Materiały źródłowe

• #1 Trichotillomania | Fact Sheet – ABCT – Association for Behavioral and Cognitive Therapies

  https://www.abct.org/fact-sheets/trichotillomania/

  Trichotillomania, also known as hair pulling disorder (HPD), is a psychiatric illness affecting up to 4% of the population. […] Behavioral therapies and medication can help manage symptoms. […] Cognitive behavioral approaches are the first-line treatment for trichotillomania and have consistently demonstrated efficacy in research trials. Specifically, Habit Reversal Therapy (HRT) in tandem with stimulus control is utilized. […] Other behavioral therapy techniques, such as Acceptance and Commitment Therapy (ACT) and Dialectical Behavior Therapy (DBT), likely enhance treatment outcomes by facilitating acceptance of the negative and aversive feelings that give rise to pulling and improved emotion regulation. […] Finally, some medications have been shown to be helpful in treating trichotillomania, although the research is limited. N-acetylcysteine (NAC), a health supplement that can be purchased over the counter and has minimal side effects, has been shown to be effective in treating hair pulling.

• #2 Trichotillomania (hair-pulling disorder) – Symptoms and causes – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/trichotillomania/symptoms-causes/syc-20355188

  Trichotillomania (trik-o-til-o-MAY-nee-uh), also called hair-pulling disorder, is a mental health condition. […] Some treatment options may help reduce hair pulling or stop it entirely. […] If you can’t stop pulling out your hair or you feel embarrassed or ashamed by your appearance as a result, talk to your health care provider. Trichotillomania is not just a bad habit, it’s a mental health condition. It’s not likely to get better without treatment. […] Trichotillomania is a long-term disorder. If not treated, symptoms may come and go for weeks, months or years at a time.

• #3 Trichotillomania – StatPearls – NCBI Bookshelf

  https://www.ncbi.nlm.nih.gov/books/NBK493186/

  The treatment includes therapy techniques combined with anxiety-relieving medications. The currently studied therapy techniques for the treatment of trichotillomania include cognitive behavioral therapy and habit reversal training. […] Unfortunately, the disorder has no cure and all treatments have limitations. The disorder has relapses and remissions. In the long run, the patient has permanent loss of hair, scarring, and poor cosmesis.

• #4 Trichotillomania (hair-pulling disorder) – Symptoms and causes – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/trichotillomania/symptoms-causes/syc-20355188

  Trichotillomania (trik-o-til-o-MAY-nee-uh), also called hair-pulling disorder, is a mental health condition. […] Some treatment options may help reduce hair pulling or stop it entirely. […] If you can’t stop pulling out your hair or you feel embarrassed or ashamed by your appearance as a result, talk to your health care provider. Trichotillomania is not just a bad habit, it’s a mental health condition. It’s not likely to get better without treatment. […] Trichotillomania is a long-term disorder. If not treated, symptoms may come and go for weeks, months or years at a time.

• #5 Trichotillomania – StatPearls – NCBI Bookshelf

  https://www.ncbi.nlm.nih.gov/books/NBK493186/

  Trichotillomania is a multifaceted disorder that often involves various specialties and cross-specialties as well as multiple treatment modalities. The treatment will likely include therapy techniques, and there may be the use of medications. The currently studied therapy techniques for the treatment of trichotillomania include cognitive behavioral therapy (CBT) and habit reversal training. […] Habit reversal training is grounded in CBT techniques and it aims to identify cognitive distortions and thought-action pairings and change them. For example, a patient notes that they have stressful group activities at work and after this, they notice that pulling hair out alleviates this stress. The cognitive distortion/thought of all social interaction creating stress is paired with the hair-pulling as a way to alleviate the stress, and so this behavior is negatively reinforced by the alleviation of the stress, and the connection is strengthened. Habit reversal therapy is a low-risk treatment for TTM that has been shown to be effective.

• #6 Trichotillomania | Fact Sheet – ABCT – Association for Behavioral and Cognitive Therapies

  https://www.abct.org/fact-sheets/trichotillomania/

  Trichotillomania, also known as hair pulling disorder (HPD), is a psychiatric illness affecting up to 4% of the population. […] Behavioral therapies and medication can help manage symptoms. […] Cognitive behavioral approaches are the first-line treatment for trichotillomania and have consistently demonstrated efficacy in research trials. Specifically, Habit Reversal Therapy (HRT) in tandem with stimulus control is utilized. […] Other behavioral therapy techniques, such as Acceptance and Commitment Therapy (ACT) and Dialectical Behavior Therapy (DBT), likely enhance treatment outcomes by facilitating acceptance of the negative and aversive feelings that give rise to pulling and improved emotion regulation. […] Finally, some medications have been shown to be helpful in treating trichotillomania, although the research is limited. N-acetylcysteine (NAC), a health supplement that can be purchased over the counter and has minimal side effects, has been shown to be effective in treating hair pulling.

• #7 Trichotillomania (hair-pulling disorder) // Middlesex Health

  https://middlesexhealth.org/learning-center/diseases-and-conditions/trichotillomania-hair-pulling-disorder

  Some treatment options have helped many people reduce hair pulling or stop completely. These include therapy and sometimes medicine. […] Types of therapy that may be helpful for trichotillomania include: […] Habit reversal training. This behavior therapy is the main treatment for trichotillomania. You learn how to recognize situations where you’re likely to pull out your hair and how to substitute other behaviors instead. […] Acceptance and commitment therapy. This therapy can help you learn to accept your hair-pulling urges without acting on them. […] Cognitive therapy. This therapy can help you identify and examine beliefs you have about hair pulling that are not realistic. You can learn healthy ways to think about your condition. […] Therapies that help with other mental health conditions that often occur along with trichotillomania, such as depression, anxiety, or problems with alcohol or drug use, can be an important part of treatment.

• #8 Trichotillomania (Hair Pulling): What It Is, Causes & Treatment

  https://my.clevelandclinic.org/health/diseases/9880-trichotillomania

  Trichotillomania is a mental health condition where you compulsively pull out your own hair. However, this condition is treatable. […] Treating TTM often involves therapy, medication or a combination of both. Ongoing research shows some medications for other mental health conditions might help TTM, but more research is necessary before any specific medication becomes a part of the standard care. […] Medication alone often isnt enough to treat TTM. Healthcare providers may use combinations of medications, therapy techniques or both. […] Therapy methods that may help treat TTM include: Habit reversal therapy. This method involves helping you become more aware of your behaviors and activity patterns. By helping you become more aware, this therapy teaches you to break habits like hair pulling. This method has the best odds of success out of any treatment option for TTM.

• #9 Trichotillomania: hair-pulling disorder – The Diamond Rehab Thailand

  https://diamondrehabthailand.com/what-is-trichotillomania-disorder/

  Trichotillomania is a hair-pulling disorder where a person is unable to stop this behavior despite making attempts to do so. […] Treatment of trichotillomania usually revolves around behavioral therapy, especially habit reversal training. Some medications can also help e.g. antidepressants. A person with this disorder also needs a strong support system. […] Trichotillomania is treated with a combination of therapy and medications. Different types of behavioral therapy are involved in the treatment of this disorder. Examples include habit reversal training, acceptance and commitment therapy, and cognitive behavioral therapy. […] The primary behavioral therapy for the treatment of trichotillomania is habit reversal training, where a person learns how to stop pulling out hair and to recognize triggers that make them pull their hair and how to avoid them.

• #10 Trichotillomania Treatment – OCD Center of Los Angeles

  https://ocdla.com/trichotillomania

  The most effective treatment for Trichotillomania is a combination of various types of Cognitive-Behavioral Therapy (CBT). Perhaps the most important of these is called Habit Reversal Training (HRT). HRT is based on the principle that hair pulling is a conditioned response to specific situations and events, and that the individual with Trichotillomania is frequently unaware of these triggers. HRT challenges Trichotillomania in a two-fold process. First, the individual with Trichotillomania learns how to become more consciously aware of situations and events that trigger hair-pulling episodes. Second, the individual learns to utilize alternative behaviors in response to these situations and events. […] Other Cognitive-Behavior Therapy techniques can be used as adjuncts to HRT in the treatment of Trichotillomania. Among these are Stimulus Control techniques and Cognitive Restructuring. Stimulus Control techniques involve utilizing specific physical items as habit blockers to restrict the ability to pull hair, while Cognitive Restructuring helps an individual with Trichotillomania learn to think differently in response to the urge to pull their hair.

• #11 Trichotillomania (hair-pulling disorder) // Middlesex Health

  https://middlesexhealth.org/learning-center/diseases-and-conditions/trichotillomania-hair-pulling-disorder

  Some treatment options have helped many people reduce hair pulling or stop completely. These include therapy and sometimes medicine. […] Types of therapy that may be helpful for trichotillomania include: […] Habit reversal training. This behavior therapy is the main treatment for trichotillomania. You learn how to recognize situations where you’re likely to pull out your hair and how to substitute other behaviors instead. […] Acceptance and commitment therapy. This therapy can help you learn to accept your hair-pulling urges without acting on them. […] Cognitive therapy. This therapy can help you identify and examine beliefs you have about hair pulling that are not realistic. You can learn healthy ways to think about your condition. […] Therapies that help with other mental health conditions that often occur along with trichotillomania, such as depression, anxiety, or problems with alcohol or drug use, can be an important part of treatment.

• #12 Trichotillomania (hair pulling disorder) – NHS

  https://www.nhs.uk/mental-health/conditions/trichotillomania/

  Trich is commonly treated using a type of CBT called habit reversal training. […] This aims to help you replace a bad habit with something that’s not harmful. Treatment usually involves: keeping a diary of your hair pulling, working out the triggers for your hair pulling and learning how to avoid them, replacing hair pulling with another action, like squeezing a stress ball, loved ones providing emotional support and encouragement. […] If your GP thinks you have trich, you may be referred for a type of treatment called cognitive behavioural therapy (CBT). […] Antidepressants are not usually prescribed to treat trich.

• #13 Trichotillomania: Causes, Symptoms, and Treatment

  https://www.webmd.com/anxiety-panic/trichotillomania

  Treatment options for trichotillomania include: […] Many types of therapy can support people with trichotillomania and even help them stop hairpulling completely. […] Acceptance and commitment therapy. You’ll be able to practice accepting the hairpulling urges without actually hairpulling. […] Habit reversal. This is often the main treatment of trichotillomania. It’ll help you practice other, less harmful habits instead of hairpulling, like clenching your fists when you have the urge to pull your hair. […] Cognitive therapy. This helps people explore and change the beliefs that lead to hairpulling. […] There are no FDA-approved medications for trichotillomania, but these drugs may control symptoms in some people: Antidepressants, Atypical antipsychotics, N-acetyl cysteine, an amino acid supplement. […] Your doctor or mental health professional can help you figure out which ideas might work best for you. Together, you will come up with a personalized plan to treat your trichotillomania. They will work with you to learn and practice different strategies.

• #14 Trichotillomania (Hair Pulling Disorder) | OCD-UK

  https://www.ocduk.org/related-disorders/trichotillomania/

  Treating Trichotillomania […] The treatments for Trichotillomania are very similar to those for OCD, with the treatment found to be the most effective being a talking therapy called Cognitive Behavioural Therapy (CBT). […] an additional element of therapy may be introduced to help patients with Trichotillomania, a technique called habit reversal training. […] Habit reversal training works by helping the person recognise and be more aware of their hair pulling and what is triggering it and sometimes help a person replace hair picking with a less harmful behaviour. […] This means repeatedly learning to tolerate the resulting discomfort. […] Medication is no longer considered an effective treatment for Trichotillomania itself, although may be needed for any co-morbid depression. […] There are of course some things you can to help yourself whilst waiting for talking therapy, for example: Keeping your hands busy try squeezing a stress toy or putting on gloves to help you identify when and where you most commonly pull at your hair.

• #15 Innovative Strands of Healing: Nurturing Recovery in a Case of Trichotillomania Via Tele-Based Habit Reversal Therapy

  https://www.psychiatrist.com/pcc/trichotillomania-tele-based-habit-reversal-therapy/

  Trichotillomania, or hair-pulling disorder, is a common psychiatric condition characterized by persistent, uncontrollable urges to remove hair from various parts of the body. […] One of the most often used behavioral strategies for the treatment of trichotillomania is habit reversal therapy (HRT), which comprises awareness training, self-monitoring, and competing response. […] HRT is an effective behavioral therapy for trichotillomania. […] After providing psychoeducation about the therapy, the patient in our case was motivated to continue HRT, but due to the COVID-19 lockdown and shutting down of the outpatient services, we had to plan for continuation of treatment through telepsychiatry services. […] For trichotillomania, very few cases were reported using tele-based nonpharmacologic treatment.

• #16 Trichotillomania: hair-pulling disorder – The Diamond Rehab Thailand

  https://diamondrehabthailand.com/what-is-trichotillomania-disorder/

  A 2012 case study on habit reversal training for trichotillomania from the International Journal of Trichology found that habit reversal training helped a 22-year-old woman with trichotillomania attain complete remission. […] Acceptance and commitment therapy helps patients learn to accept and acknowledge the urge to pull hair out, but not act on it. […] In addition to the abovementioned therapies, healthcare professionals may also recommend therapies that focus on the management of mental health disorders such as anxiety, substance abuse, or depression. […] As far as medications are concerned, there is no specific pharmacotherapy approved by the FDA to treat trichotillomania. Instead, healthcare professionals may prescribe medications to address underlying causes of hair-pulling behavior. […] Besides doctor-recommended therapy, there are alternative approaches such as hypnotherapy.

• #17 A Review of Behavioral and Pharmacological Treatments for Adult Trichotillomania

  https://www.mdpi.com/2813-9844/6/2/31

  Trichotillomania (TTM) is a psychiatric disorder involving chronic, recurrent urges to pull out one’s own hair, arising frequently in childhood and early adolescence. […] Currently, the etiology is unknown, which makes treating TTM extremely difficult. […] Of the behavioral interventions, cognitive behavioral therapy (CBT) and habit reversal training (HRT) have demonstrated the greatest improvements in hair-pulling severity, with HRT showing the most efficacy for long-term maintenance of progress. […] Future research directions include larger placebo-controlled pharmacological trials, exploring the efficacy of combined behavioral and pharmacological approaches compared to monotherapy, and delving into the potential genetic and neurochemical contributions that may underlie TTM. […] The current treatment recommendations for TTM fall into two broad categories: behavioral and pharmacological.

• #18 Trichotillomania (hair-pulling disorder) // Middlesex Health

  https://middlesexhealth.org/learning-center/diseases-and-conditions/trichotillomania-hair-pulling-disorder

  Some treatment options have helped many people reduce hair pulling or stop completely. These include therapy and sometimes medicine. […] Types of therapy that may be helpful for trichotillomania include: […] Habit reversal training. This behavior therapy is the main treatment for trichotillomania. You learn how to recognize situations where you’re likely to pull out your hair and how to substitute other behaviors instead. […] Acceptance and commitment therapy. This therapy can help you learn to accept your hair-pulling urges without acting on them. […] Cognitive therapy. This therapy can help you identify and examine beliefs you have about hair pulling that are not realistic. You can learn healthy ways to think about your condition. […] Therapies that help with other mental health conditions that often occur along with trichotillomania, such as depression, anxiety, or problems with alcohol or drug use, can be an important part of treatment.

• #19 Trichotillomania | Fact Sheet – ABCT – Association for Behavioral and Cognitive Therapies

  https://www.abct.org/fact-sheets/trichotillomania/

  Trichotillomania, also known as hair pulling disorder (HPD), is a psychiatric illness affecting up to 4% of the population. […] Behavioral therapies and medication can help manage symptoms. […] Cognitive behavioral approaches are the first-line treatment for trichotillomania and have consistently demonstrated efficacy in research trials. Specifically, Habit Reversal Therapy (HRT) in tandem with stimulus control is utilized. […] Other behavioral therapy techniques, such as Acceptance and Commitment Therapy (ACT) and Dialectical Behavior Therapy (DBT), likely enhance treatment outcomes by facilitating acceptance of the negative and aversive feelings that give rise to pulling and improved emotion regulation. […] Finally, some medications have been shown to be helpful in treating trichotillomania, although the research is limited. N-acetylcysteine (NAC), a health supplement that can be purchased over the counter and has minimal side effects, has been shown to be effective in treating hair pulling.

• #20 ACT Guide FAQ for Trichotillomania | USU

  https://cehs.usu.edu/scce/services/act-guide/act-for-trichotillomania

  ACT Guide for Trichotillomania is an online mental health program designed by psychologists at Utah State University. […] This program is designed for people who have difficulties with hair pulling. Youll learn skills to help manage your pulling, more effectively respond to your urges to pull, and reengage with areas of life that you have been avoiding. […] ACT in ACT Guide stands for Acceptance and Commitment Therapy. ACT targets psychological flexibility, or the ability to engage in meaningful activities while uncomfortable thoughts or sensations are present (e.g., urges). ACT Guide for Trichotillomania also incorporates Habit Reversal Training (HRT), which helps build awareness around hair pulling urges and teaches new behavioral strategies. HRT has been widely studied as a treatment for hair pulling.

• #21 Trichotillomania (hair-pulling disorder)

  https://www.mymlc.com/health-information/diseases-and-conditions/t/trichotillomania-hair-pulling-disorder/

  Acceptance and commitment therapy. This therapy can help you learn to accept your hair-pulling urges without acting on them. […] Therapies that help with other mental health disorders often associated with trichotillomania, such as depression, anxiety or substance abuse, can be an important part of treatment. […] Although no medications are approved by the Food and Drug Administration specifically for the treatment of trichotillomania, some medications may help control certain symptoms.

• #22 Trichotillomania and OCD: Connections, Treatments, and More

  https://www.healthline.com/health/ocd/trichotillomania-ocd

  Trichotillomania is a condition involving frequent urges to pull out ones hair. […] Mental health experts now classify hair-pulling disorder, or trichotillomania, as an OCD-related disorder because of the significant overlap between the conditions, such as frequent, repetitive compulsions that significantly interrupt daily life. […] Effective treatments for OCD and trichotillomania include the following: Cognitive behavioral therapy (CBT) is a first-line treatment for both conditions. It involves helping people identify and challenge distorted thought patterns, develop strategies to manage urges, and improve their overall quality of life. […] Acceptance and commitment therapy (ACT) helps people understand their urges, distance themselves from obsessive thoughts, and feel encouraged to take actions aligned with personal values.

• #23 Treatment Trichotillomania using Play Therapy Techniques – Wonders Counseling Services, LLC

  https://wonderscounseling.com/treatment-for-trichotillomania-using-play-therapy-techniques/

  Mindfulness Based Cognitive Therapy (MBCT) combines cognitive therapy with meditative practices. It helps clients learn specific skills for tuning in, noticing, paying attention as well as the element of self soothing in alternate, healthier forms in lieu of hair pulling. […] Acceptance & Commitment Therapy (ACT) stands for Accept your reactions and be present, Choose a valued direction, and Take action. Over the course of approximately 8 weeks, clients learn to be aware of their pulling and warning signals, use self-management strategies for stopping and preventing pulling, stop fighting against their pulling-related urges and thoughts, and work towards increasing their quality of life. […] CBPT is a type of play therapy that merges the traditional and effective Cognitive Behavioral Therapy with Play Therapy. It is structured, short-term, goal-oriented, play based, and psychoeducational.

• #24 Trichotillomania Hair-Pulling Disorder Treatment Facility in Fort Lauderdale, Florida

  https://sylviabrafman.com/mental-health-treatments/obsessive-compulsive-disorder/trichotillomania-disorder/

  Habit Reversal Training (HRT) is a specialized form of cognitive behavioral therapy for hair-pulling that consists of three main steps. […] Dialectical Behavior Therapy (DBT) uses techniques like mindfulness, distress tolerance, and emotion regulation. DBT is helpful if you pull your hair when feeling emotionally stressed and anxious. It can teach you how to handle strong emotions and build your coping skills without turning to ritualistic behaviors, such as self-harm and trichotillomania. […] Acceptance and Commitment Therapy (ACT) helps you deal with intrusive thoughts and compulsive behaviors instead of acting on them. It teaches you to notice repetitive hair-pulling urges without judging yourself and to use mindfulness techniques for emotional regulation and trichotillomania. […] Cognitive behavioral therapy for OCD or hair-pulling is one of the most commonly used therapies. It focuses on spotting and changing your obsessive thoughts and compulsive behaviors that lead to hair-pulling and anxiety. CBT teaches you about what provokes Body-Focused Repetitive Behaviors (BFRBs) and can help you develop strategies for managing trichotillomania urges.

• #25 Trichotillomania(Hair Pulling Disorder) – Center for OCD and Related Disorders

  https://mghocd.org/trichotillomania/

  Trichotillomania (TTM) is characterized by repeated pulling of one’s hair for non-cosmetic reasons from any body area, most often the scalp, eyelashes, eyebrows, beard, or pubic area. […] The consensus amongst practitioners and existing treatment studies indicate that CBT is the first-line treatment intervention for Trichotillomania (Hair Pulling Disorder). […] In addition to CBT, stimulus control procedures targeted at reducing stimuli or situations that trigger hair pulling are also used to treat Trichotillomania; these procedures may cue the individual when they are engaged in the hair pulling, and/or provide substitutes for sensory reinforcement. […] One randomized controlled study has suggested that supplementing HRT with another treatment approach, known as Acceptance and Commitment Therapy (ACT), can be effective.

• #26 Enhancing Treatment for Trichotillomania | Psychology Today

  https://www.psychologytoday.com/us/blog/touchy-subject/201904/enhancing-treatment-for-trichotillomania

  Additional support for the importance of addressing internal processes in TTM comes from the meta-analysis conducted by McGuire, et al. This latter study showed superior TTM treatment outcomes in those studies when techniques from Dialectical Behavior Therapy or Acceptance and Commitment Therapy were included along with traditional behavioral treatment versus traditional behavioral treatment alone. […] The Body Focused Precision Medicine Initiative (the BPM), a multi-site collaborative project funded by the TLC Foundation for BFRBs, was designed specifically to explore these variables in a large-sample study to identify subtypes of TTM and to inform treatment development. The BPM holds great promise to significantly advance our knowledge of TTM and, in so doing, to refine treatment protocols to provide much-needed symptomatic relief and improved quality of life for those individuals who grapple with this challenging disorder.

• #27 Trichotillomania (hair-pulling disorder) // Middlesex Health

  https://middlesexhealth.org/learning-center/diseases-and-conditions/trichotillomania-hair-pulling-disorder

  Some treatment options have helped many people reduce hair pulling or stop completely. These include therapy and sometimes medicine. […] Types of therapy that may be helpful for trichotillomania include: […] Habit reversal training. This behavior therapy is the main treatment for trichotillomania. You learn how to recognize situations where you’re likely to pull out your hair and how to substitute other behaviors instead. […] Acceptance and commitment therapy. This therapy can help you learn to accept your hair-pulling urges without acting on them. […] Cognitive therapy. This therapy can help you identify and examine beliefs you have about hair pulling that are not realistic. You can learn healthy ways to think about your condition. […] Therapies that help with other mental health conditions that often occur along with trichotillomania, such as depression, anxiety, or problems with alcohol or drug use, can be an important part of treatment.

• #28 Trichotillomania (hair-pulling disorder)

  https://www.mymlc.com/health-information/diseases-and-conditions/t/trichotillomania-hair-pulling-disorder/

  Trichotillomania (hair-pulling disorder) is a mental disorder that involves recurrent, irresistible urges to pull out hair from your scalp, eyebrows or other areas of your body, despite trying to stop. […] Some treatment options have helped many people reduce their hair pulling or stop entirely. […] Research on treatment of trichotillomania is limited. However, some treatment options have helped many people reduce their hair pulling or stop entirely. […] Types of therapy that may be helpful for trichotillomania include: Habit reversal training. This behavior therapy is the primary treatment for trichotillomania. You learn how to recognize situations where you’re likely to pull your hair and how to substitute other behaviors instead. […] Cognitive therapy. This therapy can help you identify and examine distorted beliefs you may have in relation to hair pulling.

• #29 Trichotillomania (hair-pulling Disorder): Causes, Symptoms, Treatment DSM-5 312.39 (F63.2)

  https://thriveworks.com/blog/trichotillomania-hair-pulling-disorder/

  Is There Treatment for Trichotillomania (Hair-Pulling Disorder) DSM-5 312.39 (F63.2)? A few different forms of therapy are available for those seeking treatment for hair-pulling: […] Cognitive Therapy: This form of therapy focuses on helping the individual identify and fix distorted beliefs related to their hair-pulling. […] Habit Reversal Training: Habit reversal training is a form of behavior therapy and is the primary treatment for hair-pulling disorder. It helps the individual recognize situations that lead to pulling his or her hair and introduces new, healthier behaviors to perform instead. For example, the therapist may suggest the individual try clenching their fists every time they have the urge to hair-pull. […] Acceptance and commitment therapy: This therapy focuses on helping the individual accept their hair-pulling tendencies and urges without actually acting on them.

• #30 Trichotillomania & Dermatillomania Therapy in Oak Brook & Orland Park

  https://theocdandanxietycenter.com/trichotillomania-and-dermatillomania/

  In Cognitive Behavioral Therapy (CBT), a trichotillomania and dermatillomania therapist helps you to identify unhelpful thought patterns and change the way you think about your behavior in order to discourage future episodes of picking and pulling. […] In Habit Reversal Training (HRT), you will practice waiting out the urges and replacing those behaviors with other less destructive behaviors, such as the use of manipulatives, gloves, finger tips, etc. […] The Comprehensive Behavioral Model (ComB) will assist you and your therapist in identifying sensory, cognitive, affective, motoric, and environmental antecedents and consequences. […] Even if these patterns of behavior have been prevalent in your life for a long period of time, with treatment for trichotillomania and dermatillomania, you can learn to interact with your thoughts and your urges differently, regaining control over your behaviors.

• #31 Trichotillomania/Hair Pulling Therapy Counseling | San Jose Saratoga Los Gatos Cupertino Campbell Sunnyvale Mountain View Los Altos | Anxiety & OCD Therapy Experts | San Jose and California

  https://cognitivebehaviortherapycenter.com/trichotillomania-hair-pulling-counseling/

  At the Cognitive Behavior Therapy Center of Silicon Valley, we offer cognitive behavior therapy (CBT) for trichotillomania or chronic hair pulling. […] The goal of CBT for trichotillomania is to educate you about the disorder and teach you to become more aware of pulling and the environmental, emotional, and cognitive factors that trigger pulling. […] The Cognitive Behavior Therapy Center of Silicon Valley specializes in therapy and counseling for trichotillomania/hair pulling. […] Common Goals of Cognitive Behavior Therapy for Trichotillomania include decreasing pulling episodes, resuming daily routine and other levels of functioning, and building coping skills for tolerating uncomfortable emotions and preventing pulling.

• #32 Trichotillomania (hair-pulling disorder) // Middlesex Health

  https://middlesexhealth.org/learning-center/diseases-and-conditions/trichotillomania-hair-pulling-disorder

  Some treatment options have helped many people reduce hair pulling or stop completely. These include therapy and sometimes medicine. […] Types of therapy that may be helpful for trichotillomania include: […] Habit reversal training. This behavior therapy is the main treatment for trichotillomania. You learn how to recognize situations where you’re likely to pull out your hair and how to substitute other behaviors instead. […] Acceptance and commitment therapy. This therapy can help you learn to accept your hair-pulling urges without acting on them. […] Cognitive therapy. This therapy can help you identify and examine beliefs you have about hair pulling that are not realistic. You can learn healthy ways to think about your condition. […] Therapies that help with other mental health conditions that often occur along with trichotillomania, such as depression, anxiety, or problems with alcohol or drug use, can be an important part of treatment.

• #33 International OCD Foundation | Comprehensive Behavioral (ComB) Treatment for Skin Picking and Hair Pulling Disorders

  https://iocdf.org/expert-opinions/comprehensive-behavioral-comb-treatment-for-skin-picking-and-hair-pulling-disorders/

  Alternative behaviors are carefully chosen within five categories of factors that have been identified as relevant to each person’s unique BFRB profile. […] ComB treatment encompasses a wide range of techniques drawn from standard behavioral, cognitive, and CBT practice. […] The flexible and patient-oriented nature of the treatment process results in therapy that may appear quite different from one patient to another, due to factors such as the therapist’s skill set, judgment, and decision-making as well as each patient’s preferences. […] The ComB approach addresses this complexity by providing a systematic framework that guides therapists as they design and implement a treatment plan that uniquely fits each patient. […] Phase 1 – Assessment (Functional Analysis). ComB treatment pays attention to the factors that foster and maintain BFRBs: behavioral, emotional, cognitive, and sensory variables identified in prior research on HPD (Mansueto, 1991).

