Body-Focused Repetitive Behaviors: Science, Impact and Competent Treatment - 5 CEUs

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When & Where:

  • Date: Friday, September 23, 2022
  • Time: 10:00 a.m. - 4:30 p.m. EDT
  • CE Hours Included: 5 Core (please see below for details)
  • Location: Live Interactive Webinar ("Synchronous") on Zoom
  • Investment: $115 before Friday, September 9 at 5:00pm EDT, $130 after
  • Presented by: Christina Noble, Ph.D., LPC (see bio below)
  • Workshop Recording: A recording of this workshop is available to review for 60 days after the presentation. However, participants must attend live to receive the "Synchronous" CE Certificate.

Educational Objectives:

  • Provide an overview of past and present theories and empirical data on what BFRBS are and why they manifest
  • Explain the importance of understanding the biological and neurochemical underpinnings that underlie BFRBs and how these processes make them so challenging to “just stop!”
  • Describe the major subtypes of BFRBs as well as the many nuances and variations therein
  • Differentiate between BFRBs and other types of self-injurious behaviors
  • Review common comorbidities with other psychological diagnoses and how they may intersect and feed off of each other
  • Identify both internal and environmental barriers to treatment for BFRBs
  • Describe effective and informed ways to assess for BFRBs as well as other personality traits and factors commonly linked to these diagnoses that may be important to consider for conceptualization and treatment planning purposes
  • Review the latest evidence regarding empirically-supported treatments for BFRBs including psychopharmalogical and naturopathic treatments
  • Educate and demonstrate the Comprehensive Model for Behavioral Treatment of Trichotillomania and BFRBs, a gold-standard treatment for BFRBs (Mansueto et al., 1999) using case studies and interactive learning
  • Review products, resources, interactive technology and apps to assist your clients in data collection and treatment of their BFRBs
  • Assist participants in understanding the importance of treatment-interfering factors such as shame, social and relational pressure and therapist’s own biases
  • Discuss the power of the therapeutic relationship in treatment as well as potential ethical issues that therapist’s treating BFRBs must attend to in order to ensure competent care

Workshop Description:

Body-Focused Repetitive Behaviors (BFRBs), including Trichotillomania, Dermatillomania (Compulsive Skinpicking/Excoriation Disorder), Compulsive Nail-Biting and Cheek-Biting, impact numerous clients in therapeutic settings, but sadly remain a footnote in many clinical training programs. The unfortunate end result is that a scant few clinicians have been properly trained and educated on these disorders, despite their significant functional impact on clients, comorbidity with numerous other disorders and limiting nature on the wellbeing of those who struggle with them. This workshop will help fill in these gaps by providing education, reviewing conceptual and empirical data on BFRBs, their subtypes and nuances, and reviewing diagnosis, assessment and guidelines for competent treatment of these lesser understood, but significantly impactful family of disorders.

Presented by: Christina Noble, Ph.D., LPC

Dr. Christina Noble is a Licensed Psychologist, a Licensed Professional Counselor, and Certified Professional Counselor Supervisor who specializes in treating OCD, Body Focused Repetitive Behaviors (Trichotillomania, Dermatillomania), Self-injurious behaviors, anxiety disorders, simple and complex PTSD, dissociation, personality disorders, executive functioning issues and ADHD. She served previously as the Clinical Director at The Anxiety and Stress Management Institute, and is currently serving as the Director of Clinical Supervision at Anxiety Specialists of Atlanta. Dr. Noble’s academic research experiences have focused on Trichotillomania, Shame, Perfectionism, Giftedness, Trauma and Attachment. She also has served as an adjunct professor at Georgia State University, teaching doctoral coursework on Ethics and Professional Issues and Psychopharmacology and Psychophysiology.


  • 9:30 - 10:00 Sign-In
  • 10:00 - 11:30 Welcome and Morning Session
  • 11:30 - 11:45 Break
  • 11:45 - 1:00 Morning Session (Cont.)
  • 1:00 - 2:00 Lunch Break
  • 2:00 - 3:00 Afternoon Session
  • 3:00 - 3:15 Break
  • 3:15 - 4:30 Afternoon Session (Cont.)
  • 4:30 - Continuing Education Certificates Available

5 Core CE Clock Hours:

  • Psychologists: The Knowledge Tree (TKT) is approved by the American Psychological Association to sponsor continuing education for psychologists. TKT maintains responsibility for this program and its content.
    • Georgia Psychologists: All online webinars (both real-time "synchronous" and on-demand "asynchronous") count the same as "live" throughout 2022 (including ethics). There is also a proposed Board rule to make this change permanent. Please stay tuned for updates.
    • Licensed in another state: The Knowledge Tree is a Continuing Education Sponsor Approved (CESA) by APA, so all of our workshops should satisfy your CE requirements, but please check your state rules.
  • Counselors: The Knowledge Tree has been approved by NBCC as an Approved Continuing Education Provider, ACEP No. 7153. Programs that do not qualify for NBCC credit are clearly identified. The Knowledge Tree is solely responsible for all aspects of the programs. This workshop is also approved for 5 core CE hours through LPCAGA, approval #2022-08-07-109LW.
    • Licensed in another state? The Knowledge Tree has been approved by NBCC as an Approved Continuing Education Provider (ACEP) #7153, so all of our workshops should satisfy your CE requirements, but please check your state rules regarding live webinars vs. live workshops.
    • Licensed in Canada? This workshop is approved for 5 credit hours through CCPA, event code: 64959375.
  • Social Workers: This workshop is approved for 5 core CE hours through GSCSW, approval #072122. Now in Georgia, Live Webinars count the same as a Live In-Person Workshop.
    • Licensed in another state? Please see the highlighted section below.*
  • Marriage & Family Therapists: This workshop is approved for 5 core CE hours through GAMFT, approval #118-2022. Now in Georgia, Live Webinars count the same as a Live In-Person Workshop.
    • Licensed in another state? Please see the highlighted section below.*
  • *Licensed in another state as a social worker or marriage & family therapist? Many states will accept CEs for Social Workers & MFTs if that workshop has approved status from another state. Additionally, we have national approval for all our courses through APA & NBCC. Many states accept APA & NBCC approved workshops, but please check your specific state rules & regulations.

To view our various workshop policies, including our multi-workshop discount & refund policy, please click here.

We are an approved vendor for the U.S. Department of Veteran's Affairs for easy reimbursement of educational expenses for VA employees.

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Workshop Coordinator at:


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