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Serving the community since 1999

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Specializing in the Treatment of OCD and Related Anxiety Based Conditions

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Habit-Reversal Training (HRT)

Habit Reversal Training (HRT) is a well-established, evidence-based behavioral therapy designed to help individuals reduce unwanted repetitive behaviors, such as hair pulling (trichotillomania), skin picking (excoriation disorder), and other body-focused Habit Reversal Trainingrepetitive behaviors (BFRBs). HRT teaches awareness of these habits and provides practical, alternative actions that are incompatible with the behavior, empowering clients to gain control and reduce symptom severity.

Developed through extensive research, HRT is recognized as the frontline treatment for many BFRBs and tic disorders. It focuses on increasing awareness of the urges and triggers that lead to behaviors, and then replacing those behaviors with healthier alternatives that satisfy similar sensory or emotional needs without causing harm.

Clinical studies have consistently shown that HRT leads to significant improvements in reducing symptoms of hair pulling and skin picking, improving quality of life, and enhancing self-regulation skills.

HRT is ideal for:

  • Individuals of all ages experiencing body-focused repetitive behaviors like hair pulling, skin picking, nail biting, or tic-related habits.
  • Those seeking a structured, skill-based therapy to gain control over compulsive or habitual behaviors.
  • People who want a non-pharmacological, evidence-supported treatment focusing on behavioral change.
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How Habit Reversal Training (HRT) Works

HRT usually follows a structured, step-by-step process that helps you become more aware of your habits and learn new ways to respond to urges:

  1. Awareness Training:
You learn to recognize when, where, and how the repetitive behavior happens — including identifying triggers and early warning signs. This helps build mindfulness around the habit.
  2. Competing Response Training:
You practice performing a simple, incompatible behavior (called a “competing response”) whenever you feel the urge to engage in the habit. This behavior is designed to prevent the unwanted habit from occurring.
  3. Motivation and Support:
The therapist helps you build motivation, tracks your progress, and may involve family or friends to provide encouragement and positive reinforcement.
  4. Generalization Training:
You learn to apply your new skills across different situations and environments, so you can maintain gains in everyday life.
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Frequently Asked Questions (FAQs)

What conditions can HRT help with?
HRT is especially effective for body-focused repetitive behaviors like hair pulling (trichotillomania), skin picking (excoriation), nail biting, and some tic disorders.

Is HRT suitable for children and adults?
Yes! HRT can be adapted for all ages, from young children to adults, with techniques tailored to developmental needs.

How long does HRT treatment usually take?
Treatment length varies based on individual needs but often involves weekly sessions over a few months. Some may see improvements within 8–12 sessions.

Does HRT require medication?
No, HRT is a behavioral therapy that does not require medication, although some people may use it alongside medications as part of a comprehensive treatment plan.

Will I have to talk about my feelings or past experiences a lot?
HRT focuses more on behavior and awareness than on exploring emotions or past trauma, making it a good option for people who prefer practical skill-building.

We offer Habit Reversal Training (HRT) as a core treatment approach for clients struggling with body-focused repetitive behaviors and tic-related habits. Our therapists are experienced in helping clients build awareness, interrupt automatic behaviors, and develop personalized strategies that support lasting change. Whether you’re addressing hair pulling, skin picking, nail biting, or another habit that feels out of your control, HRT offers a structured, skills-based path forward.

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NEW In-Person OCD Group at our Brentwood Location

Thursday Evenings from 5:30-7:00PM

Please contact our client coordinator, Lisa, at (310) 824-5200 ext. 4 or lisa@ocdla.com for more information.

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