Not quite the same. OCD works on an aversive mechanism, i.e. I’m feeling immense discomfort and anxiety, and I do this compulsion which provides relief (negative reinforcement). BFRBs (skin picking/trich) usually but not always are on an apetitive mechanism, i.e. I do this thing and I feel good/like it. As such, the…

So I’m a psychologist and I treat a bunch of people with this issue. A couple things to keep in mind: