Isla Turner, MS, LPC EMDR Trained

01/16/2026

Many people try to “discipline” themselves out of body-focused repetitive behaviors.

But punishment increases stress, and stress increases urges.

Reward based approaches are healthier, more sustainable, and more effective at creating long-term behavior change.

01/15/2026

Ever wonder what's happening right before a body-focused repetitive behavior (BFRB)? TIMES helps us name the internal experiences that set the stage for a BFRB. When we learn to notice our TIMES we gain insight, compassion, and more options for responding differently to those signals.

01/14/2026

Body-focused repetitive behaviors (BFRBs) are often misunderstood. They are commonly mistaken for OCD, self-harming behaviors, bad habits, or something rare.

Here’s what’s important to know:

• OCD and BFRBs are not the same. While OCD is typically treated with exposure and response prevention (ERP), BFRBs require different, specialized approaches.

• BFRBs are not self-harm. Self-harm involves an intention to cause harm. BFRBs do not.

• Willpower is not a treatment. BFRBs are complex, body-based behaviors—not something someone can “just stop.”

• BFRBs are not rare. Although they are understudied, many people experience them.

01/13/2026

Body-Focused Repetitive Behaviors (BFRBs) show up in many ways and each person experiences them differently.

01/12/2026

What is a BFRB?

01/06/2026

Jessi works with adults navigating anxiety, depression, trauma, neurodivergence, identity, and relationship challenges. Her approach is integrative, with a strong foundation in Gestalt and systemic therapy, meaning she focuses on the whole person and the systems that shape their life.

Therapy doesn’t have to feel cold or intimidating. Her goal is to create a space that feels safe, genuine, and human. 🌿
If you’re ready to start your healing journey, Jessi would be honored to walk alongside you.

✨ Accepting clients ✨

09/01/2025

Look for warning signs in people who may be in crisis and encourage individuals in emotional distress to reach out for help.

🔵Threatening to hurt or kill oneself or talking about wanting to hurt or kill oneself
🔵Looking for ways to kill oneself by seeking access to fi****ms, available pills, or other means
🔵Talking or writing about death, dying, or su***de when these actions are out of the ordinary for the person
🔵Feeling hopeless
🔵Feeling rage or uncontrolled anger or seeking revenge
🔵Acting reckless or engaging in risky activities — seemingly without thinking
🔵Feeling trapped — like there's no way out
🔵Increasing alcohol or drug use
🔵Withdrawing from friends, family, and society
🔵Feeling anxious, agitated, or unable to sleep or sleeping all the time
🔵Experiencing dramatic mood changes
🔵Seeing no reason for living or having no sense of purpose in life

📱Call or text: 988
💻Chat online: Louisiana988.org
🕛24/7

🔗https://ldh.la.gov/office-of-behavioral-health/su***de-prevention

08/11/2025

OCD doesn’t discriminate—it affects people of all races at similar rates. It can take 14 to 17 years for an adult to be diagnosed with OCD. It can take even longer for African Americans to be diagnosed with OCD and receive specialized treatment. Black individuals are often underdiagnosed, misdiagnosed, or improperly medicated.

Many face barriers like:
• Being misdiagnosed with psychotic disorders
• Limited access to culturally informed care
• Stigma around mental health in the community
• Underrepresentation in OCD research

We need more awareness, more accurate diagnoses, and more representation. If you or someone you love is struggling with intrusive thoughts, obsessions, and/or compulsions, know that help exists 💛

08/07/2025

OCD comes in many subtypes. Here are some of the more common subtypes I often see in my office.

08/06/2025

07/30/2025

From picking to pulling—Ashley’s got the scoop on BFRBs.
Read her blog right here📖⬇️
https://www.kdholmeslpc.com/ashley-rush-ms-plpc/how-much-do-you-know-about-bfrbs

07/08/2025

Introducing Mallory Gothe, MS, PLPC, EMDR-Trained! Mallory is excited to begin seeing clients here at KDH Counseling🤍 She works with ages 12 and up, supporting them through a wide range of experiences including everyday stressors, identity exploration, LGBTQIA+ advocacy and affirmation, depression, anxiety, and complex trauma. She brings particular expertise to her work in su***de prevention, grief and loss, and healing parent-child relationships through Child-Parent Psychotherapy (CPP). Learn more about Mallory and schedule a session with her today!!