A lot of body-focused behaviors do arise around adolescence and there usually is some kind of a trigger that is

one of those attachment disruptions. But one thing that I discovered only after really being in the field and really studying

hearing from the parents of teenagers I work with and also learning more about the early lives of my clients

is that a lot of times there was also a disruption in those very, very early years zero to two.

There's also a sensory processing issue that develops at a very early age and so I've really been

studying how sensory processing and difficulties disruptions and attachment all kind of come together

to lay the ground for this to come out later in life.

Welcome to Therapist Uncensored. Building on decades of professional experience this podcast

tackles neurobiology, modern attachment, and more in an honest way that's helpful in healing

humans. Your session begins now with Dr. Anne Kelly and Sue Marriott.

Hey everyone, this is Ian. You know we can all relate when we are under stress doing certain things

to help self-seuth ourselves whether it's biting our nails, hair pulling, maybe skin picking,

or biting your cheek. These are all behaviors we do unconsciously to self-seuth but sometimes

these kind of behaviors get out of control and when they do they're really a painful source of

stress and shame. Today we're going to bring you a new attachment-informed psychodynamic model

for treating these type of painful, shame-associated behaviors. My co-host Sue Marriott talks with our

guests Stacey Nekel. So for the past 20 years, Nekel has worked with people who struggle with

body-focused repetitive behaviors. She is a certified group psychotherapist and provides workshops

and institutes both locally right here in Austin, Texas with Austin Group Psychotherapy Society

as well as nationally with American Group Psychotherapy Association. So today Sue and Stacey

shed light on these often hidden patterns and they also are going to discuss Nekel's new book,

Treatment for Body-Focus Repetitive Behaviors. All right before we jump in, just want to make a quick

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