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


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  • CE Hours Included: 5 Core (see below for more information)
  • Format: On-Demand Webinar (“Asynchronous”) ~ At your leisure to be viewed at your own pace. You may pause, rewind, and fast forward at any point during the videos. You are in complete control of how you view this workshop. It also comes with a PowerPoint and references. There is a quiz at the end to ensure viewing and required by all CE approval organizations.
  • Investment: $115
  • Presented by: Christina Noble, Ph.D., LPC (see bio below)
  • The on-demand version of this workshop is not yet available. By pre-registering for this workshop, you will receive access as soon as it is available in October.

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.

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.
    • Georgia Counselors: Per the Georgia Composite Board, Core CE hours are now permitted to be earned through on-demand "asynchronous" webinars, and will count the same as live in-person Core CE hours. Ten asynchronous hours are expressly permitted, and an additional five hours can be used as "independent study" hours.
    • Licensed in another state as a Counselor: 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.
    • Licensed in Canada as a Counselor: The Knowledge Tree has applied for approval for this workshop with the Canadian Counseling and Psychotherapy Association.
  • Social Workers: This workshop is approved for 5 core CE hours through GSCSW, approval #072122. TKT maintains responsibility for this program and its content.
    • Georgia Social Workers: Per the Georgia Composite Board, Core CE hours are now permitted to be earned through on-demand "asynchronous" webinars, and will count the same as live in-person Core CE hours. Ten asynchronous hours are expressly permitted, and an additional five hours can be used as "independent study" hours.
    • Licensed in another state as a Social Worker: Please see the yellow highlighted section below.*
  • Marriage and Family Therapists: This workshop is approved for 5 core CE hours through GAMFT, approval #118-2022. TKT maintains responsibility for this program and its content.
    • Georgia Marriage & Family Therapists: Per the Georgia Composite Board, Core CE hours are now permitted to be earned through on-demand "asynchronous" webinars, and will count the same as live in-person Core CE hours. Ten asynchronous hours are expressly permitted, and an additional five hours can be used as "independent study" hours.
    • Licensed in another state as a Marriage & Family Therapist: Please see the yellow highlighted section just below.
  • *Licensed in another state as a Social Worker or Marriage & Family Therapist? Most states will accept CEs for Social Workers, and Marriage & Family Therapists if that workshop has approved status from another state association which ours have been (see above). Additionally, we have national approval for all our courses through APA & NBCC. Many states will accept APA & NBCC approved continuing education hours, but please check your specific state rules & regulations. We strongly recommend saving the course description and educational objectives, the certificate of completion you receive from the activity, and please contact your state board or organization to determine specific filing requirements.

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Workshop Coordinator at:

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