Comprehensive Treatment for BFRBs: Everything You Need to Know About Treating Hair Pulling and Skin Picking

This presentation was originally reviewed on March 19, 2025, and in person and live streamed online on March 21, 2025, from 12:00 pm – 4:15 pm ET.

The views and opinions expressed by this presenter in this lecture are their own, and do not represent the views of Sheppard Pratt.

This presentation will inform of emerging concepts about the microbiome and interventions that modulate the “gut brain” axis that are being increasingly studied in psychiatry and that are not yet part of evidence-based practice.  The presentation will also make clinicians aware of the hazards of cigarette smoking in persons with serious mental illness and the effects of smoking on mortality. Emerging concepts about the role of the microbiome and immune factors that may play a role in serious mental illness will also be discussed.

Target Audience

This activity is intended for physicians, nurses, psychologists, social workers, counselors and other mental health professionals. 

Learning Objectives

At the conclusion of this activity, attendees will be able to:

  1. Describe the etiology, prevalence, and conceptualization of BFRBs
  2. Apply knowledge gathered from the functional analysis to prescribe useful and effective interventions that are tailored to the individual.
  3. Discuss how to engage individuals in treatment, and how to individualize treatment plans to achieve the best possible outcomes.
Course summary
Available credit: 
  • 4.00 ACEP NBCC clock hours
  • 4.00 AMA PRA Category 1 Credit™
  • 4.00 Category II credits for Social Workers
  • 4.00 Psychologists
  • 4.00 MNA Contact Hours for Nurses
  • 4.00 Participation
Course opens: 
04/29/2025
Course expires: 
04/27/2027

There is no commercial support for this activity.

About the speakers

Dr. Mouton-Odum is a Clinical Assistant Professor at Baylor College of Medicine, the Founder and Director of Psychology Houston, PC: The Center for Cognitive Behavioral Treatment, and President of PsycTech, LLC. Dr. Mouton-Odum has extensive experience conducting cognitive behavioral treatment for children, adolescents, and adults, and evidence-based psychological treatments. She specializes in treating people with BFRBs, OCD, tic disorders, and other anxiety disorders. Dr. Mouton-Odum is Co-Chair of the Scientific Advisory Board of the TLC Foundation for Body Focused Repetitive Behaviors and has served on this board for more than 20 years. She has published numerous scientific journal articles, presents at national and international conferences, and is co-author of four books for the general public and two books for professionals. Relevant book titles include: “A Parent Guide to Hair Pulling Disorder” and “Comprehensive Behavioral (ComB) Treatment for Body Focused Repetitive Behaviors, A Clinical Guide.”

Ruth Goldfinger Golomb, LCPC, is a senior clinician, supervisor, and a co-director of the training program at the Behavior Therapy Center of Greater Washington, where she has worked since the mid 1980's.  Ms. Golomb specializes in treatment of anxiety disorders in children and adults.  She has conducted numerous workshops and seminars, and participated as an expert in panel discussions covering many topics including Obsessive Compulsive Disorder, Trichotillomania and other Body Focused Repetitive Behaviors (BFRBs), and providing cognitive behavior therapy (CBT) for anxious adults. In addition to publishing articles for professional journals and newsletters, Ms Golomb  is an author of "The Hair Pulling 'Habit' and You:  How to Solve the Trichotillomania Puzzle,"  “Stay Out of My Hair” and “A Parent Guide to Hair Pulling Disorder:  Effective Parenting Strategies for Children with Trichotillomania,”  “Overcoming Body Focused Repetitive Behaviors, “ “Psychological Interventions for Children with Sensory Dysregulation,”“ Helping Your Child with Sensory Regulation.”” Overcoming Body Focused Repetitive Behaviors” and “Comprehensive Behavioral (ComB) Treatment for Body-Focused Repetitive Behaviors.” She is a member of the Scientific Advisory Board for The TLC Foundation for Body Focused Repetitive Behaviors.

Disclosure Statements

Sheppard Pratt holds the standard that its continuing medical education programs should be free of commercial bias and conflict of interest. In accord with Sheppard Pratt's Disclosure Policy, as well as standards of the Accreditation Council for Continuing Medical Education (ACCME) and the American Medical Association (AMA), all planners, reviewers, speakers and persons in control of content have been asked to disclose any relationship he /she has with any entity producing, marketing, selling, re-selling, or distributing health care goods or services consumed by, or used on, patients, during the past 24 months. All planners, reviewers and speakers have also been asked to disclose any payments accepted for this lecture from any entity besides Sheppard Pratt, and if there will be discussion of any products, services or off-label uses of product(s) during this presentation.

