Welcome to the BFRB Institute, where we offer specialized, evidence-based treatment for Body-Focused Repetitive Behaviors. Our mission is to provide compassionate care and effective solutions for people with trichotillomania, skin picking, nail biting, and other BFRBs.

Treatment for Every BFRB
Trichotillomania

Compulsive hair pulling affecting scalp, eyebrows, or other body areas.

Skin Picking Disorder

Recurrent picking at skin, causing tissue damage and emotional distress.

Nail Biting

Chronic biting of fingernails or surrounding skin, often causing injury.

Other BFRBs

Including cheek biting, lip biting, and other repetitive self-grooming behaviors.

Areas of Expertise

In addition to working with people with BFRBs, Jose has also worked with many different populations including:

Depression
Anxiety Disorders
OCD
PTSD
Bipolar Disorder
Self-Harm
Chronic Illnesses
Phobias
Meet Our Expert: Jose Alvear, LCSW


From Patient to Advocate

Jose Alvear's journey from skin picking patient to BFRB advocate to clinician gives him a unique perspective in treating BFRBs. His personal experience fuels his passion for raising awareness and providing effective treatment.

Expertise and Licensing

As a licensed clinical social worker, Jose specializes in treating all types of body-focused repetitive behaviors. He is currently licensed to practice in New York, Minnesota, Tennessee and Massachusetts, offering virtual appointments to clients in these states.

Host of The BFRB Podcast

The BFRB Podcast is hosted by licensed therapist Jose Alvear, LCSW, and advocate Ashley Robles. Through intimate conversations with mental health professionals and powerful personal stories of recovery, they provide expert insights, practical coping strategies, and vital resources for those affected by BFRBs.


Accepting New Clients Across Multiple States
New York

Statewide virtual appointments. We offer comprehensive behavioral therapy, CBT, and ERP.

Massachusetts

Convenient online therapy sessions. We provide personalized treatment plans for all BFRBs.

Minnesota

Statewide virtual BFRB treatment. We offer both individual and group therapy options.

Tennessee

Convenient virtual appointments specializing in Habit Reversal Training and ComB.


Clients outside the U.S.
Flexible Payment Options
Affordable Care

We understand that mental health care can be costly. We offer a range of payment options to make treatment accessible for everyone.

Insurance Coverage

We work with many insurance providers, simplifying the process of accessing benefits.

Sliding Scale Fees

We offer a sliding scale fee structure, based on individual income and financial situation, to ensure affordable care for everyone.

Out of Network

We offer out of network services for people who do not want to use insurance or want to be reimbursed. We assist with OON payment options.

Evidence-Based Treatment Modalities
Comprehensive Behavioral Treatment (ComB)

A holistic approach addressing multiple aspects of BFRBs.

Cognitive Behavioral Therapy (CBT)

Focusing on changing thought patterns and behaviors.

Exposure Response Prevention (ERP)

Gradually facing triggers without engaging in BFRB behaviors.

Habit Reversal Training (HRT)

Learning to recognize and redirect BFRB urges.

Start Healing Today
Begin Your Journey

Schedule your FREE 15-minute consultation and take the first step toward healing.

Our Comprehensive Treatment Approach
Individual Therapy

Personalized one-on-one sessions tailored to your specific BFRB and needs.

Group Therapy

Supportive group sessions fostering shared experiences and coping strategies.

Virtual Appointments

Convenient online therapy sessions accessible from the comfort of your home.

Ongoing Support

Continuous care and resources to help maintain progress and prevent relapse.

Additional Services
Consulting

Comprehensive consulting services tailored to your company's needs, specializing in AI, mental health, podcasting and social work. Individual or group supervision is available.

Supervision

Provide ongoing mentorship and guidance for early career therapists to enhance their skills and practice. Offer guidance and support to therapists working with clients with BFRBs.

Training

Providing key workshops and seminars on topics like, an Introduction to BFRBs, using AI technology and more, both virtually and in-person.


Stay Updated:
Join Our Mailing List & Get a Free BFRB Worksheet on Cognitive Distortions

Stay informed about the latest advancements in BFRB news, research and patient resources. Learn more about BFRB Institute's professional treatment options.

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