Learning to recognize when the behavior occurs, what triggers it, and the early urges or sensations that precede it.

Practicing a behavior that is physically incompatible with the unwanted behavior (e.g., clenching fists or sitting on hands) until the urge passes.

Identifying and modifying environmental or emotional triggers that increase the likelihood of the behavior.

Strengthening commitment to change by identifying personal reasons for reducing the behavior and involving supportive family members or friends when appropriate.

Applying HRT skills across different settings and situations to build long-term success and prevent relapse.

Habit Reversal Training (HRT)

is an evidence-based treatment that helps individuals reduce repetitive behaviors such as hair pulling (trichotillomania), skin picking (excoriation disorder), nail biting, and certain tics. HRT teaches individuals to recognize the early urges and triggers that lead to these behaviors and replace them with healthier, incompatible responses. Through increased awareness, practical coping skills, and consistent practice, individuals can gain greater control over these behaviors and reduce their impact on daily life.

Kasey Smith is cerified in HRT.

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Habit Reversal Training

Awareness Training

Competing Response Training

Trigger Management

Motivation Enhancement

Generalization and Maintenance

Habit Reversal Training (HRT)