• #34 International OCD Foundation | Comprehensive Behavioral (ComB) Treatment for Skin Picking and Hair Pulling Disorders

  https://iocdf.org/expert-opinions/comprehensive-behavioral-comb-treatment-for-skin-picking-and-hair-pulling-disorders/

  Alternative behaviors are carefully chosen within five categories of factors that have been identified as relevant to each person’s unique BFRB profile. […] ComB treatment encompasses a wide range of techniques drawn from standard behavioral, cognitive, and CBT practice. […] The flexible and patient-oriented nature of the treatment process results in therapy that may appear quite different from one patient to another, due to factors such as the therapist’s skill set, judgment, and decision-making as well as each patient’s preferences. […] The ComB approach addresses this complexity by providing a systematic framework that guides therapists as they design and implement a treatment plan that uniquely fits each patient. […] Phase 1 – Assessment (Functional Analysis). ComB treatment pays attention to the factors that foster and maintain BFRBs: behavioral, emotional, cognitive, and sensory variables identified in prior research on HPD (Mansueto, 1991).

• #35 Trichotillomania & Dermatillomania Therapy in Oak Brook & Orland Park

  https://theocdandanxietycenter.com/trichotillomania-and-dermatillomania/

  In Cognitive Behavioral Therapy (CBT), a trichotillomania and dermatillomania therapist helps you to identify unhelpful thought patterns and change the way you think about your behavior in order to discourage future episodes of picking and pulling. […] In Habit Reversal Training (HRT), you will practice waiting out the urges and replacing those behaviors with other less destructive behaviors, such as the use of manipulatives, gloves, finger tips, etc. […] The Comprehensive Behavioral Model (ComB) will assist you and your therapist in identifying sensory, cognitive, affective, motoric, and environmental antecedents and consequences. […] Even if these patterns of behavior have been prevalent in your life for a long period of time, with treatment for trichotillomania and dermatillomania, you can learn to interact with your thoughts and your urges differently, regaining control over your behaviors.

• #36 International OCD Foundation | Comprehensive Behavioral (ComB) Treatment for Skin Picking and Hair Pulling Disorders

  https://iocdf.org/expert-opinions/comprehensive-behavioral-comb-treatment-for-skin-picking-and-hair-pulling-disorders/

  Phase 2 – Identification and Selection of Target Domains. ComB treatment emphasizes the learning and practice of strategies to target problematic behaviors as well as the thoughts, feelings, and sensations that contribute to their persistence. […] Phase 3 – Implementation of Specific Interventions. At this point in treatment, individuals will explore the use of a variety of specific interventions designed to decrease their BFRB symptoms. […] Phase 4 – Evaluation, Termination, and Relapse Prevention. In the final phase of formal treatment, the client is encouraged to continue with ongoing assessments of progress and to modify the use of interventions as needed. […] The ComB conceptual model comes from established behavioral principles and decades of laboratory and clinical research, and employs proven behavioral, cognitive, and CBT techniques.

• #37 Trichotillomania (Hair Pulling) Therapy in Dallas | Dallas CBT

  https://dallascbt.com/what-we-treat/trichotillomania-hair-pulling/

  Dallas CBT psychologists specialize in treatment for Trichotillomania (TTM) and other body-focused repetitive behaviors (for example, skin-picking) in children and adults. […] Treatment at Dallas CBT is based on the Comprehensive Behavioral Model (ComB), a state-of-the-art, effective therapy option for trichotillomania. […] The ComB treatment approach involves identifying cues for hair pulling, such as settings, activities, or emotional states, and the functions that pulling serves for the individual. […] During treatment, therapists will help clients increase awareness of their behaviors and urges, identify important contributors to the behavior, evaluate the function of the behavior, and work on developing a set of alternative strategies uniquely tailored to each client. […] Therapy will teach individuals to modify problematic thoughts and feelings contributing to hair pulling behaviors and find healthy alternatives to address the functions that pulling serves. […] Over time with therapy, urges to pull will become weaker and easier to manage.

• #38 Hair Pulling (Trichotillomania)… | Counseling | Therapy

  https://thecenterforgrowth.com/tips/hair-pulling-patterns

  Trichotillomania is a clinical term for hair-pulling disorder, a condition where an individual feels an intense urge to pull out their own hair. […] The gold standard of treatment for trichotillomania (and all BFRBs) is the ComB method (comprehensive behavioral model). […] By developing an awareness of how you are impacted across each domain, you can start to build awareness of your triggers and behavioral patterns. Gaining an understanding of what is going on across all these domains using a hair pulling self-help monitoring tool can help both an individual and a therapist gain a better understanding of what causes the hair pulling and can be the first step towards learning to manage. […] The first step to treatment for trichotillomania is to develop an awareness of your unique hair pulling behaviors.

• #39 Trichotillomania | Fact Sheet – ABCT – Association for Behavioral and Cognitive Therapies

  https://www.abct.org/fact-sheets/trichotillomania/

  Trichotillomania, also known as hair pulling disorder (HPD), is a psychiatric illness affecting up to 4% of the population. […] Behavioral therapies and medication can help manage symptoms. […] Cognitive behavioral approaches are the first-line treatment for trichotillomania and have consistently demonstrated efficacy in research trials. Specifically, Habit Reversal Therapy (HRT) in tandem with stimulus control is utilized. […] Other behavioral therapy techniques, such as Acceptance and Commitment Therapy (ACT) and Dialectical Behavior Therapy (DBT), likely enhance treatment outcomes by facilitating acceptance of the negative and aversive feelings that give rise to pulling and improved emotion regulation. […] Finally, some medications have been shown to be helpful in treating trichotillomania, although the research is limited. N-acetylcysteine (NAC), a health supplement that can be purchased over the counter and has minimal side effects, has been shown to be effective in treating hair pulling.

• #40 Trichotillomania(Hair Pulling Disorder) – Center for OCD and Related Disorders

  https://mghocd.org/trichotillomania/

  Another adjunctive treatment to HRT, known as Dialectical Behavior Therapy (DBT), has also been demonstrated to be effective for pullers when used in conjunction with HRT. […] Few controlled medication treatment trials exist for hair pulling disorder. […] Other medications with some evidence of success in treating this disorder include glutamatergic agents (N-acetylcysteine), dopamine-blocking neuroleptics and opiate antagonists (naltrexone). […] One existing study suggests better outcomes with combined treatment (CBT and medication) than monotherapy (CBT or medication alone). […] It is important to note that CBT requires considerable commitment to monitor symptoms, practice coping skills and tolerate urges and discomfort, while working to reduce hair pulling symptoms. […] Relapse is a significant problem for this disorder.

• #41 Trichotillomania Treatment – OCD Center of Los Angeles

  https://ocdla.com/trichotillomania

  The most effective treatment for Trichotillomania is a combination of various types of Cognitive-Behavioral Therapy (CBT). Perhaps the most important of these is called Habit Reversal Training (HRT). HRT is based on the principle that hair pulling is a conditioned response to specific situations and events, and that the individual with Trichotillomania is frequently unaware of these triggers. HRT challenges Trichotillomania in a two-fold process. First, the individual with Trichotillomania learns how to become more consciously aware of situations and events that trigger hair-pulling episodes. Second, the individual learns to utilize alternative behaviors in response to these situations and events. […] Other Cognitive-Behavior Therapy techniques can be used as adjuncts to HRT in the treatment of Trichotillomania. Among these are Stimulus Control techniques and Cognitive Restructuring. Stimulus Control techniques involve utilizing specific physical items as habit blockers to restrict the ability to pull hair, while Cognitive Restructuring helps an individual with Trichotillomania learn to think differently in response to the urge to pull their hair.

• #42

  https://journals.lww.com/indianjpsychiatry/fulltext/2019/61001/trichotillomania__hair_pulling_disorder_.18.aspx

  Elements of dialectical behavior therapy have been added to more traditional cognitive behavioral approaches for the treatment of trichotillomania. […] Acceptance and commitment therapy is a subsidiary component of HRT in which patients are asked to experience urges to pull and accept the urge without acting on it. […] Finally, exposure therapy, borrowed from the world of OCD, has been used in preliminary research to help with trichotillomania. […] There are no medications approved by any regulatory agencies for the treatment of trichotillomania. […] Pharmacotherapies which have indicated efficacious outcomes in trichotillomania include n-acetylcysteine (NAC), clomipramine, olanzapine, and dronabinol; although, each of these treatments has been shown to be efficacious in relatively small samples of clinical trial patients. […] Control of the hair pulling appears to be critical for maintaining long-term health and quality of life. Based on research findings, NAC in doses of 1200 mg twice a day appears to be the most promising option without significant side effects.

• #43 Trichotillomania – Therapy & Counseling for OCD & Eating Disorders

  https://kimberleyquinlan-lmft.com/trichotillomania/

  Mindfulness training can be an incredibly beneficial tool when considering how to stop trichotillomania behaviors. Mindfulness training helps one become more aware of the urges they experience. Mindfulness also helps us manage our uncomfortable thoughts, feelings, and sensations that often cause one to pull out their hair. […] Self-Compassion is also an important part of recovery. People who pull their hair are often very hard on themselves and engage in painful self-criticism and self-punishment. Self-Compassion is a highly effective tool that can not only reduce these painful behaviors but can also be used when managing strong urges to pull or eat ones hair.

• #44 International OCD Foundation | Comprehensive Behavioral (ComB) Treatment for Skin Picking and Hair Pulling Disorders

  https://iocdf.org/expert-opinions/comprehensive-behavioral-comb-treatment-for-skin-picking-and-hair-pulling-disorders/

  Here we will refer to these as “augmented HRT.” […] Mindfulness training and acceptance and commitment therapy (ACT) are newer additions to HRT treatment for BFRBs. […] Clinicians treating patients with augmented HRT are likely to employ multiple treatment components like those above, as well as others like psychoeducation, reward systems, and relapse prevention strategies in a “package” format or sometimes in modular forms. […] ComB treatment (Mansueto et al., 1997) is the clinician’s task of working collaboratively with the patient, first to identify and then to change relationships with factors that trigger BFRB behaviors, and variables that serve to maintain the BFRB. […] Change is accomplished when established behavior patterns are interrupted, and non-harmful or healthy alternatives are substituted to meet the functions served by hair pulling or skin picking for a given individual.

• #45 Trichotillomania (hair-pulling disorder) // Middlesex Health

  https://middlesexhealth.org/learning-center/diseases-and-conditions/trichotillomania-hair-pulling-disorder

  Although no medicines are approved by the U.S. Food and Drug Administration specifically for the treatment of trichotillomania, some medicines may help control certain symptoms, such as anxiety and depression. […] Talk with your health care provider about any medicine recommended. The possible benefits of medicines should be balanced against possible side effects.

• #46 Hair-Pulling Disorder (Trichotillomania) – Mental Health Disorders – Merck Manual Consumer Version

  https://www.merckmanuals.com/home/mental-health-disorders/obsessive-compulsive-and-related-disorders/hair-pulling-disorder-trichotillomania

  Cognitive-behavioral therapy (habit-reversal therapy) that specifically focuses on hair-pulling disorder and certain antidepressants or other medications may help control symptoms. […] Cognitive-behavioral therapy that specifically focuses on hair-pulling disorder is the preferred initial therapy. The form of cognitive-behavioral therapy that is most often used is habit-reversal therapy. For this therapy, people are taught to do the following: […] Sometimes doctors prescribe medications to help control symptoms. N-Acetylcysteine (NAC) and memantine act on the glutamatergic system and may reduce hair pulling. Selective serotonin reuptake inhibitors (SSRIs) or clomipramine (types of antidepressants) may help, particularly if the person also has symptoms of depression or anxiety.

• #47 Trichotillomania – Wikipedia

  https://en.wikipedia.org/wiki/Trichotillomania

  Treatment Cognitive behavioral therapy, clomipramine […] The disorder is typically treated with cognitive behavioral therapy. […] Habit reversal training (HRT) has the highest rate of success in treating trichotillomania. […] HRT has also been shown to be a successful adjunct to medication as a way to treat trichotillomania. […] In comparisons of behavioral versus pharmacologic treatment, cognitive behavioral therapy (including HRT) have shown significant improvement over medication alone. […] The United States Food and Drug Administration (FDA) has not approved any medications for trichotillomania treatment. […] However, some medications have been used to treat trichotillomania, with mixed results. […] Treatment with clomipramine, a tricyclic antidepressant, was shown in a small double-blind study to improve symptoms, but results of other studies on clomipramine for treating trichotillomania have been inconsistent.

• #48 A Review of Behavioral and Pharmacological Treatments for Adult Trichotillomania

  https://www.mdpi.com/2813-9844/6/2/31

  Antipsychotic medications have numerous uses in psychiatry, including in the treatment of schizophrenia, acute mania, agitation, delusional disorder, or Tourette syndrome. […] SSRIs prevent the reuptake of serotonin into neurons and are utilized for MDD, anxiety disorders, and OCD. […] N-acetylcysteine, an amino acid derivative and regulator of glutamate release, has been studied as a potential treatment for TTM since the early 2000s. […] A comprehensive summary of each study referenced in these sub-sections can be found below in Table 1. […] Trichotillomania is a challenging disorder to treat. […] Current treatment recommendations do not seem to favor any pharmacological option over another. […] Based on our paper, if pharmacological therapy is to be used for adult TTM, it may be more effective in combination with a behavioral strategy, as supported by some studies. […] In particular, randomized controlled trials of N-acetylcysteine, Inositol, Naltrexone, and Dronabinol merit replication, as only one double-blind, placebo-controlled study has been conducted for each of these interventions.

