The Comprehensive Behavioral (ComB) model is a therapeutic approach designed to treat various mental health disorders, particularly those involving body-focused repetitive behaviors (BFRBs) like hair pulling (trichotillomania), skin picking (dermatillomania), and nail biting. The ComB model integrates principles from both cognitive-behavioral therapy (CBT) and behavioral interventions to provide a holistic treatment strategy.

At its core, the ComB model operates on the understanding that behaviors, especially compulsive ones, are driven by a combination of motivation, ability, and triggers. It focuses on identifying the underlying factors that contribute to these behaviors, including emotional states, situational cues, and physiological responses. By addressing these three domains—motivation, ability, and triggers—the ComB model aims to create sustainable behavior change.

The first step in ComB is to assess the specific factors that maintain the unwanted behavior. This involves understanding the individual’s triggers, motivations, and any learned patterns that reinforce the behavior. The model then works on modifying these patterns by introducing alternative coping strategies and behaviors. These competing behaviors are designed to be easier to implement and more functional than the maladaptive ones.

Another critical component of ComB is its emphasis on client collaboration. Clients are actively involved in the process, working with therapists to identify solutions and create personalized strategies that align with their lifestyle and goals. The treatment process is flexible, ensuring that it can be adapted to meet the unique needs of each individual.

In sum, the Comprehensive Behavioral model is an evidence-based, structured approach that focuses on understanding the root causes of BFRBs, teaching healthier alternatives, and empowering clients to gain control over their behaviors, ultimately improving their mental health and quality of life.