The American Institute for Cognitive Therapy

Anxiety Disorders

Trichotillomania

To learn more about trichotillomania, read A Comprehensive Model for Behavioral Treatment of Trichotillomania by Charles S. Mansueto, Ruth Goldfinger Golomb, Amanda McCombs Thomas and Ruth M. Townsley Stemberger.
The article can be found at http://www.trich.org/articles/comprehen_model_btt.pdf

If you have trouble with the above link, try this one.

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Abstract

Trichotillomania is a disorder characterized by repetitive pulling out of one’s hair. In this paper, we explore the essential elements for effective treatment and propose a comprehensive model for behavioral intervention. Individualized, focused treatment proceeds through four phases: First, a functional analysis is conducted that garners information about critical antecedents, behaviors, and consequences of hair pulling. Next, this information is organized into cognitive, affective, motoric, sensory, and environmental modalities. Then, specific treatment strategies are selected and implemented to target critical maintaining factors through relevant modalities. Finally, evaluation and modifications are made as necessary. The potential advantages of this approach are discussed, as are its limitations.

Recommended Readings:

Anxiety Free: Unravel Your Fears Before They Unravel You by Robert L. Leahy
The Worry Cure: Seven Steps to Stop Worry from Stopping You by Robert L. Leahy

Clinicians may find the following books on cognitive behavioral therapy to be helpful in treating anxiety:

Leahy, R. L. and Holland, S. J. - Treatment Plans
Leahy, R. L. - Cognitive Therapy Techniques
Sookman, D. and Leahy, R. L. - Treatment Resistant Anxiety Disorders: Resolving Impasses to Symptom Remission

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