• #49 Trichotillomania | Fact Sheet – ABCT – Association for Behavioral and Cognitive Therapies

  https://www.abct.org/fact-sheets/trichotillomania/

  Trichotillomania, also known as hair pulling disorder (HPD), is a psychiatric illness affecting up to 4% of the population. […] Behavioral therapies and medication can help manage symptoms. […] Cognitive behavioral approaches are the first-line treatment for trichotillomania and have consistently demonstrated efficacy in research trials. Specifically, Habit Reversal Therapy (HRT) in tandem with stimulus control is utilized. […] Other behavioral therapy techniques, such as Acceptance and Commitment Therapy (ACT) and Dialectical Behavior Therapy (DBT), likely enhance treatment outcomes by facilitating acceptance of the negative and aversive feelings that give rise to pulling and improved emotion regulation. […] Finally, some medications have been shown to be helpful in treating trichotillomania, although the research is limited. N-acetylcysteine (NAC), a health supplement that can be purchased over the counter and has minimal side effects, has been shown to be effective in treating hair pulling.

• #50 Assessment and treatment of trichotillomania (hair pulling disorder) and excoriation (skin picking) disorder – PubMed

  https://pubmed.ncbi.nlm.nih.gov/30446196/

  Recommendations are provided for the assessment and treatment of trichotillomania (hair pulling disorder, or HPD) and excoriation disorder (skin picking disorder, or SPD), two body-focused repetitive behavior (BFRB) disorders, based on their severity, comorbidities, and behavioral style. Habit reversal training (HRT) and stimulus control are first-line behavioral treatments that can be used in cases of all severity levels and may be particularly helpful when pulling or picking is performed with lowered awareness/intention. […] Acceptance and commitment therapy (ACT) and dialectical behavior therapy (DBT) are behavioral treatments that can be employed to augment HRT/stimulus control, especially when negative emotions trigger the pulling or picking. […] There are currently no FDA-approved pharmacologic treatments for HPD or SPD, though certain medications/supplements have shown varying degrees of efficacy in trials. N-acetylcysteine (NAC) should be considered for all severity levels and styles given its moderate gain/low side effect profile. Other pharmacologic interventions, including selective serotonin reuptake inhibitors (SSRIs), should be considered in cases with significant comorbidities or previous behavioral/NAC treatment failure.

• #51

  https://journals.lww.com/indianjpsychiatry/fulltext/2019/61001/trichotillomania__hair_pulling_disorder_.18.aspx

  Elements of dialectical behavior therapy have been added to more traditional cognitive behavioral approaches for the treatment of trichotillomania. […] Acceptance and commitment therapy is a subsidiary component of HRT in which patients are asked to experience urges to pull and accept the urge without acting on it. […] Finally, exposure therapy, borrowed from the world of OCD, has been used in preliminary research to help with trichotillomania. […] There are no medications approved by any regulatory agencies for the treatment of trichotillomania. […] Pharmacotherapies which have indicated efficacious outcomes in trichotillomania include n-acetylcysteine (NAC), clomipramine, olanzapine, and dronabinol; although, each of these treatments has been shown to be efficacious in relatively small samples of clinical trial patients. […] Control of the hair pulling appears to be critical for maintaining long-term health and quality of life. Based on research findings, NAC in doses of 1200 mg twice a day appears to be the most promising option without significant side effects.

• #52 Reddit – The heart of the internet

  https://www.reddit.com/r/trichotillomania/comments/idb8mm/trichotillomania_treatment_starter_pack/

  Things to try by yourself: […] try hypnotherapy or CBT […] I haven’t tried medications myself yet, but I have an appointment to discuss medications next week! […] I have also heard good things about the NAC supplement, which can be bought over-the-counter.

• #53

  https://journals.lww.com/indianjpsychiatry/fulltext/2019/61001/trichotillomania__hair_pulling_disorder_.18.aspx

  Elements of dialectical behavior therapy have been added to more traditional cognitive behavioral approaches for the treatment of trichotillomania. […] Acceptance and commitment therapy is a subsidiary component of HRT in which patients are asked to experience urges to pull and accept the urge without acting on it. […] Finally, exposure therapy, borrowed from the world of OCD, has been used in preliminary research to help with trichotillomania. […] There are no medications approved by any regulatory agencies for the treatment of trichotillomania. […] Pharmacotherapies which have indicated efficacious outcomes in trichotillomania include n-acetylcysteine (NAC), clomipramine, olanzapine, and dronabinol; although, each of these treatments has been shown to be efficacious in relatively small samples of clinical trial patients. […] Control of the hair pulling appears to be critical for maintaining long-term health and quality of life. Based on research findings, NAC in doses of 1200 mg twice a day appears to be the most promising option without significant side effects.

• #54 Assessment and treatment of trichotillomania (hair pulling disorder) and excoriation (skin picking) disorder – PubMed

  https://pubmed.ncbi.nlm.nih.gov/30446196/

  Recommendations are provided for the assessment and treatment of trichotillomania (hair pulling disorder, or HPD) and excoriation disorder (skin picking disorder, or SPD), two body-focused repetitive behavior (BFRB) disorders, based on their severity, comorbidities, and behavioral style. Habit reversal training (HRT) and stimulus control are first-line behavioral treatments that can be used in cases of all severity levels and may be particularly helpful when pulling or picking is performed with lowered awareness/intention. […] Acceptance and commitment therapy (ACT) and dialectical behavior therapy (DBT) are behavioral treatments that can be employed to augment HRT/stimulus control, especially when negative emotions trigger the pulling or picking. […] There are currently no FDA-approved pharmacologic treatments for HPD or SPD, though certain medications/supplements have shown varying degrees of efficacy in trials. N-acetylcysteine (NAC) should be considered for all severity levels and styles given its moderate gain/low side effect profile. Other pharmacologic interventions, including selective serotonin reuptake inhibitors (SSRIs), should be considered in cases with significant comorbidities or previous behavioral/NAC treatment failure.

• #55 Pharmacological Interventions for Trichotillomania

  https://www.dermatologytimes.com/view/pharmacological-interventions-for-trichotillomania

  Medical therapy should be paired with behavioral therapy to best treat this distressing hair-pulling disorder, researchers claim. […] OTC supplement N-acetylcysteine (NAC), the antipsychotic aripiprazole, and monoamine oxidase inhibitors (MAOIs) were found to be the most effective trichotillomania treatments. […] Most of the other therapeutics that were identified require further research and controlled trials to validate their findings, Ghani et al wrote. Even if successful therapeutic outcomes are achieved, it is important to consider the patients comorbidities and to combine pharmacologic interventions with behavioral therapy interventions to comprehensively manage [trichotillomania]. […] They also recommended the use of habit reversal therapy (HRT) to treat trichotillomania. […] HRT utilizing training in awareness, relaxation, competing responses, motivation, and generalization should be considered a first-line treatment, they wrote.

• #56 Trichotillomania – StatPearls – NCBI Bookshelf

  https://www.ncbi.nlm.nih.gov/books/NBK493186/

  Current research suggests modest positive effects with selective serotonin reuptake inhibitors. The effects are more robust in combination with therapy. There have been meta-analysis reviews of more recent research that have shown a moderate positive effect of SSRI medications, but a more pronounced effect was seen with therapy. […] The studies with antipsychotics are few and require future studies to replicate results. Past studies using clomipramine and others in the tricyclic antidepressant medication class have been studied to treat TTM and efficacy has been found with more research supporting clomipramine. Other novel treatment case studies using N-acetylcysteine have shown positive results, but there have been no robust studies. […] Often, an interprofessional approach to treatment and management will include, dermatology, psychiatry, and psychology.

• #57 Hair-Pulling Disorder (Trichotillomania) – Mental Health Disorders – Merck Manual Consumer Version

  https://www.merckmanuals.com/home/mental-health-disorders/obsessive-compulsive-and-related-disorders/hair-pulling-disorder-trichotillomania

  Cognitive-behavioral therapy (habit-reversal therapy) that specifically focuses on hair-pulling disorder and certain antidepressants or other medications may help control symptoms. […] Cognitive-behavioral therapy that specifically focuses on hair-pulling disorder is the preferred initial therapy. The form of cognitive-behavioral therapy that is most often used is habit-reversal therapy. For this therapy, people are taught to do the following: […] Sometimes doctors prescribe medications to help control symptoms. N-Acetylcysteine (NAC) and memantine act on the glutamatergic system and may reduce hair pulling. Selective serotonin reuptake inhibitors (SSRIs) or clomipramine (types of antidepressants) may help, particularly if the person also has symptoms of depression or anxiety.

• #58 Trichotillomania – Wikipedia

  https://en.wikipedia.org/wiki/Trichotillomania

  Treatment Cognitive behavioral therapy, clomipramine […] The disorder is typically treated with cognitive behavioral therapy. […] Habit reversal training (HRT) has the highest rate of success in treating trichotillomania. […] HRT has also been shown to be a successful adjunct to medication as a way to treat trichotillomania. […] In comparisons of behavioral versus pharmacologic treatment, cognitive behavioral therapy (including HRT) have shown significant improvement over medication alone. […] The United States Food and Drug Administration (FDA) has not approved any medications for trichotillomania treatment. […] However, some medications have been used to treat trichotillomania, with mixed results. […] Treatment with clomipramine, a tricyclic antidepressant, was shown in a small double-blind study to improve symptoms, but results of other studies on clomipramine for treating trichotillomania have been inconsistent.

• #59

  https://journals.lww.com/indianjpsychiatry/fulltext/2019/61001/trichotillomania__hair_pulling_disorder_.18.aspx

  Elements of dialectical behavior therapy have been added to more traditional cognitive behavioral approaches for the treatment of trichotillomania. […] Acceptance and commitment therapy is a subsidiary component of HRT in which patients are asked to experience urges to pull and accept the urge without acting on it. […] Finally, exposure therapy, borrowed from the world of OCD, has been used in preliminary research to help with trichotillomania. […] There are no medications approved by any regulatory agencies for the treatment of trichotillomania. […] Pharmacotherapies which have indicated efficacious outcomes in trichotillomania include n-acetylcysteine (NAC), clomipramine, olanzapine, and dronabinol; although, each of these treatments has been shown to be efficacious in relatively small samples of clinical trial patients. […] Control of the hair pulling appears to be critical for maintaining long-term health and quality of life. Based on research findings, NAC in doses of 1200 mg twice a day appears to be the most promising option without significant side effects.

• #60 Trichotillomania – Wikipedia

  https://en.wikipedia.org/wiki/Trichotillomania

  Naltrexone may be a viable treatment. […] Fluoxetine and other selective serotonin reuptake inhibitors (SSRIs) have limited usefulness in treating trichotillomania, and can often have significant side effects. […] Behavioral therapy has proven more effective when compared to fluoxetine. […] There is little research on the effectiveness of behavioral therapy combined with medication and robust evidence from high-quality studies is lacking. […] A study found that memantine, a drug typically used to treat symptoms of Alzheimer’s disease, was effective in reducing trichotillomania behaviour. […] Technology can be used to augment habit reversal training or behavioral therapy. Several mobile apps exist to help log behavior and focus on treatment strategies. […] There are also wearable devices that track the position of a user’s hands.

• #61 Trichotillomania – PsychDB

  https://www.psychdb.com/ocd/trichotillomania

  Trichotillomania (also known as hair-pulling disorder) is an obsessive-compulsive and related disorder characterized by a long term, irresistible urge to pull out one’s hair. The hair pulling occurs to the degree that significant hair loss occurs. […] Except for clomipramine, which has shown some proven benefit in studies, SSRIs/SNRIs are generally ineffective for trichotillomania. Alternatively, antipsychotics such as olanzapine may be beneficial as primary medications. Small studies have also shown promising results for N-acetylcysteine and naltrexone. […] Habit reversal therapy (HRT) (a form of cognitive behavioural therapy) is the first-line treatment. HRT’s premise is that the best way to shift a habit is to diagnose and retain the old cue and reward, and to try to change only the routine itself. HRT includes cognitive restructuring, awareness training, and behavioural analysis/identification of triggers, and developing competing responses.

• #62 Trichotillomania – Wikipedia

  https://en.wikipedia.org/wiki/Trichotillomania

  Naltrexone may be a viable treatment. […] Fluoxetine and other selective serotonin reuptake inhibitors (SSRIs) have limited usefulness in treating trichotillomania, and can often have significant side effects. […] Behavioral therapy has proven more effective when compared to fluoxetine. […] There is little research on the effectiveness of behavioral therapy combined with medication and robust evidence from high-quality studies is lacking. […] A study found that memantine, a drug typically used to treat symptoms of Alzheimer’s disease, was effective in reducing trichotillomania behaviour. […] Technology can be used to augment habit reversal training or behavioral therapy. Several mobile apps exist to help log behavior and focus on treatment strategies. […] There are also wearable devices that track the position of a user’s hands.

• #63 Trichotillomania (hair pulling disorder) | nidirect

  https://www.nidirect.gov.uk/conditions/trichotillomania-hair-pulling-disorder

  Trich is commonly treated using a type of CBT called habit reversal training. […] Treatment usually involves: keeping a diary of your hair pulling, working out the triggers for your hair pulling and learning how to avoid them, replacing hair pulling with another action, like squeezing a stress ball, involving loved ones to provide emotional support and encouragement. […] Antidepressants are no longer considered to be an effective treatment for trich.

• #64 Trichotillomania (Hair Pulling Disorder) | OCD-UK

  https://www.ocduk.org/related-disorders/trichotillomania/

  Treating Trichotillomania […] The treatments for Trichotillomania are very similar to those for OCD, with the treatment found to be the most effective being a talking therapy called Cognitive Behavioural Therapy (CBT). […] an additional element of therapy may be introduced to help patients with Trichotillomania, a technique called habit reversal training. […] Habit reversal training works by helping the person recognise and be more aware of their hair pulling and what is triggering it and sometimes help a person replace hair picking with a less harmful behaviour. […] This means repeatedly learning to tolerate the resulting discomfort. […] Medication is no longer considered an effective treatment for Trichotillomania itself, although may be needed for any co-morbid depression. […] There are of course some things you can to help yourself whilst waiting for talking therapy, for example: Keeping your hands busy try squeezing a stress toy or putting on gloves to help you identify when and where you most commonly pull at your hair.

