Body Focused Repetitive Behaviors Therapists in Saint Louis, MO

Dr. Vivyan is trained in the diagnosis and treatment of Trichotillomania (hair pulling) and Excoriation Disorder (skin picking). She uses Comprehensive Behavioral (ComB) Treatment to give you the awareness to control these behaviors with confidence.

With tics and body focused behaviors, I take a warm approach using exposure and response prevention. I have special training in this area.

Specializing in hair pulling, skin picking, and nail biting, I use habit reversal, acceptance strategies, and CBT techniques to break cycles and build healthier habits.

Many people suffer silently through BFRBs. We are here to help you learn how to reduce your hair pulling, skin picking, etc. while navigating the emotional impact of BFRBs. We assist you in learning how to have more awareness of your behaviors, learn how to manage your urges differently, and ultimately reduce the BFRBs and their impact on your life. We offer both individual and class formats for BFRB treatment.

We offer treatment of body-focused repetitive behaviors.

St. Louis sits at a crossroads of the Midwest and the South, and its deeply segregated geography shapes a mental health landscape where therapists frequently address racial trauma, economic stress, and community-level grief rooted in the city's long history of systemic inequality. The 2014 Ferguson uprising brought national attention to St. Louis and left a lasting psychological mark on many residents, and therapists specializing in racial trauma, activism fatigue, and community healing remain in strong demand. Washington University School of Medicine and Barnes-Jewish Hospital provide world-class institutional mental health resources, with a strong private practice community concentrated in Clayton, the Central West End, and South City. St. Louis's lower cost of living relative to coastal cities makes quality private therapy more financially accessible for many residents.

Gender ID

	70%	Female
	30%	Male

Session Type

	67%	In Person and Online
	33%	Online Only

Top Treatment Approaches

100%	Cognitive Behavioral Therapy (CBT)
67%	Acceptance & Commitment Therapy (ACT)
56%	Behavioral Therapy
44%	Cognitive Processing Therapy (CPT)
44%	Psychosocial Therapy
44%	Relational Psychotherapy
33%	Dialectical Behavior Therapy (DBT)

Ages Served

100%	Adult
78%	Teen
78%	Young Adult
56%	Children
56%	Senior

Client Focus

56%	Women
44%	LGBTQ+
33%	Men
33%	Military / Veterans
33%	Persons with Disabilities

Body Focused Repetitive Behaviors therapists in Saint Louis, MO

Brave Young Minds

Cheryl S Rubenstein

Anna Urbaniak

Juniper Mental Health

Seven Hills Psychology