More common than was previously believed, body-focused repetitive behaviors (BFRBs) affect as many as 1 in 20 people. Written by the experts who created and developed the ComB Model, it provides a practical and user-friendly manual for therapists on an effective, individualized treatment approach for BFRBs. It features the most up-to-date information on BRFBs and guides clinicians from conceptualization of the problem through all aspects of clinical treatment. The internal and external influences for hair-pulling and skin-picking disorders are addressed thoroughly and from a functional analytical perspective. A valuable case example illustrates exactly how specific concepts and techniques are implemented in therapy. Chapters cover preparing the client for treatment, encouraging healthy approaches to hair/skin care, preventing relapse, dealing with co-morbidities, trouble-shooting impediments to therapy and modifying treatment for children, adolescents, and their families. This book is the best single resource available for mental health professionals for conceptualizing and treating BFRBs.

‘True to their stature as leaders in the field, Drs. Mansueto, Mouton-Odum, and Golomb have masterfully crafted a treatment approach to support those struggling with BRFBs. This engaging and clearly written text comprehensively covers clinical characterization, case conceptualization, evidence-based intervention, and how to address clinical challenges. This is a book that must be on the bookshelf of anyone working with individuals with BFRBs.'

Eric A. Storch - Ph.D., McIngvale Presidential Endowed Chair & Professor, Vice Chair & Head of Psychology, Department of Psychiatry and Behavioral Sciences, Baylor College of Medicine

‘The world's leading experts on the ComB model of treatment of BFRB have provided clinicians with a clear and thorough description of the approach. A detailed case study interwoven throughout the book helps to concretize the ideas and illustrate how to put them into practice in a skillful manner. Common obstacles to successful treatment are addressed, and numerous ways to adapt ComB to the heterogeneous characteristics of people with BFRB's are identified. This book will help novices and experienced therapists alike to understand and treat these challenging clinical conditions in an empathic and effective manner.'

David A. F. Haaga - Professor of Psychology and Director of Clinical Training, American University, Washington, DC

‘This treatment guide is the clinician's best friend, providing a complete blueprint of strategies, from start to finish. You'll be able to offer your clients a choice of multiple interventions, both cognitive and behavioral, to target and replace each of the maladaptive thoughts and behaviors that have kept them dominated by these disorders for years. Well done!'

Reid Wilson - Ph.D., Author, Stopping the Noise in Your Head

‘I am thrilled to encourage readers to dig deep in this wonderful book outlining the Comprehensive Behavioral Treatment for Body Focused Repetitive Behaviors. While focused on therapy for hair pulling and skin picking, the approaches outlined by these master therapists have applicability to a broad range of behavioral disorders. Digging deep into the principles outlined in this manual will help even experienced therapists expand their cognitive BEHAVIORAL therapy skills set!!!'

John T. Walkup - M.D., Margaret C. Osterman Professor of Psychiatry, Chair, Pritzker Department of Psychiatry and Behavioral Health; Ann and Robert H. Lurie Children's Hospital of Chicago, Northwestern University Feinberg School of MedicineChicago

‘This is a much needed work that will surely make a highly significant contribution to the treatment of BFRBs. The authors have each been trailblazers in this field for many years and share numerous unique insights gained from their hard-earned experience as clinicians and teachers. Their book will be absolutely indispensable to anyone who treats or hopes to treat these disorders. I give it my highest recommendation.'

Fred Penzel - Ph.D., Western Suffolk Psychological Services, Huntington, New York

‘This book is a must-have for clinicians who work with individuals struggling with Body-Focused Repetitive Behaviors (BFRBs). It includes a treasure trove information, including historical background, general overview, current treatment approaches, theoretical underpinnings, and (most importantly) how to apply the gold standard for the treatment of these afflictions: The Comprehensive Behavioral (ComB) Treatment for BFRBs. The authors skilfully walk the reader through the process of assessment and treatment by using the ComB model to show how to build a flexible foundation tailored to each clients' needs, and how to refine the plan as therapy progresses or if it gets stalled. They also make excellent use of case examples and dialogs to bring the process to life, especially when sensitive or difficult issues need to be broached. Congratulations to Charles Mansueto, Ruth Golomb, and Suzanne Mouton-Odum! Their new book will provide invaluable support to therapists as they guide their clients towards recovery.'

Sherrie M. Vavrichek - LCSW-C, Senior Clinician, Behavior Therapy Center of Greater Washington, White Oak, Maryland