143. Why You Can’t Stop Picking: The Truth About Body-Focused Repetitive Behaviors

143. Why You Can’t Stop Picking: The Truth About Body-Focused Repetitive Behaviors

Have you ever caught yourself picking at your skin, biting your nails, or pulling out a hair—then wondered why you can’t seem to stop? You’re not alone.

In this eye-opening episode of The OCD Whisperer Podcast, host Kristina Orlova sits down with Juliet Gustafson , a Michigan-based OCD therapist and professor, to explore the often-misunderstood world of Body-Focused Repetitive Behaviors (BFRBs)—like hair pulling (trichotillomania), skin picking, and nail biting. Far from mere "bad habits," these behaviors are complex disorders tied to emotions, sensory triggers, and even biology. Juliette breaks down the five key drivers behind BFRBs: sensory satisfaction, cognitive patterns, emotional states, motor habits, and environmental cues.

You'll learn how to distinguish between occasional grooming and compulsive behaviors, discover practical strategies for intervention (like replacement movements and awareness tools), and explore compassionate approaches to self-management. The episode also highlights vital resources, including the TLC Foundation, HabitAware’s smart bracelets, and supportive communities like BFRB Changemakers.

Whether you’re struggling with BFRBs or supporting someone who is, this conversation offers hope, clarity, and actionable steps to reclaim control—plus a reminder: healing is possible.

The 3 things you’ll learn in today’s episode:

  • Why BFRBs are more than habits—they’re coping mechanisms.
  • How to identify your personal triggers and replace harmful behaviors.
  • Where to find support, tools, and expert-backed solutions.

In This Episode

  • [00:00] Introduction
  • [00:45] Juliette’s academic and professional background
  • [01:12] Defining body-focused repetitive behaviors (BFRBs)
  • [02:22] Recognizing BFRBs and their impact
  • [03:28] Identifying and understanding BFRBs in yourself
  • [04:19] Managing and exploring BFRBs
  • [05:29] Functions and triggers of BFRBs
  • [09:04] Replacing and modifying BFRB habits
  • [10:58] Awareness and control in BFRBs
  • [12:54] Intervening and self-compassion
  • [13:44] Tools and resources for BFRBs
  • [15:20] Additional BFRB resources and communities
  • [17:27] Encouragement and self-kindness
  • [18:28] The Fidget Podcast and more resources
  • [18:28] OCD representation in media
  • [19:23] Closing and podcast outro

Our Guest

Juliet Gustafson is a licensed OCD therapist based in Michigan, a part-time professor at Wayne State University’s School of Social Work, and co-host of the Intrusive Plots podcast, which explores OCD representation in film and TV. With a deep passion for helping people better understand and manage OCD and related conditions, Juliette brings both clinical expertise and lived experience into her work. Through therapy, advocacy, and education, she’s helping break the stigma around misunderstood struggles like BFRBs.

Resources & Links

Kristina Orlova, LMFT

Juliet Gustafson

Mentioned

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85. Unraveling the Intricacies of OCD and PTSD- Insights from Bronwyn Shroyer and Dr. Caitlin Pinciatti

85. Unraveling the Intricacies of OCD and PTSD- Insights from Bronwyn Shroyer and Dr. Caitlin Pinciatti

Learn #allthingsocd with the OCD Whisperer Channel.   Take control of your OCD with the "Be OCD Free" course. Start your ERP journey and say goodbye to intrusive thoughts. Learn practical strategies and take the first step towards a brighter, OCD-free future. Enroll now! www.beocdfree.com   *** Unlocking intricacies of OCD and PTSD with two incredible specialists. For anyone who wants to gain a deeper understanding of Obsessive-Compulsive Disorder (OCD) and Post-Traumatic Stress Disorder (PTSD), listen now.   For more information about Dr. Caitlin Pinciotti: Website: https://www.cmpinciotti.com If you are interested in participating in a research study on traumatic and stressful life events, contact: OCDTraumaStudy@bcm.edu OR https://bcmpsych.sjc1.qualtrics.com/jfe/form/SV_0j4ULJv3DxUaKtE   For more information about Bronwyn Shroyer, LCSW Website: https://www.bronwynshroyer.com OCD Training School Website: https://ocdtrainingschool.com/   *** Please note, while our host is a licensed marriage and family therapist specializing in OCD and anxiety disorders in the state of California, this podcast is for educational purposes only and should not be considered a substitute for therapy.   Stay tuned for bi-weekly episodes filled with valuable insights and tips for managing OCD and anxiety. And remember, keep going in the meantime. See you in the next episode!

