Ohio BFRBs
(Body-Focused Repetitive Behaviors)

6133 Rockside Rd. 
Suite 207
Independence, OH 44131

30400 Detroit Rd. 
Suite 301
Westlake, OH 44145

(216) 520 - 5969


       Do you pull your hair from your head, eyebrows, eyelashes,
       and/or elsewhere?

       Do you pick at your skin, beyond squeezing pimples?  

       Do you bite your nails excessively or other parts of your body?

       Do you feel like you have little or no control in these behaviors?           

       Are these things distressing and effecting your life too much?

If you answer yes, it may mean that you have a Body-Focused Repetitive Behavior (BFRB).  I can quickly assess and begin to provide effective
Cognitive-Behavioral Therapy (CBT) treatment.

BFRBs are usually chronic conditions that may last for years or decades without effective treatment.  The good news is that effective Cognitive-Behavioral Therapy treatments (CBT) are available.   A trained and experienced therapist can help find a starting place to show that it actually IS doable.

One purpose of OhioBFRBs.com is to provide some understanding of CBT treatment of BFRBs.

There are a lack of trained providers who understand these conditions and who know how to treat them.  For this reason, I am making myself available to Ohioans via video conferencing over the internet.  For more information, go to my Telehealth Page.  If you live outside of the Greater Cleveland area and are interested in such services, email me.


An update of the Precision Medicine Initiative that TLC is funding to understand BFRBs from medical, genetic, and psychological levels.  This research has begun BPM

he National TLC for Body-Focused Repetitive Behaviors Conference in St. Louis was probably the best I've attended.  My presentation on ADHD and the Men's Group went well.  I also got to eat lunch with Christina Pearson, the founder of TLC!

For those unfamiliar with Annette Pasternak, she is the author of Skin Picking: The Freedom to Finally Stop, the BEST BFRB book to date.  She recently published The Freedom Companion to Stop Skin Picking.  This can be a helpful aid to your recovery.  It helps you keep track of what Positive behaviors you engaged in your recovery that day.  NOT a substitute for her first book.  The same info is in her books for Hair Pulling and Nail Biting.  Lastly, check her out on YouTube.  I just discovered that she has a number of videos on BFRB recovery.

Annette has also published her recovery diaries at  http://www.stopskinpickingcoach.com/dermatillomania-diaries/  

An Adult Support Group for Trichotillomania and Dermatillomania (Hair pulling and Skin Picking) is struggling and has not met this year Check for udates at Meetup.com  

A new resource for parents is at www.bfrb.org/forparents

Jon Grant, MD, et. al. just published their study that showed N-acetylcysteine (NAC) was helpful in treating adults with excoriation (skin picking)  http://bit.ly/2a0OwZ4  Fred Penzel, PhD (personal communication) told me that Dr. Grant did a study using Inositol, another supplement, that proved to be helpful for some adults with trichotillomania (hair pulling).  These results are to be published in the near future.

The July/August Peace of Mind is now available, with articles on dealing with uncertainty, Loving-Kindness meditation, updates on heathlcare reform, and other brief articles.  Subscribe for free now.  You can stop at any time.

Follow my Facebook Page for BFRB news and announcements at Cleveland Trichotillomania.

Call for an appointment today (216.520.5969)  to begin your recovery from BFRBs!  Email me if you would like further information. 

Regardless of your previous experiences, BFRBs ARE TREATABLE!!!

Copyright   2016 - 2017.   Michael Miller.   All rights reserved.