for expert insights and support.