3 Huhti 202323min

84. Madison on becoming an OCD Therapist and Health Anxiety

84. Madison on becoming an OCD Therapist and Health Anxiety

Learn #allthingsocd with the OCD Whisperer Channel.   Take control of your OCD with the "Be OCD Free" course. Start your ERP journey and say goodbye to intrusive thoughts. Learn practical strategies and take the first step towards a brighter, OCD-free future. Enroll now! www.beocdfree.com   *** Today I talk to Madison on becoming an #ocd therapist and health anxiety. Madison's social links: Etsy shop: https://www.etsy.com/shop/Obsessivelystrong Instagram: https://www.instagram.com/obsessivelystrong   *** Please note, while our host is a licensed marriage and family therapist specializing in OCD and anxiety disorders in the state of California, this podcast is for educational purposes only and should not be considered a substitute for therapy.   Stay tuned for bi-weekly episodes filled with valuable insights and tips for managing OCD and anxiety. And remember, keep going in the meantime. See you in the next episode!

22 Maalis 202322min

83. Christina Ennabe and I discuss later-life OCD diagnosis

83. Christina Ennabe and I discuss later-life OCD diagnosis

Learn all things OCD with the OCD Whisperer Podcast. #allthingsocd   In this discussion, Christina Ennabe and I explore the experience of being diagnosed with OCD in adulthood. We delve into the unique challenges and considerations that come with receiving an OCD diagnosis later in life.   We also discuss different ways to cope with and manage the condition. Join us as we explore this important topic.   To learn more about her work: www.christinaennabe.com Instagram: https://www.instagram.com/christinacounsels/   *** Virtual IOP and Individual OCD Therapy with Kristina Orlova (CA residents only) 30 day digital or paperback journal to help stop ruminating OCD Whisperer YouTube Channel IG @ocdwhisperer    _____ Disclaimer: This podcast is for educational purposes.  Though I am a licensed marriage and family therapist in California & specialize in OCD and Anxiety Disorders, this does not replace therapy.    See you in the next episode!   Keep going in the meantime.   *Episodes come out out bi-weekly.

6 Maalis 202333min

82. Insightful conversation with Nicole Morris on Motherhood and OCD

82. Insightful conversation with Nicole Morris on Motherhood and OCD

Learn all things OCD with the OCD Whisperer Podcast. #allthingsocd   Join us for a candid interview with Nicole Morris, a mom, podcaster and a therapist who's sharing her journey of raising children while living with OCD. Nicole talks about the challenges and joys of motherhood and how her OCD diagnosis has impacted her life as a parent. Whether you're a parent, caregiver, or simply curious about mental health, this interview is a must.   Website: https://www.ocdfamilypodcast.com/     *** Virtual IOP and Individual OCD Therapy with Kristina Orlova (CA residents only) 30 day digital or paperback journal to help stop ruminating OCD Whisperer YouTube Channel IG @ocdwhisperer    _____ Disclaimer: This podcast is for educational purposes.  Though I am a licensed marriage and family therapist in California & specialize in OCD and Anxiety Disorders, this does not replace therapy.    See you in the next episode!   Keep going in the meantime.   *Episodes come out out bi-weekly.

