Comprehensive Behavioral (ComB) Treatment of Body-Focused Repetitive Behaviors
A Clinical Guide

The first manual for the use of the Comprehensive Behavioral (ComB) treatment method to treat body-focused repetitive behaviors (BFRBs).

Charles S. Mansueto (Author), Suzanne Mouton-Odum (Author), Ruth Goldfinger Golomb (Author)

9781009181730, Cambridge University Press

Paperback / softback, published 21 September 2023

172 pages
23.3 x 15.6 x 1 cm, 0.27 kg

'This book is a must-have for clinicians who work with individuals struggling with Body-Focused Repetitive Behaviors (BFRBs). It includes a treasure trove information, including historical background, general overview, current treatment approaches, theoretical underpinnings, and (most importantly) how to apply the gold standard for the treatment of these afflictions: The Comprehensive Behavioral (ComB) Treatment for BFRBs. The authors skilfully walk the reader through the process of assessment and treatment by using the ComB model to show how to build a flexible foundation tailored to each clients' needs, and how to refine the plan as therapy progresses or if it gets stalled. They also make excellent use of case examples and dialogs to bring the process to life, especially when sensitive or difficult issues need to be broached. Congratulations to Charles Mansueto, Ruth Golomb, and Suzanne Mouton-Odum! Their new book will provide invaluable support to therapists as they guide their clients towards recovery.' Sherrie M. Vavrichek, LCSW-C, Senior Clinician, Behavior Therapy Center of Greater Washington, White Oak, Maryland

More common than was previously believed, body-focused repetitive behaviors (BFRBs) affect as many as 1 in 20 people. Written by the experts who created and developed the ComB Model, it provides a practical and user-friendly manual for therapists on an effective, individualized treatment approach for BFRBs. It features the most up-to-date information on BRFBs and guides clinicians from conceptualization of the problem through all aspects of clinical treatment. The internal and external influences for hair-pulling and skin-picking disorders are addressed thoroughly and from a functional analytical perspective. A valuable case example illustrates exactly how specific concepts and techniques are implemented in therapy. Chapters cover preparing the client for treatment, encouraging healthy approaches to hair/skin care, preventing relapse, dealing with co-morbidities, trouble-shooting impediments to therapy and modifying treatment for children, adolescents, and their families. This book is the best single resource available for mental health professionals for conceptualizing and treating BFRBs.

Introduction
1. Overview of BFRBs
2. Clinical Presentation of BFRBs: A Brief Introduction to the ComB Model
3. Overview of BFRB Treatment
4. Getting Started With ComB Treatment
5. Gathering Information: Assessment and Functional Analysis
6. Implementing Appropriate Interventions
7. Implementation of Specific Interventions: Emily's Story
8. Self-Care Strategies for Client Support During Treatment and After Termination
9. Working with Children and Families
10. Troubleshooting Difficult Issues and Moving Forward with Treatment
Appendix.

Subject Areas: Clinical psychology [MMJ]