• #65 Trichotillomania – StatPearls – NCBI Bookshelf

  https://www.ncbi.nlm.nih.gov/books/NBK493186/

  Current research suggests modest positive effects with selective serotonin reuptake inhibitors. The effects are more robust in combination with therapy. There have been meta-analysis reviews of more recent research that have shown a moderate positive effect of SSRI medications, but a more pronounced effect was seen with therapy. […] The studies with antipsychotics are few and require future studies to replicate results. Past studies using clomipramine and others in the tricyclic antidepressant medication class have been studied to treat TTM and efficacy has been found with more research supporting clomipramine. Other novel treatment case studies using N-acetylcysteine have shown positive results, but there have been no robust studies. […] Often, an interprofessional approach to treatment and management will include, dermatology, psychiatry, and psychology.

• #66

  https://journals.lww.com/indianjpsychiatry/fulltext/2019/61001/trichotillomania__hair_pulling_disorder_.18.aspx

  Elements of dialectical behavior therapy have been added to more traditional cognitive behavioral approaches for the treatment of trichotillomania. […] Acceptance and commitment therapy is a subsidiary component of HRT in which patients are asked to experience urges to pull and accept the urge without acting on it. […] Finally, exposure therapy, borrowed from the world of OCD, has been used in preliminary research to help with trichotillomania. […] There are no medications approved by any regulatory agencies for the treatment of trichotillomania. […] Pharmacotherapies which have indicated efficacious outcomes in trichotillomania include n-acetylcysteine (NAC), clomipramine, olanzapine, and dronabinol; although, each of these treatments has been shown to be efficacious in relatively small samples of clinical trial patients. […] Control of the hair pulling appears to be critical for maintaining long-term health and quality of life. Based on research findings, NAC in doses of 1200 mg twice a day appears to be the most promising option without significant side effects.

• #67 Trichotillomania – PsychDB

  https://www.psychdb.com/ocd/trichotillomania

  Trichotillomania (also known as hair-pulling disorder) is an obsessive-compulsive and related disorder characterized by a long term, irresistible urge to pull out one’s hair. The hair pulling occurs to the degree that significant hair loss occurs. […] Except for clomipramine, which has shown some proven benefit in studies, SSRIs/SNRIs are generally ineffective for trichotillomania. Alternatively, antipsychotics such as olanzapine may be beneficial as primary medications. Small studies have also shown promising results for N-acetylcysteine and naltrexone. […] Habit reversal therapy (HRT) (a form of cognitive behavioural therapy) is the first-line treatment. HRT’s premise is that the best way to shift a habit is to diagnose and retain the old cue and reward, and to try to change only the routine itself. HRT includes cognitive restructuring, awareness training, and behavioural analysis/identification of triggers, and developing competing responses.

• #68 Pharmacological Interventions for Trichotillomania

  https://www.dermatologytimes.com/view/pharmacological-interventions-for-trichotillomania

  Medical therapy should be paired with behavioral therapy to best treat this distressing hair-pulling disorder, researchers claim. […] OTC supplement N-acetylcysteine (NAC), the antipsychotic aripiprazole, and monoamine oxidase inhibitors (MAOIs) were found to be the most effective trichotillomania treatments. […] Most of the other therapeutics that were identified require further research and controlled trials to validate their findings, Ghani et al wrote. Even if successful therapeutic outcomes are achieved, it is important to consider the patients comorbidities and to combine pharmacologic interventions with behavioral therapy interventions to comprehensively manage [trichotillomania]. […] They also recommended the use of habit reversal therapy (HRT) to treat trichotillomania. […] HRT utilizing training in awareness, relaxation, competing responses, motivation, and generalization should be considered a first-line treatment, they wrote.

• #69 Trichotillomania – Psychiatric Disorders – Merck Manual Professional Edition

  https://www.merckmanuals.com/professional/psychiatric-disorders/obsessive-compulsive-and-related-disorders/trichotillomania

  Cognitive-behavioral therapy that is tailored to treat the specific symptoms of hair-pulling disorder is the preferred initial therapy (1). […] Treat using cognitive-behavioral therapy that is tailored to treat specific trichotillomania symptoms (specifically habit reversal training) and possibly an SSRI or clomipramine, […] Limited data suggests clomipramine (a tricyclic antidepressant with potent serotonergic effects) may be useful for reducing severity of symptoms (Limited data suggests clomipramine (a tricyclic antidepressant with potent serotonergic effects) may be useful for reducing severity of symptoms (2). […] In randomized trials, the glutamate modulators N-acetylcysteine and memantine were effective for adults (-acetylcysteine and memantine were effective for adults (4, 5). […] There is also limited evidence that low-dose dopamine blockers such as olanzapine are effective, but risk:benefit ratio must be carefully assessed.

• #70 Trichotillomania – Psychiatric Disorders – Merck Manual Professional Edition

  https://www.merckmanuals.com/professional/psychiatric-disorders/obsessive-compulsive-and-related-disorders/trichotillomania

  Cognitive-behavioral therapy that is tailored to treat the specific symptoms of hair-pulling disorder is the preferred initial therapy (1). […] Treat using cognitive-behavioral therapy that is tailored to treat specific trichotillomania symptoms (specifically habit reversal training) and possibly an SSRI or clomipramine, […] Limited data suggests clomipramine (a tricyclic antidepressant with potent serotonergic effects) may be useful for reducing severity of symptoms (Limited data suggests clomipramine (a tricyclic antidepressant with potent serotonergic effects) may be useful for reducing severity of symptoms (2). […] In randomized trials, the glutamate modulators N-acetylcysteine and memantine were effective for adults (-acetylcysteine and memantine were effective for adults (4, 5). […] There is also limited evidence that low-dose dopamine blockers such as olanzapine are effective, but risk:benefit ratio must be carefully assessed.

• #71 Trichotillomania – Wikipedia

  https://en.wikipedia.org/wiki/Trichotillomania

  Naltrexone may be a viable treatment. […] Fluoxetine and other selective serotonin reuptake inhibitors (SSRIs) have limited usefulness in treating trichotillomania, and can often have significant side effects. […] Behavioral therapy has proven more effective when compared to fluoxetine. […] There is little research on the effectiveness of behavioral therapy combined with medication and robust evidence from high-quality studies is lacking. […] A study found that memantine, a drug typically used to treat symptoms of Alzheimer’s disease, was effective in reducing trichotillomania behaviour. […] Technology can be used to augment habit reversal training or behavioral therapy. Several mobile apps exist to help log behavior and focus on treatment strategies. […] There are also wearable devices that track the position of a user’s hands.

• #72 Trichotillomania – Wikipedia

  https://en.wikipedia.org/wiki/Trichotillomania

  Naltrexone may be a viable treatment. […] Fluoxetine and other selective serotonin reuptake inhibitors (SSRIs) have limited usefulness in treating trichotillomania, and can often have significant side effects. […] Behavioral therapy has proven more effective when compared to fluoxetine. […] There is little research on the effectiveness of behavioral therapy combined with medication and robust evidence from high-quality studies is lacking. […] A study found that memantine, a drug typically used to treat symptoms of Alzheimer’s disease, was effective in reducing trichotillomania behaviour. […] Technology can be used to augment habit reversal training or behavioral therapy. Several mobile apps exist to help log behavior and focus on treatment strategies. […] There are also wearable devices that track the position of a user’s hands.

• #73 A Review of Behavioral and Pharmacological Treatments for Adult Trichotillomania

  https://www.mdpi.com/2813-9844/6/2/31

  Antipsychotic medications have numerous uses in psychiatry, including in the treatment of schizophrenia, acute mania, agitation, delusional disorder, or Tourette syndrome. […] SSRIs prevent the reuptake of serotonin into neurons and are utilized for MDD, anxiety disorders, and OCD. […] N-acetylcysteine, an amino acid derivative and regulator of glutamate release, has been studied as a potential treatment for TTM since the early 2000s. […] A comprehensive summary of each study referenced in these sub-sections can be found below in Table 1. […] Trichotillomania is a challenging disorder to treat. […] Current treatment recommendations do not seem to favor any pharmacological option over another. […] Based on our paper, if pharmacological therapy is to be used for adult TTM, it may be more effective in combination with a behavioral strategy, as supported by some studies. […] In particular, randomized controlled trials of N-acetylcysteine, Inositol, Naltrexone, and Dronabinol merit replication, as only one double-blind, placebo-controlled study has been conducted for each of these interventions.

• #74 A Review of Behavioral and Pharmacological Treatments for Adult Trichotillomania

  https://www.mdpi.com/2813-9844/6/2/31

  Antipsychotic medications have numerous uses in psychiatry, including in the treatment of schizophrenia, acute mania, agitation, delusional disorder, or Tourette syndrome. […] SSRIs prevent the reuptake of serotonin into neurons and are utilized for MDD, anxiety disorders, and OCD. […] N-acetylcysteine, an amino acid derivative and regulator of glutamate release, has been studied as a potential treatment for TTM since the early 2000s. […] A comprehensive summary of each study referenced in these sub-sections can be found below in Table 1. […] Trichotillomania is a challenging disorder to treat. […] Current treatment recommendations do not seem to favor any pharmacological option over another. […] Based on our paper, if pharmacological therapy is to be used for adult TTM, it may be more effective in combination with a behavioral strategy, as supported by some studies. […] In particular, randomized controlled trials of N-acetylcysteine, Inositol, Naltrexone, and Dronabinol merit replication, as only one double-blind, placebo-controlled study has been conducted for each of these interventions.

• #75 A Review of Behavioral and Pharmacological Treatments for Adult Trichotillomania

  https://www.mdpi.com/2813-9844/6/2/31

  Antipsychotic medications have numerous uses in psychiatry, including in the treatment of schizophrenia, acute mania, agitation, delusional disorder, or Tourette syndrome. […] SSRIs prevent the reuptake of serotonin into neurons and are utilized for MDD, anxiety disorders, and OCD. […] N-acetylcysteine, an amino acid derivative and regulator of glutamate release, has been studied as a potential treatment for TTM since the early 2000s. […] A comprehensive summary of each study referenced in these sub-sections can be found below in Table 1. […] Trichotillomania is a challenging disorder to treat. […] Current treatment recommendations do not seem to favor any pharmacological option over another. […] Based on our paper, if pharmacological therapy is to be used for adult TTM, it may be more effective in combination with a behavioral strategy, as supported by some studies. […] In particular, randomized controlled trials of N-acetylcysteine, Inositol, Naltrexone, and Dronabinol merit replication, as only one double-blind, placebo-controlled study has been conducted for each of these interventions.

• #76 A Review of Behavioral and Pharmacological Treatments for Adult Trichotillomania

  https://www.mdpi.com/2813-9844/6/2/31

  Antipsychotic medications have numerous uses in psychiatry, including in the treatment of schizophrenia, acute mania, agitation, delusional disorder, or Tourette syndrome. […] SSRIs prevent the reuptake of serotonin into neurons and are utilized for MDD, anxiety disorders, and OCD. […] N-acetylcysteine, an amino acid derivative and regulator of glutamate release, has been studied as a potential treatment for TTM since the early 2000s. […] A comprehensive summary of each study referenced in these sub-sections can be found below in Table 1. […] Trichotillomania is a challenging disorder to treat. […] Current treatment recommendations do not seem to favor any pharmacological option over another. […] Based on our paper, if pharmacological therapy is to be used for adult TTM, it may be more effective in combination with a behavioral strategy, as supported by some studies. […] In particular, randomized controlled trials of N-acetylcysteine, Inositol, Naltrexone, and Dronabinol merit replication, as only one double-blind, placebo-controlled study has been conducted for each of these interventions.

• #77 Pharmacological Interventions for Trichotillomania

  https://www.dermatologytimes.com/view/pharmacological-interventions-for-trichotillomania

  Medical therapy should be paired with behavioral therapy to best treat this distressing hair-pulling disorder, researchers claim. […] OTC supplement N-acetylcysteine (NAC), the antipsychotic aripiprazole, and monoamine oxidase inhibitors (MAOIs) were found to be the most effective trichotillomania treatments. […] Most of the other therapeutics that were identified require further research and controlled trials to validate their findings, Ghani et al wrote. Even if successful therapeutic outcomes are achieved, it is important to consider the patients comorbidities and to combine pharmacologic interventions with behavioral therapy interventions to comprehensively manage [trichotillomania]. […] They also recommended the use of habit reversal therapy (HRT) to treat trichotillomania. […] HRT utilizing training in awareness, relaxation, competing responses, motivation, and generalization should be considered a first-line treatment, they wrote.

• #78 Innovative Strands of Healing: Nurturing Recovery in a Case of Trichotillomania Via Tele-Based Habit Reversal Therapy

  https://www.psychiatrist.com/pcc/trichotillomania-tele-based-habit-reversal-therapy/

  Trichotillomania, or hair-pulling disorder, is a common psychiatric condition characterized by persistent, uncontrollable urges to remove hair from various parts of the body. […] One of the most often used behavioral strategies for the treatment of trichotillomania is habit reversal therapy (HRT), which comprises awareness training, self-monitoring, and competing response. […] HRT is an effective behavioral therapy for trichotillomania. […] After providing psychoeducation about the therapy, the patient in our case was motivated to continue HRT, but due to the COVID-19 lockdown and shutting down of the outpatient services, we had to plan for continuation of treatment through telepsychiatry services. […] For trichotillomania, very few cases were reported using tele-based nonpharmacologic treatment.

• #79 Innovative Strands of Healing: Nurturing Recovery in a Case of Trichotillomania Via Tele-Based Habit Reversal Therapy

  https://www.psychiatrist.com/pcc/trichotillomania-tele-based-habit-reversal-therapy/

  Tele-based treatment offers promising results and has clinical implications, including treatment accessibility across rural and urban areas without limitations, such as those imposed by the COVID-19 pandemic, or other barriers to providing quality care. […] The use of Google Sheets for self monitoring was tailored to meet the patients needs. […] The present case illustrates how trichotillomania manifests and how it can be treated using tele based HRT.

