In this chapter the reader learns about what emotions can trigger a BFRB, how urges affect behavior, and how to manage difficult emotions differently, without picking or pulling. We also explore how BFRBs function as a response to certain emotional experiences or as an effort to try and solve these emotions, though in an unhealthy manner. Readers learn how to better manage difficult emotions through coping skills, distress tolerance techniques, and acceptance strategies that are geared toward learning how to tolerate emotions without trying to change them. Finally, readers learn about the nervous system and how sometimes feeling over-or under-stimulated can lead to hair pulling and/or skin picking.