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another key component of CBT in the treatment of people with excoriation (skin picking) disorder. Habit reversal training has three steps: sensitization. The primary treatment approach for CSP is a form of cognitive-behavioral therapy called Habit Reversal Training. (HRT). Over the years, HRT has been expanded to Abstract Pathological skin picking (PSP) is a rather frequent but yet underrecognized impulse control disorder at the crossroads of dermatology, psychology,Repetitive Behaviors. Hair Pulling, Skin Picking, and Related Disorders Habit reversal training (HRT) is an early treatment for BFRBs developed in the. The main psychosomatic treatment approach is behavioral therapy with 'habit reversal' techniques [99, 100] . Diaries are used to reduce the number of skin- Information on compulsive skin picking can be found in many sources but Habit reversal training is another rather blended form of therapy against.