Comprehensive Behavior Model (ComB)

The Comprehensive Behavioral Model (ComB) is an evidence-based treatment approach developed to help people with body-focused repetitive behaviors, such as chronic hair pulling and skin picking. This model looks at how five different domains contribute to the behavior, including sensory, cognitive (thoughts), affective (feelings), motor, and place (settings where the behavior occurs). The ComB model looks not only at what happens during the behavior, but also at the role of these domains before and after the behavior occurs as well. As one becomes more educated and aware of how their BFRB functions for them, alternatives are identified and used to prevent and interrupt the BFRB. Research using the ComB model supports its use as an effective treatment for BFRB’s.