• #80 Trichotillomania Hair-Pulling Disorder Treatment for Teens and Adolescents in Dallas, Texas

  https://basepointacademy.com/what-we-treat/teen-ocd-treatment/trichotillomania-disorder/

  These programs combine structured, intensive care, focusing on managing repetitive actions and promoting emotional stability. […] A Partial Hospitalization Program (PHP) or day treatment program offers structured, intensive behavioral therapy for trichotillomania and OCD in teens. […] Inpatient and residential treatment programs offer a more immersive approach for teenagers struggling with compulsive behaviors and hair-pulling disorders. […] Outpatient and evening treatment programs offer flexible support options for children seeking treatment for trichotillomania. […] An Intensive Outpatient Program (IOP) provides a higher level of care for teens needing structured support for managing trichotillomania urges. […] Online therapy or teletherapy programs offer an even more convenient, accessible way for teens to receive support for mental health and OCD-related challenges like trichotillomania.

• #81 Trichotillomania – Wikipedia

  https://en.wikipedia.org/wiki/Trichotillomania

  Naltrexone may be a viable treatment. […] Fluoxetine and other selective serotonin reuptake inhibitors (SSRIs) have limited usefulness in treating trichotillomania, and can often have significant side effects. […] Behavioral therapy has proven more effective when compared to fluoxetine. […] There is little research on the effectiveness of behavioral therapy combined with medication and robust evidence from high-quality studies is lacking. […] A study found that memantine, a drug typically used to treat symptoms of Alzheimer’s disease, was effective in reducing trichotillomania behaviour. […] Technology can be used to augment habit reversal training or behavioral therapy. Several mobile apps exist to help log behavior and focus on treatment strategies. […] There are also wearable devices that track the position of a user’s hands.

• #82 ACT Guide FAQ for Trichotillomania | USU

  https://cehs.usu.edu/scce/services/act-guide/act-for-trichotillomania

  Dr. Michael Twohig has conducted research on treating Trichotillomania for over 20 years, with several studies demonstrating ACT is helpful in reducing hair pulling. […] ACT-Enhanced behavior therapy has been shown to be effective for trichotillomania in over 15 studies including […] ACT Guide for Trichotillomania was found effective in a clinical trial with 81 adults with Trichotillomania. Most participants saw a decrease in hair pulling and distress, and improvement in their well-being and quality of life. […] ACT Guide for Trichotillomania is completed entirely online and has eight self-guided modules that you can work through at your own pace. This course will teach you to regulate your pulling, new ways to interact with your urges to pull, and help you do what matters most to you. […] We have spent the past 20 years researching how best to help people with Trichotillomania reduce their hair pulling. We made ACT Guide for Trichotillomania so that the evidence-based resources weve developed are widely available to those who might benefit.

• #83 Innovative Strands of Healing: Nurturing Recovery in a Case of Trichotillomania Via Tele-Based Habit Reversal Therapy

  https://www.psychiatrist.com/pcc/trichotillomania-tele-based-habit-reversal-therapy/

  Tele-based treatment offers promising results and has clinical implications, including treatment accessibility across rural and urban areas without limitations, such as those imposed by the COVID-19 pandemic, or other barriers to providing quality care. […] The use of Google Sheets for self monitoring was tailored to meet the patients needs. […] The present case illustrates how trichotillomania manifests and how it can be treated using tele based HRT.

• #84 Innovative Strands of Healing: Nurturing Recovery in a Case of Trichotillomania Via Tele-Based Habit Reversal Therapy

  https://www.psychiatrist.com/pcc/trichotillomania-tele-based-habit-reversal-therapy/

  Tele-based treatment offers promising results and has clinical implications, including treatment accessibility across rural and urban areas without limitations, such as those imposed by the COVID-19 pandemic, or other barriers to providing quality care. […] The use of Google Sheets for self monitoring was tailored to meet the patients needs. […] The present case illustrates how trichotillomania manifests and how it can be treated using tele based HRT.

• #85 TMS for Trichotillomania: A New Hope for Hair Pulling Disorder | Philadelphia Integrative Psychiatry

  https://phillyintegrative.com/blog/tms-for-trichotillomania-a-new-hope-for-hair-pulling-disorder

  Dr. Danish and Philadelphia Integrative Psychiatry are excited to offer Transcranial Magnetic Stimulation (TMS) as a cutting-edge treatment for a variety of mental health disorders, including depression, anxiety, OCD, PTSD, addiction, ADHD, and trichotillomania (trich). […] TMS offers a promising non-invasive option for patients who have not responded to traditional therapies. By using magnetic fields to stimulate specific areas of the brain, TMS can help regulate the neural circuits involved in impulse control and emotional regulation, which are often disrupted in individuals with trichotillomania. […] At Philadelphia Integrative Psychiatry, we are excited to offer TMS as part of our repertoire of treatment options. […] Our holistic and integrative approach ensures that we consider all aspects of our patients’ well-being in developing personalized treatment plans.

• #86 TMS for Trichotillomania: A New Hope for Hair Pulling Disorder | Philadelphia Integrative Psychiatry

  https://phillyintegrative.com/blog/tms-for-trichotillomania-a-new-hope-for-hair-pulling-disorder

  Dr. Danish and Philadelphia Integrative Psychiatry are excited to offer Transcranial Magnetic Stimulation (TMS) as a cutting-edge treatment for a variety of mental health disorders, including depression, anxiety, OCD, PTSD, addiction, ADHD, and trichotillomania (trich). […] TMS offers a promising non-invasive option for patients who have not responded to traditional therapies. By using magnetic fields to stimulate specific areas of the brain, TMS can help regulate the neural circuits involved in impulse control and emotional regulation, which are often disrupted in individuals with trichotillomania. […] At Philadelphia Integrative Psychiatry, we are excited to offer TMS as part of our repertoire of treatment options. […] Our holistic and integrative approach ensures that we consider all aspects of our patients’ well-being in developing personalized treatment plans.

• #87 TMS for Trichotillomania: A New Hope for Hair Pulling Disorder | Philadelphia Integrative Psychiatry

  https://phillyintegrative.com/blog/tms-for-trichotillomania-a-new-hope-for-hair-pulling-disorder

  The results showed a significant reduction in hair pulling behavior. […] The study also reported significant improvements in psychiatric symptoms such as depression and anxiety. […] The tDCS protocol was well-tolerated by the participant, with no serious side effects reported. This suggests that the intensified and repeated tDCS protocol is not only effective but also safe for treating TTM.

• #88 TMS for Trichotillomania: A New Hope for Hair Pulling Disorder | Philadelphia Integrative Psychiatry

  https://phillyintegrative.com/blog/tms-for-trichotillomania-a-new-hope-for-hair-pulling-disorder

  The results showed a significant reduction in hair pulling behavior. […] The study also reported significant improvements in psychiatric symptoms such as depression and anxiety. […] The tDCS protocol was well-tolerated by the participant, with no serious side effects reported. This suggests that the intensified and repeated tDCS protocol is not only effective but also safe for treating TTM.

• #89 TMS for Trichotillomania: A New Hope for Hair Pulling Disorder | Philadelphia Integrative Psychiatry

  https://phillyintegrative.com/blog/tms-for-trichotillomania-a-new-hope-for-hair-pulling-disorder

  The results showed a significant reduction in hair pulling behavior. […] The study also reported significant improvements in psychiatric symptoms such as depression and anxiety. […] The tDCS protocol was well-tolerated by the participant, with no serious side effects reported. This suggests that the intensified and repeated tDCS protocol is not only effective but also safe for treating TTM.

• #90 Trichotillomania Treatment – How to Stop Pulling Out Hair | TrichStop.com

  https://www.trichstop.com/treatment

  While there is not much research to support it, some people experience therapeutic results with hypnosis. […] For those who want to figure out how to stop hair pulling, yet do not want to go through treatment alone, group therapy is a viable alternative. […] While behavioral therapies are well-documented, evidence-based ways to treat trichotillomania, there are several alternatives or holistic methods that exist as viable options. […] Every person who suffers from trichotillomania experiences it differently, therefore, treatment must be individualized and comprehensive in a way that addresses the physical, psychological, and emotional aspects of the disorder. […] The goal of treatment is to manage the behaviors, so they do not interfere with what you want to do. […] Treatment for trichotillomania is a lifelong process unique to every individual, but awareness, education, learning skills, social support, and perseverance create the foundation for success.

• #91 Trichotillomania (Hair-Pulling Disorder): Symptoms, Causes, And Treatments | BetterHelp

  https://www.betterhelp.com/mental-health/disorders-conditions/trichotillomania-hair-pulling-disorder/

  There is no specific medication approved for trichotillomania. However, some people may benefit from medications that manage symptoms. For example, antidepressants such as selective serotonin reuptake inhibitors (SSRIs) may reduce anxiety and OCD-related symptoms that contribute to hair-pulling. […] In some cases, alternative treatments like hypnotherapy or biofeedback may be considered. Hypnotherapy involves using methods of relaxation and suggestion to help individuals gain control over their hair-pulling urges. In contrast, biofeedback involves monitoring physiological responses like muscle tension and heart rate while learning various relaxation techniques to manage hair-pulling. […] Individuals living with trichotillomania may practice self-care measures to complement treatment and promote overall well-being, such as the following: Develop healthy coping mechanisms: Engage in activities that may reduce stress and anxiety, such as exercise, meditation, or journaling. […] While living with trichotillomania can be challenging, a combination of therapy, medication, and self-care strategies may help individuals reduce or stop hair-pulling behaviors.

• #92 Trichotillomania (Hair-Pulling Disorder): Symptoms, Causes, And Treatments | BetterHelp

  https://www.betterhelp.com/mental-health/disorders-conditions/trichotillomania-hair-pulling-disorder/

  There is no specific medication approved for trichotillomania. However, some people may benefit from medications that manage symptoms. For example, antidepressants such as selective serotonin reuptake inhibitors (SSRIs) may reduce anxiety and OCD-related symptoms that contribute to hair-pulling. […] In some cases, alternative treatments like hypnotherapy or biofeedback may be considered. Hypnotherapy involves using methods of relaxation and suggestion to help individuals gain control over their hair-pulling urges. In contrast, biofeedback involves monitoring physiological responses like muscle tension and heart rate while learning various relaxation techniques to manage hair-pulling. […] Individuals living with trichotillomania may practice self-care measures to complement treatment and promote overall well-being, such as the following: Develop healthy coping mechanisms: Engage in activities that may reduce stress and anxiety, such as exercise, meditation, or journaling. […] While living with trichotillomania can be challenging, a combination of therapy, medication, and self-care strategies may help individuals reduce or stop hair-pulling behaviors.

• #93 Trichotillomania Therapy in New York & Florida | EK Mental Health Counseling

  https://ekmentalhealthcounseling.com/therapies-for-trichotilomania.html

  Learning to be kinder to yourself is an important part of healing. Instead of beating yourself up for pulling, therapy can help you develop self-compassion, which can reduce shame and empower you to keep moving forward. […] Connecting with others who understand what you’re going through can help reduce feelings of isolation. Support groups and online communities can be a powerful reminder that you’re not alone. […] Healing is a process, and progress happens one small step at a time. You deserve support, patience, and compassion as you work toward a life where you feel more confident and in control.

• #94 Trichotillomania Hair-Pulling Disorder Treatment for Teens and Adolescents in Dallas, Texas

  https://basepointacademy.com/what-we-treat/teen-ocd-treatment/trichotillomania-disorder/

  Cognitive Behavioral Therapy (CBT) is a highly effective treatment option for teens struggling with trichotillomania. […] Mindfulness-based therapy is a practical approach for teens dealing with trichotillomania, as it encourages them to develop greater awareness of their thoughts and feelings. […] Group and family therapy can be incredibly beneficial, providing a supportive environment for sharing experiences and learning from others. […] Habit Reversal Training (HRT) is a structured therapeutic approach that enables teens to break free from compulsive behaviors like repetitive hair-pulling. […] Dialectical Behavior Therapy (DBT) is a valuable therapeutic approach, as it emphasizes the development of emotional regulation and coping skills. […] Acceptance and Commitment Therapy (ACT) offers a unique approach that focuses on accepting thoughts and feelings rather than trying to control or avoid them.

• #95 Trichotillomania: Definition, Symptoms, Causes, Effect, And Treatment

  https://valleyspringrecovery.com/mental-health/trichotillomania/

  Stress management techniques can be effective in managing trichotillomania in adults. Stress often triggers hair-pulling behavior. Learning stress management techniques like deep breathing, yoga, or mindfulness can aid in controlling hair-pulling urges. […] There is no single best medication for trichotillomania. Treatments for trichotillomania often involve a combination of therapy and medication. Medications used to treat trichotillomania include selective serotonin reuptake inhibitors (SSRIs) and antidepressants. […] Trichotillomania treatments include Cognitive Behavioral Therapy (CBT), Habit Reversal Training (HRT), therapy (individual, family, or support group), managing stress, exercising, deep breathing, and medications, although no specific ones are approved for this condition. Combining therapy, medication, and lifestyle changes like managing stress, exercising, deep breathing, and mantra can help people manage trichotillomania.

• #96 Trichotillomania

  https://www.cbtemdrassociates.com/trichotillomania

  If you suffer from trichotillomania, it’s highly recommended to see a mental health professional and pursue treatment. However, there are a number of things one can do on their own to combat the urges and negative impacts inherent in trich. Some ways to cope with trich include finding a replacement behavior for pulling hair, like squeezing a stress ball, using a fidget toy, or squeezing your hand into a fist, wearing a bandana or tight hat to make hair less accessible, cutting your hair short, putting band aids on your fingertips, repeating a mantra or saying instead of following the urge to pull your hair out, using breathing techniques to fight the urge to pull your hair, and coping with stress by exercising, taking a bath or doing self-care. […] As helpful as these techniques can be, the support of a therapist can be key in combating the urge to pull your hair out.

• #97 Trichotillomania (Hair Pulling Disorder) | OCD-UK

  https://www.ocduk.org/related-disorders/trichotillomania/

  Try keeping your hair length short. […] Try resisting pulling for longer and longer each time you feel the urge to pull. […] Tell loved ones to tell you when you are pulling to help you recognise when you’re pulling at your hair. […] Don’t keep tweezers or implements you use for hair pulling in an easy to access location.