24 Helmi 202341min

81. Interview with Natasha Daniels on Misophonia

81. Interview with Natasha Daniels on Misophonia

Learn all things OCD with the OCD Whisperer Podcast. #allthingsocd   Unlock the Secrets of Misophonia with Natasha Daniels! Join the conversation with one of the leading experts in the field of OCD and Anxiety. Natasha Daniels shares her insights and knowledge. Don't miss this exciting opportunity to expand your understanding of Misophonia. Listen now! For further exploration, discover Natasha's cutting-edge resources and delve deeper into her work. Empower yourself with knowledge and expand your horizons. Check out these resources today! Website: www.ATparentingSurvival.com Book: https://www.amazon.com/Natasha-Daniels/e/B011K5IIWA Youtube: https://www.youtube.com/@UCuoDSSCePQ6xkbi2FJNm9kA     *** IOP and Individual OCD Therapy with Kristina Orlova (CA residents only) 30 day digital or paperback journal to help stop ruminating OCD Whisperer YouTube Channel IG @ocdwhisperer    _____ Disclaimer: This podcast is for educational purposes.  Though I am a licensed marriage and family therapist in California & specialize in OCD and Anxiety Disorders, this does not replace therapy.    See you in the next episode!   Keep going in the meantime.   *Episodes come out out bi-weekly.

6 Helmi 202318min

80. Interview with Shaun Flores on OCD and the Black Community

80. Interview with Shaun Flores on OCD and the Black Community

Learn all things OCD with the OCD Whisperer Podcast. #allthingsocd   Shaun Flores and I discussed OCD and the Black Community.   Listen to find out more.    If you are interested in learning more about Shaun Flores check out these resources: Instagram: https://www.instagram.com/theshaunflores/  Resources: https://linktr.ee/theshaunflores    *** IOP and Individual OCD Therapy with Kristina Orlova (CA residents only) 30 day digital or paperback journal to help stop ruminating OCD Whisperer YouTube Channel IG @ocdwhisperer    _____ Disclaimer: This podcast is for educational purposes.  Though I am a licensed marriage and family therapist in California & specialize in OCD and Anxiety Disorders, this does not replace therapy.    See you in the next episode!   Keep going in the meantime.   *Episodes come out out bi-weekly.

25 Tammi 202322min

79. Interview with Dr. Jonathan Hoffman (NBI) about Substance use and OCD

79. Interview with Dr. Jonathan Hoffman (NBI) about Substance use and OCD

Learn all things OCD with the OCD Whisperer Podcast. #allthingsocd   Dr. Jonathan Hoffman and I discussed Substance Use and OCD treatment.   Listen to find out more.    If you are interested in learning more about Dr. Hoffmans work at NBI, check out these resources: https://www.facebook.com/nbiweston https://www.linkedin.com/company/nbiweston/ https://www.youtube.com/user/NBIWESTON/videos https://www.instagram.com/nbiweston/?hl=en https://twitter.com/nbi_weston ***   IOP and Individual OCD Therapy with Kristina Orlova (CA residents only) 30 day digital journal to help stop ruminating ($8.95 paperback) OCD Whisperer YouTube Channel IG @ocdwhisperer    _____ Disclaimer: This podcast is for educational purposes.  Though I am a licensed marriage and family therapist in California & specialize in OCD and Anxiety Disorders, this does not replace therapy.    See you in the next episode!   Keep going in the meantime.   *Episodes come out out bi-weekly.

9 Tammi 202323min

78. Interview with Mike Heady on what kind of therapy is ICBT for OCD?

78. Interview with Mike Heady on what kind of therapy is ICBT for OCD?

Learn all things OCD with the OCD Whisperer Podcast. #allthingsocd   Mike Heady and I discussed what kind of therapy is ICBT? Is it meta-cognitive therapy? Is it cognitive therapy for OCD?   Listen to find out.    If you are interested in learning more about Mike Heady, check out these resources: Website Instagram Email michaelheady@anxietyandstress.com ***   IOP and Individual OCD Therapy with Kristina Orlova (CA residents only) 30 day digital journal to help stop ruminating ($8.95 paperback) OCD Whisperer YouTube Channel IG @ocdwhisperer    _____ Disclaimer: This podcast is for educational purposes.  Though I am a licensed marriage and family therapist in California & specialize in OCD and Anxiety Disorders, this does not replace therapy.    See you in the next episode!   Keep going in the meantime.   *Episodes come out out bi-weekly.

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