Suzanne Mouton-Odum, Ph.D reports that she is the owner of PsycTech, LLC and receives royalties from cbittrainer.com. She will not discuss any products, services, or off-label uses in this presentation. All relationships have been mitigated through review.

Ruth Golomb, LCPC, reports receiving royalties from New Harbinger, Cambridge University Press, Guilford, Goldum Publishing. She will not discuss any products, services, or off-label uses in this presentation. All relationships have been mitigated through review.

Event Planners/Reviewers Disclosures: The following event planners and/or reviewers are reported as having no financial interest, arrangement or affiliation with any entity producing, marketing, selling, re-selling, or distributing health care goods or services consumed by, or used on, patients, during the past 24 months: Jon Hershfield, MFT, Todd Peters, MD, Elizabeth Ryznar, MD, MSc, Louis Marino, MD, Devi Bhuyan, PsyD, Faith Dickerson, PhD, Carrie Etheridge, LCSW-C, Tom Flis, LCPC, Paula Bostwick, MSN, RN, CENP, Alfredo Sagisi, DNP, MS, RN, FACHE, Maggie O'Neill MSN, RN, PMH-BC, Lisa Illum, MLIS, MEd, and Jennifer Tornabene.

Physician Statement: Sheppard Pratt is accredited by The Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.  Sheppard Pratt takes responsibility for the content, quality, and scientific integrity of this CME activity.  Sheppard Pratt designates this enduring activity for a maximum of 4.0 AMA PRA Category 1 Credit(s)™.  Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Nurse Statement: Sheppard Pratt is approved as a provider of nursing continuing professional development by the Maryland Nurses Association, an accredited approver by the American Nurses Credentialing Center’s Commission on Accreditation. Sheppard Pratt takes responsibility for the content, quality, and scientific integrity of this CME activity. This activity provides 4.0 contact hours for nurses.

Psychologist Statement: Sheppard Pratt is authorized by the State Board of Examiners of Psychologists as a sponsor of continuing education. Sheppard Pratt takes responsibility for the content, quality, and scientific integrity of this CME activity.  Sheppard Pratt designates this educational activity for a maximum of 4.0 contact hours for Psychologists.

Social Worker Statement: Sheppard Pratt is authorized by the Board of Social Work Examiners of Maryland to offer continuing education for Social Workers.  Sheppard Pratt takes responsibility for the content, quality, and scientific integrity of this CME activity. This activity is approved for 4.0 contact hours in Category II credits for Social Workers.

Counselor Statement:  Sheppard Pratt has been approved by NBCC as an Approved Continuing Education Provider, ACEP No. 5098.  Programs that do not qualify for NBCC credit are clearly identified.  Sheppard Pratt is solely responsible for all aspects of the program.  This activity is available for 4.0 NBCC clock hours.

Available Credit

  • 4.00 ACEP NBCC clock hours
  • 4.00 AMA PRA Category 1 Credit™
  • 4.00 Category II credits for Social Workers
  • 4.00 Psychologists
  • 4.00 MNA Contact Hours for Nurses
  • 4.00 Participation
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ON DEMAND WEBINAR: FOR BEST RESULTS WATCH USING GOOGLE CHROME

Comprehensive Treatment for BFRBs: Everything You Need to Know About Treating Hair Pulling and Skin Picking

Ruth Goldfinger Golomb, LCPC

Co-Director, Training Program

Behavior Therapy Center of Greater Washington

Washington, DC

Suzanne Mouton-Odum, Ph.D 

Clinical Assistant Professor at Baylor College of Medicine

Founder and Director of Psychology Houston, PC: The Center for Cognitive Behavioral Treatment

President of PsycTech, LLC

Houston, TX

Last reviewed on March 19, 2025
Originally broadcast live March 21, 2025, from 12:00 pm - 4:15 pm ET
Enduring Activity Credit Expiration Date: April 27, 2027.

Activity Time: Four hour recorded webinar lecture with a 15-minute evaluation process. Total Time: 4:15

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FINANCIAL SUPPORT
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