• #98 Trichotillomania or Hair-Pulling in Children: A Quick Guide

  https://childmind.org/guide/quick-guide-to-trichotillomania/

  Trichotillomania is usually treated with cognitive behavioral therapy. This treatment helps children understand the emotions and situations that give them the urge to pull. They then learn skills and tools to stop the pulling or replace it with a different action. […] Sometimes, something as simple as pulling back their hair or wearing loud, dangling bracelets can make kids more aware and help them stop. Some doctors suggest tricks that make hair pulling more difficult, like wearing band-aids around their fingers. Kids who play with their hair after pulling it can also try carrying around other small objects to play with instead, like paper clips or erasers. […] Clinicians also work with kids to address the things that are triggering the behavior, including stress and uncomfortable feelings. […] Medication is not the main treatment for trichotillomania, but some children might benefit from taking it to help with other disorders they may have, such as depression or anxiety, while they are learning new skills in therapy.

• #99 Trichotillomania (Hair Pulling Disorder) | OCD-UK

  https://www.ocduk.org/related-disorders/trichotillomania/

  Try keeping your hair length short. […] Try resisting pulling for longer and longer each time you feel the urge to pull. […] Tell loved ones to tell you when you are pulling to help you recognise when you’re pulling at your hair. […] Don’t keep tweezers or implements you use for hair pulling in an easy to access location.

• #100 Trichotillomania or Hair-Pulling in Children: A Quick Guide

  https://childmind.org/guide/quick-guide-to-trichotillomania/

  Trichotillomania is usually treated with cognitive behavioral therapy. This treatment helps children understand the emotions and situations that give them the urge to pull. They then learn skills and tools to stop the pulling or replace it with a different action. […] Sometimes, something as simple as pulling back their hair or wearing loud, dangling bracelets can make kids more aware and help them stop. Some doctors suggest tricks that make hair pulling more difficult, like wearing band-aids around their fingers. Kids who play with their hair after pulling it can also try carrying around other small objects to play with instead, like paper clips or erasers. […] Clinicians also work with kids to address the things that are triggering the behavior, including stress and uncomfortable feelings. […] Medication is not the main treatment for trichotillomania, but some children might benefit from taking it to help with other disorders they may have, such as depression or anxiety, while they are learning new skills in therapy.

• #101 Trichotillomania (Hair Pulling Disorder) | OCD-UK

  https://www.ocduk.org/related-disorders/trichotillomania/

  Try keeping your hair length short. […] Try resisting pulling for longer and longer each time you feel the urge to pull. […] Tell loved ones to tell you when you are pulling to help you recognise when you’re pulling at your hair. […] Don’t keep tweezers or implements you use for hair pulling in an easy to access location.

• #102 Trichotillomania (Hair Pulling Disorder) | OCD-UK

  https://www.ocduk.org/related-disorders/trichotillomania/

  Try keeping your hair length short. […] Try resisting pulling for longer and longer each time you feel the urge to pull. […] Tell loved ones to tell you when you are pulling to help you recognise when you’re pulling at your hair. […] Don’t keep tweezers or implements you use for hair pulling in an easy to access location.

• #103 Trichotillomania (Hair Pulling Disorder) | OCD-UK

  https://www.ocduk.org/related-disorders/trichotillomania/

  Try keeping your hair length short. […] Try resisting pulling for longer and longer each time you feel the urge to pull. […] Tell loved ones to tell you when you are pulling to help you recognise when you’re pulling at your hair. […] Don’t keep tweezers or implements you use for hair pulling in an easy to access location.

• #104 Trichotillomania: Symptoms, Causes, Effects, and Treatment

  https://laopcenter.com/mental-health/disorder/trichotillomania/

  Trichotillomania support groups provide individuals with a sense of community and understanding, as they share experiences and coping strategies with others facing similar conditions. These groups can offer emotional support, reduce feelings of isolation, and provide practical advice for managing hair-pulling behaviors. […] Managing stress is essential in reducing the urge to pull hair, as stress is a common trigger for trichotillomania. Techniques like mindfulness, relaxation exercises, and time management can help individuals better cope with stress. […] Regular exercise is beneficial for managing trichotillomania as it helps reduce stress and anxiety, the main triggers of hair-pulling behaviors. […] Deep breathing exercises can help manage the constant urge to pull hair by providing relaxation and reducing anxiety.

• #105 Trichotillomania: Symptoms, Causes, Effects, and Treatment

  https://laopcenter.com/mental-health/disorder/trichotillomania/

  Trichotillomania support groups provide individuals with a sense of community and understanding, as they share experiences and coping strategies with others facing similar conditions. These groups can offer emotional support, reduce feelings of isolation, and provide practical advice for managing hair-pulling behaviors. […] Managing stress is essential in reducing the urge to pull hair, as stress is a common trigger for trichotillomania. Techniques like mindfulness, relaxation exercises, and time management can help individuals better cope with stress. […] Regular exercise is beneficial for managing trichotillomania as it helps reduce stress and anxiety, the main triggers of hair-pulling behaviors. […] Deep breathing exercises can help manage the constant urge to pull hair by providing relaxation and reducing anxiety.

• #106 Trichotillomania: Symptoms, Causes, Effects, and Treatment

  https://laopcenter.com/mental-health/disorder/trichotillomania/

  Using a mantra involves repeating a calming word or phrase to yourself to divert attention from the urge to pull hair and reduce stress. […] Medications like serotonin reuptake inhibitors (SSRIs) can be helpful to help manage trichotillomania, particularly if it happens due to depression or anxiety. Medications can help reduce the urge to pull hair by addressing underlying chemical imbalances in the brain.

• #107 Trichotillomania – StatPearls – NCBI Bookshelf

  https://www.ncbi.nlm.nih.gov/books/NBK493186/

  Current research suggests modest positive effects with selective serotonin reuptake inhibitors. The effects are more robust in combination with therapy. There have been meta-analysis reviews of more recent research that have shown a moderate positive effect of SSRI medications, but a more pronounced effect was seen with therapy. […] The studies with antipsychotics are few and require future studies to replicate results. Past studies using clomipramine and others in the tricyclic antidepressant medication class have been studied to treat TTM and efficacy has been found with more research supporting clomipramine. Other novel treatment case studies using N-acetylcysteine have shown positive results, but there have been no robust studies. […] Often, an interprofessional approach to treatment and management will include, dermatology, psychiatry, and psychology.

• #108 Trichotillomania (Hair Pulling): What It Is, Causes & Treatment

  https://my.clevelandclinic.org/health/diseases/9880-trichotillomania

  People with TTM with hair loss or scarring may need to see other healthcare providers and specialists. In some cases, a dermatologist can help treat related skin problems or damage. Plastic and reconstructive surgeons may also help with skin grafting for affected areas of your body. Other healthcare providers can also offer solutions related to hair regrowth; though, regrowth isnt always an option. […] If you have TTM, its important to see a healthcare provider (or multiple providers) with specialized training and experience in treating this condition. They can best guide you on what you can do to minimize the impact of this condition on your life.

• #109 Trichotillomania (hair-pulling disorder) // Middlesex Health

  https://middlesexhealth.org/learning-center/diseases-and-conditions/trichotillomania-hair-pulling-disorder

  Some treatment options have helped many people reduce hair pulling or stop completely. These include therapy and sometimes medicine. […] Types of therapy that may be helpful for trichotillomania include: […] Habit reversal training. This behavior therapy is the main treatment for trichotillomania. You learn how to recognize situations where you’re likely to pull out your hair and how to substitute other behaviors instead. […] Acceptance and commitment therapy. This therapy can help you learn to accept your hair-pulling urges without acting on them. […] Cognitive therapy. This therapy can help you identify and examine beliefs you have about hair pulling that are not realistic. You can learn healthy ways to think about your condition. […] Therapies that help with other mental health conditions that often occur along with trichotillomania, such as depression, anxiety, or problems with alcohol or drug use, can be an important part of treatment.

• #110 Learn About Trichotillomania: The “Hair Pulling” Disorder :: The Baker Center For Children and Families

  https://www.bakercenter.org/trich-2

  Research has also shown that about 20% of those with trichotillomania also eat their hair after pulling it out (trichophagia), which is often hard to tell medical professionals because of embarrassment. Eating hair can cause major gastrointestinal medical issues that could require intensive medical intervention. […] Trichotillomania is often seen occurring co-jointly with other disorders including major depressive disorder, anxiety disorders, and substance use disorders, and studies find that the experience of trichotillomania often occurs prior to the development of other mental disorders.

• #111 Trichotillomania Hair-Pulling Disorder Treatment Facility Near Me- A Mission For Michael

  https://amfmtreatment.com/what-we-treat/obsessive-compulsive/trichotillomania/

  Health insurance companies often provide insurance coverage for trichotillomania hair-pulling disorder treatment. This may include both inpatient residential and outpatient programs. While there are individual differences among carriers, coverage often includes group therapy, individual therapy, educational sessions, and medication management services. […] Trichotillomania treatment programs focus on helping you learn to reduce your hair-pulling behaviors and effectively cope with triggers. These programs often use structured therapies like Cognitive Behavioral Therapy (CBT), Habit Reversal Training (HRT), and Mindfulness-Based Therapy. Treatment programs can be available in inpatient and outpatient treatment settings. […] Within these treatment programs, you’ll work closely with mental health professionals to understand your trichotillomania causes and emotional triggers. This can help you recognize when you can use healthy strategies to cope with your symptoms. Treatment programs can introduce you to relaxation techniques and coping strategies that allow you to manage your symptoms. Reach out to treatment providers directly with inquiries about their treatment programs.

• #112 Trichotillomania Hair-Pulling Disorder Treatment Facility in Fort Lauderdale, Florida

  https://sylviabrafman.com/mental-health-treatments/obsessive-compulsive-disorder/trichotillomania-disorder/

  The Sylvia Brafman Mental Health Center, located in Fort Lauderdale, Florida, offers specialized treatment for trichotillomania, a hair-pulling disorder often associated with Obsessive-Compulsive Disorder (OCD). Our center is conveniently accessible from Miami and other major cities in South Florida. Call 877-958-9212, and an experienced patient advocate will discuss our evidence-based trichotillomania treatment options. […] Yes, many mental health centers provide treatment for trichotillomania. At The Sylvia Brafman Mental Health Center (SBMHC), we offer a variety of treatments for trichotillomania and the obsessive thoughts and compulsions related to scalp-picking and hair-pulling. SBMHC offers a free assessment to guide you on how to stop trichotillomania. […] There are various types of trichotillomania treatment programs that will vary depending on your specific needs. Below are a few examples of programs for trichotillomania and OCD. Our patient advocates can further guide you through an extensive list of all the trichotillomania therapies provided at The Sylvia Brafman Mental Health Center.

• #113 Trichotillomania Hair-Pulling Disorder Treatment Facility in Fort Lauderdale, Florida

  https://sylviabrafman.com/mental-health-treatments/obsessive-compulsive-disorder/trichotillomania-disorder/

  Outpatient therapy is the most common and accessible form of trichotillomania treatment for most patients. You attend regular sessions with a therapist, usually once or twice weekly. Evening sessions are provided so you can maintain your regular schedule during the day and have space for therapy without impacting your daily responsibilities. […] Intensive Outpatient Programs (IOPs) are suitable if you require more frequent and structured therapy without disrupting your daily responsibilities. These programs are typically ideal if you do not need inpatient care. IOPs can include trichotillomania therapy sessions multiple times a week in either an individual or group setting. […] Partial Hospitalization Programs (PHPs) offer more intensive support than IOPs and involve treatment five to seven days a week, lasting several hours for each daily session. PHPs are best suited if you need more structure but do not require 24-hour supervision. These programs provide an organized schedule with therapy and other support services.

• #114 Trichotillomania Hair-Pulling Disorder Treatment Facility in Fort Lauderdale, Florida

  https://sylviabrafman.com/mental-health-treatments/obsessive-compulsive-disorder/trichotillomania-disorder/

  Outpatient therapy is the most common and accessible form of trichotillomania treatment for most patients. You attend regular sessions with a therapist, usually once or twice weekly. Evening sessions are provided so you can maintain your regular schedule during the day and have space for therapy without impacting your daily responsibilities. […] Intensive Outpatient Programs (IOPs) are suitable if you require more frequent and structured therapy without disrupting your daily responsibilities. These programs are typically ideal if you do not need inpatient care. IOPs can include trichotillomania therapy sessions multiple times a week in either an individual or group setting. […] Partial Hospitalization Programs (PHPs) offer more intensive support than IOPs and involve treatment five to seven days a week, lasting several hours for each daily session. PHPs are best suited if you need more structure but do not require 24-hour supervision. These programs provide an organized schedule with therapy and other support services.

• #115 Trichotillomania Hair-Pulling Disorder Treatment Facility in Fort Lauderdale, Florida

  https://sylviabrafman.com/mental-health-treatments/obsessive-compulsive-disorder/trichotillomania-disorder/

  Outpatient therapy is the most common and accessible form of trichotillomania treatment for most patients. You attend regular sessions with a therapist, usually once or twice weekly. Evening sessions are provided so you can maintain your regular schedule during the day and have space for therapy without impacting your daily responsibilities. […] Intensive Outpatient Programs (IOPs) are suitable if you require more frequent and structured therapy without disrupting your daily responsibilities. These programs are typically ideal if you do not need inpatient care. IOPs can include trichotillomania therapy sessions multiple times a week in either an individual or group setting. […] Partial Hospitalization Programs (PHPs) offer more intensive support than IOPs and involve treatment five to seven days a week, lasting several hours for each daily session. PHPs are best suited if you need more structure but do not require 24-hour supervision. These programs provide an organized schedule with therapy and other support services.

• #116 Trichotillomania Hair-Pulling Disorder Treatment for Teens and Adolescents in Dallas, Texas

  https://basepointacademy.com/what-we-treat/teen-ocd-treatment/trichotillomania-disorder/

  These programs combine structured, intensive care, focusing on managing repetitive actions and promoting emotional stability. […] A Partial Hospitalization Program (PHP) or day treatment program offers structured, intensive behavioral therapy for trichotillomania and OCD in teens. […] Inpatient and residential treatment programs offer a more immersive approach for teenagers struggling with compulsive behaviors and hair-pulling disorders. […] Outpatient and evening treatment programs offer flexible support options for children seeking treatment for trichotillomania. […] An Intensive Outpatient Program (IOP) provides a higher level of care for teens needing structured support for managing trichotillomania urges. […] Online therapy or teletherapy programs offer an even more convenient, accessible way for teens to receive support for mental health and OCD-related challenges like trichotillomania.

