Body-focused repetitive behaviors (BFRBs) are repetitive self-grooming behaviors that result in damage to your body. These behaviors may include biting, pulling, picking, or scraping your own hair, skin, lips, cheeks, or nails. The most common BFRB’s are hair pulling (trichotillomania), skin picking (excoriation disorder), nail biting, and cheek biting. The behaviors can be purposeful (e.g., you go to the bathroom and look in the mirror as you pull out your eyebrows) or automatic (e.g., you bite your nails while you are working at your computer). They can occur across a wide variety of settings and activities. The behaviors are associated with distress and shame and may lead to attempts to hide effects of the BFRBs. You may avoid situations in which you fear that the damage will show and you will be discovered (e.g, hair salons, intimacy, wearing revealing clothing). Damage can include hair loss, scarring, and infections.