• #117 Trichotillomania Hair-Pulling Disorder Treatment Facility in Fort Lauderdale, Florida

  https://sylviabrafman.com/mental-health-treatments/obsessive-compulsive-disorder/trichotillomania-disorder/

  In a residential treatment program, you live at the facility for a set period, often from a few weeks to a few months. Inpatient treatment offers a highly structured environment with daily therapy sessions and 24/7 care. This is a helpful option if you have tried to stop trichotillomania several times or if you need to fully focus on your health and recovery. […] Online therapy and teletherapy programs have grown in popularity for individuals seeking trichotillomania therapy. Teletherapy is an option if you have less flexibility in your schedule or cannot attend sessions in person. These programs can involve video or chat-based therapy with licensed therapists who can utilize techniques similar to in-person trichotillomania treatment. […] Several types of Body-Focused Repetitive Behavior (BFRB) therapy options for trichotillomania treatment have proven to be effective. Each type of therapy offers unique teachings to help you manage obsessive thoughts and compulsive behaviors. This type of behavioral therapy can help you develop healthier coping strategies to resist repetitive actions.

• #118 Trichotillomania Hair-Pulling Disorder Treatment for Teens and Adolescents in Dallas, Texas

  https://basepointacademy.com/what-we-treat/teen-ocd-treatment/trichotillomania-disorder/

  These programs combine structured, intensive care, focusing on managing repetitive actions and promoting emotional stability. […] A Partial Hospitalization Program (PHP) or day treatment program offers structured, intensive behavioral therapy for trichotillomania and OCD in teens. […] Inpatient and residential treatment programs offer a more immersive approach for teenagers struggling with compulsive behaviors and hair-pulling disorders. […] Outpatient and evening treatment programs offer flexible support options for children seeking treatment for trichotillomania. […] An Intensive Outpatient Program (IOP) provides a higher level of care for teens needing structured support for managing trichotillomania urges. […] Online therapy or teletherapy programs offer an even more convenient, accessible way for teens to receive support for mental health and OCD-related challenges like trichotillomania.

• #119 Trichotillomania Hair-Pulling Disorder Treatment for Teens and Adolescents in Dallas, Texas

  https://basepointacademy.com/what-we-treat/teen-ocd-treatment/trichotillomania-disorder/

  Exposure and Response Prevention (ERP) is a powerful trichotillomania therapy, mainly when compulsive hair-pulling is linked to OCD. […] At a teen and adolescent trichotillomania treatment facility, your child will engage in a supportive, structured environment focused on healing and personal growth. […] Treatment typically involves a combination of therapeutic modalities, including Cognitive Behavioral Therapy (CBT) and Habit Reversal Training (HRT). […] Understanding your options can help you secure the best possible care while making informed decisions for your teen.

• #120 Trichotillomania(Hair Pulling Disorder) – Center for OCD and Related Disorders

  https://mghocd.org/trichotillomania/

  Another adjunctive treatment to HRT, known as Dialectical Behavior Therapy (DBT), has also been demonstrated to be effective for pullers when used in conjunction with HRT. […] Few controlled medication treatment trials exist for hair pulling disorder. […] Other medications with some evidence of success in treating this disorder include glutamatergic agents (N-acetylcysteine), dopamine-blocking neuroleptics and opiate antagonists (naltrexone). […] One existing study suggests better outcomes with combined treatment (CBT and medication) than monotherapy (CBT or medication alone). […] It is important to note that CBT requires considerable commitment to monitor symptoms, practice coping skills and tolerate urges and discomfort, while working to reduce hair pulling symptoms. […] Relapse is a significant problem for this disorder.

• #121 Trichotillomania(Hair Pulling Disorder) – Center for OCD and Related Disorders

  https://mghocd.org/trichotillomania/

  It is important that pullers have reasonable expectations when embarking on treatment and understand that the goal of treatment is “symptom management” and not “cure” their disorder. […] Our center specializes in evidence-based treatment for Trichotillomania (Hair Pulling Disorder) with cognitive behavioral therapy (CBT) and medication.

• #122 Trichotillomania(Hair Pulling Disorder) – Center for OCD and Related Disorders

  https://mghocd.org/trichotillomania/

  It is important that pullers have reasonable expectations when embarking on treatment and understand that the goal of treatment is “symptom management” and not “cure” their disorder. […] Our center specializes in evidence-based treatment for Trichotillomania (Hair Pulling Disorder) with cognitive behavioral therapy (CBT) and medication.

• #123 Trichotillomania (hair-pulling disorder) – Symptoms and causes – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/trichotillomania/symptoms-causes/syc-20355188

  Trichotillomania (trik-o-til-o-MAY-nee-uh), also called hair-pulling disorder, is a mental health condition. […] Some treatment options may help reduce hair pulling or stop it entirely. […] If you can’t stop pulling out your hair or you feel embarrassed or ashamed by your appearance as a result, talk to your health care provider. Trichotillomania is not just a bad habit, it’s a mental health condition. It’s not likely to get better without treatment. […] Trichotillomania is a long-term disorder. If not treated, symptoms may come and go for weeks, months or years at a time.

• #124 Trichotillomania(Hair Pulling Disorder) – Center for OCD and Related Disorders

  https://mghocd.org/trichotillomania/

  Another adjunctive treatment to HRT, known as Dialectical Behavior Therapy (DBT), has also been demonstrated to be effective for pullers when used in conjunction with HRT. […] Few controlled medication treatment trials exist for hair pulling disorder. […] Other medications with some evidence of success in treating this disorder include glutamatergic agents (N-acetylcysteine), dopamine-blocking neuroleptics and opiate antagonists (naltrexone). […] One existing study suggests better outcomes with combined treatment (CBT and medication) than monotherapy (CBT or medication alone). […] It is important to note that CBT requires considerable commitment to monitor symptoms, practice coping skills and tolerate urges and discomfort, while working to reduce hair pulling symptoms. […] Relapse is a significant problem for this disorder.

• #125 Trichotillomania Information | Mount Sinai – New York

  https://www.mountsinai.org/health-library/diseases-conditions/trichotillomania

  Experts don’t agree on the use of medicine for treatment. However, naltrexone and selective serotonin reuptake inhibitors (SSRIs) have been shown to be effective in reducing some symptoms. Behavioral therapy and habit reversal may also be effective. […] For most people, the hair pulling ends within 12 months. […] However, treatment often improves the hair pulling and the feelings of depression, anxiety, or poor self-image.

• #126 Trichotillomania Information | Mount Sinai – New York

  https://www.mountsinai.org/health-library/diseases-conditions/trichotillomania

  Experts don’t agree on the use of medicine for treatment. However, naltrexone and selective serotonin reuptake inhibitors (SSRIs) have been shown to be effective in reducing some symptoms. Behavioral therapy and habit reversal may also be effective. […] For most people, the hair pulling ends within 12 months. […] However, treatment often improves the hair pulling and the feelings of depression, anxiety, or poor self-image.

• #127 Trichotillomania – StatPearls – NCBI Bookshelf

  https://www.ncbi.nlm.nih.gov/books/NBK493186/

  The treatment includes therapy techniques combined with anxiety-relieving medications. The currently studied therapy techniques for the treatment of trichotillomania include cognitive behavioral therapy and habit reversal training. […] Unfortunately, the disorder has no cure and all treatments have limitations. The disorder has relapses and remissions. In the long run, the patient has permanent loss of hair, scarring, and poor cosmesis.

• #128 Trichotillomania Therapy in New York & Florida | EK Mental Health Counseling

  https://ekmentalhealthcounseling.com/therapies-for-trichotilomania.html

  Learning to be kinder to yourself is an important part of healing. Instead of beating yourself up for pulling, therapy can help you develop self-compassion, which can reduce shame and empower you to keep moving forward. […] Connecting with others who understand what you’re going through can help reduce feelings of isolation. Support groups and online communities can be a powerful reminder that you’re not alone. […] Healing is a process, and progress happens one small step at a time. You deserve support, patience, and compassion as you work toward a life where you feel more confident and in control.

• #129 Trichotillomania – StatPearls – NCBI Bookshelf

  https://www.ncbi.nlm.nih.gov/books/NBK493186/

  The treatment includes therapy techniques combined with anxiety-relieving medications. The currently studied therapy techniques for the treatment of trichotillomania include cognitive behavioral therapy and habit reversal training. […] Unfortunately, the disorder has no cure and all treatments have limitations. The disorder has relapses and remissions. In the long run, the patient has permanent loss of hair, scarring, and poor cosmesis.

• #130 Trichotillomania Treatment – How to Stop Pulling Out Hair | TrichStop.com

  https://www.trichstop.com/treatment

  While there is not much research to support it, some people experience therapeutic results with hypnosis. […] For those who want to figure out how to stop hair pulling, yet do not want to go through treatment alone, group therapy is a viable alternative. […] While behavioral therapies are well-documented, evidence-based ways to treat trichotillomania, there are several alternatives or holistic methods that exist as viable options. […] Every person who suffers from trichotillomania experiences it differently, therefore, treatment must be individualized and comprehensive in a way that addresses the physical, psychological, and emotional aspects of the disorder. […] The goal of treatment is to manage the behaviors, so they do not interfere with what you want to do. […] Treatment for trichotillomania is a lifelong process unique to every individual, but awareness, education, learning skills, social support, and perseverance create the foundation for success.

• #131 Trichotillomania(Hair Pulling Disorder) – Center for OCD and Related Disorders

  https://mghocd.org/trichotillomania/

  Another adjunctive treatment to HRT, known as Dialectical Behavior Therapy (DBT), has also been demonstrated to be effective for pullers when used in conjunction with HRT. […] Few controlled medication treatment trials exist for hair pulling disorder. […] Other medications with some evidence of success in treating this disorder include glutamatergic agents (N-acetylcysteine), dopamine-blocking neuroleptics and opiate antagonists (naltrexone). […] One existing study suggests better outcomes with combined treatment (CBT and medication) than monotherapy (CBT or medication alone). […] It is important to note that CBT requires considerable commitment to monitor symptoms, practice coping skills and tolerate urges and discomfort, while working to reduce hair pulling symptoms. […] Relapse is a significant problem for this disorder.

• #132 Trichotillomania Treatment – How to Stop Pulling Out Hair | TrichStop.com

  https://www.trichstop.com/treatment

  While there is not much research to support it, some people experience therapeutic results with hypnosis. […] For those who want to figure out how to stop hair pulling, yet do not want to go through treatment alone, group therapy is a viable alternative. […] While behavioral therapies are well-documented, evidence-based ways to treat trichotillomania, there are several alternatives or holistic methods that exist as viable options. […] Every person who suffers from trichotillomania experiences it differently, therefore, treatment must be individualized and comprehensive in a way that addresses the physical, psychological, and emotional aspects of the disorder. […] The goal of treatment is to manage the behaviors, so they do not interfere with what you want to do. […] Treatment for trichotillomania is a lifelong process unique to every individual, but awareness, education, learning skills, social support, and perseverance create the foundation for success.

• #133 Trichotillomania (hair pulling disorder) – NHS

  https://www.nhs.uk/mental-health/conditions/trichotillomania/

  Trich is commonly treated using a type of CBT called habit reversal training. […] This aims to help you replace a bad habit with something that’s not harmful. Treatment usually involves: keeping a diary of your hair pulling, working out the triggers for your hair pulling and learning how to avoid them, replacing hair pulling with another action, like squeezing a stress ball, loved ones providing emotional support and encouragement. […] If your GP thinks you have trich, you may be referred for a type of treatment called cognitive behavioural therapy (CBT). […] Antidepressants are not usually prescribed to treat trich.

• #134 International OCD Foundation | Comprehensive Behavioral (ComB) Treatment for Skin Picking and Hair Pulling Disorders

  https://iocdf.org/expert-opinions/comprehensive-behavioral-comb-treatment-for-skin-picking-and-hair-pulling-disorders/

  Phase 2 – Identification and Selection of Target Domains. ComB treatment emphasizes the learning and practice of strategies to target problematic behaviors as well as the thoughts, feelings, and sensations that contribute to their persistence. […] Phase 3 – Implementation of Specific Interventions. At this point in treatment, individuals will explore the use of a variety of specific interventions designed to decrease their BFRB symptoms. […] Phase 4 – Evaluation, Termination, and Relapse Prevention. In the final phase of formal treatment, the client is encouraged to continue with ongoing assessments of progress and to modify the use of interventions as needed. […] The ComB conceptual model comes from established behavioral principles and decades of laboratory and clinical research, and employs proven behavioral, cognitive, and CBT techniques.

• #135 Trichotillomania (hair-pulling disorder) // Middlesex Health

  https://middlesexhealth.org/learning-center/diseases-and-conditions/trichotillomania-hair-pulling-disorder

  Some treatment options have helped many people reduce hair pulling or stop completely. These include therapy and sometimes medicine. […] Types of therapy that may be helpful for trichotillomania include: […] Habit reversal training. This behavior therapy is the main treatment for trichotillomania. You learn how to recognize situations where you’re likely to pull out your hair and how to substitute other behaviors instead. […] Acceptance and commitment therapy. This therapy can help you learn to accept your hair-pulling urges without acting on them. […] Cognitive therapy. This therapy can help you identify and examine beliefs you have about hair pulling that are not realistic. You can learn healthy ways to think about your condition. […] Therapies that help with other mental health conditions that often occur along with trichotillomania, such as depression, anxiety, or problems with alcohol or drug use, can be an important part of treatment.

• #136 Trichotillomania (Hair Pulling) (for Teens) | Nemours KidsHealth

  https://kidshealth.org/en/teens/trichotillomania.html

  If you are dealing with hair pulling, you’re not alone. And there’s treatment that can help. It takes time, patience, and practice. But when they learn the right skills, people can overcome hair pulling. […] Therapy can help people overcome trichotillomania. The most widely used type of therapy is called habit-reversal training (HRT). It’s a type of cognitive behavioral therapy (CBT). In this therapy, people meet with a therapist to learn skills to help them reverse the hair pulling habit. […] Along with habit reversal, other forms of therapy work for hair pulling. They include ComB (comprehensive behavior therapy), dialectical behavior therapy (DBT), and acceptance and commitment therapy (ACT). Each of these forms of therapy offers skills people can use to work on trichotillomania. […] It takes time, patience, and practice. But with the right guidance and support, people can overcome hair pulling.

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