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Trichotillomania
Kristen Janowicz
According to the Trichotillomania Learning Center,
“Trichotillomania (trick-o-til-o-MAY-nee-ah) is a disorder
that causes people to pull out the hair from their scalp,
eyelashes, eyebrows, pubic area, underarms, beard,
chest, legs or other parts of the body, resulting in
noticeable bald patches.”
What is
Trichotillomania?
View link to hear/watch a teen talk about her battle with Trichotillomania
http://www.youtube.com/watch?v=ioI2nbsBe1o
What are common symptoms/signs of Trichotillomania?
• Repeatedly pulling of hair out
• Pleasure/relief after pulling hair out
• Patchy/bald areas on the scalp or other
parts of the body
• Chewing or eating pulled-out hair
• Playing with pulled-out hair
• Rubbing pulled-out hair across your lips or
face
• Preoccupation, anxiety, depression, career
or academic decline
The cause of Trichotillomania is unclear, but it is believed
that Trichotillomania can be caused by genetic and/or
environmental factors. Possible reasons why people pull
their hair out are provided below.
? ? ? ? ? ? ? ? ? ?
• A chemical imbalance in the brain’s chemistry
• Used as a coping mechanism for anxiety/difficult
situations
• The result of a stressful/traumatic situation
• Triggered by sensory discomfort
• Triggered by pubertal hormonal changes
Treatment for Trichotillomania
The most common treatment for Trichotillomania
There are several
strategies related to
Cognitive Behavior
Therapy.
Four strategies that are
most commonly used
with patients who have
Trichotillomania are
briefly explained on the
next two slides.
is Cognitive
Behavior Therapy.
What is CBT?
-Cognitive Behavior Therapy, as stated by the
Trichotillomania Learning Center, is “a form of
therapy that seeks to alter behavior by identifying the
precise factors that trigger hair pulling and learning
skills to interrupt and redirect responses to those
triggers.”
Strategies to end hair pulling
Cognitive Behavior Treatment
Habit Reversal Training
• The Comprehensive Behavior
Model (ComB), developed by
Charles Mansueto is used in CBT
to treat Trichotillomania.
• Used for early treatment
of Trichotillomania
• There are four components,
which are:
1.
2.
3.
4.
Assessment
Identify and Target Modalities
Identify and Choose Strategies
Evaluation
• Has three critical
components, which are:
1.
2.
3.
Awareness training
Competing response training
Social support
Strategies continued…
Dialectic Behavior Therapy
Acceptance and Commitment Therapy
•
•
Patients/individuals are asked to
accept the urge to pull out their hair
without acting on it.
•
Patients will typically come up with a
plan for treatment with their
therapist. The plan would include:
Assists in enhancing
awareness of pulling triggers
and teaches pullers to resist
urges to pull.
•
DBT has four main modules,
which are:
1.
2.
3.
4.
Mindfulness
Interpersonal effectiveness
Emotion regulation
Distress tolerance
-Understanding a patient’s values
-HRT and stimulus control
-Seeing internal experiences for what they are
-Commitment to the process
Tips for family members and friends who love someone with Trichotillomania
Words from a teen with
Trichotillomania:
“I am embarrassed for myself.
I am embarrassed for my
family. They’re so embarrassed
of me and I hate it, but I can’t
stop…I just can’t.”
• Become well-informed about Trichotillomania
• Be patient and flexible with your loved one
• Make efforts to communicate in a sensitive manner
• Stay calm!
• Seek support if you need it! Try a self-help support
group, read books or seek additional resources.
To
get started on becoming a supporter of a loved
one with Trichotillomania, check out the
resources on the next slide!
 Trichotillomania Learning Center (TLC): http://www.trich.org/index.html
Resources
for those battling
Trichotillomania
and the people who
care about them
-Fantastic site filled with useful resources for everyone that knows someone with
Trich, as well as for those who have Trichotillomania
 TeensHealth from Nemours-Trichotillomania:
http://kidshealth.org/teen/your_mind/mental_health/trichotillomania.html#
-Useful site to find information about Trichotillomania-causes, signs, support, etc.
 Tumblr-trichhelp: http://trichhelp.tumblr.com/
-A site with motivation, tips and sayings-good site for support for teens
 TLC’s Treatment Guidelines for Trichotillomania (PDF File):
http://www.trich.org/dnld/ExpertGuidelines_000.pdf
-This PDF explains what Trichotillomania is, various treatment options for
individuals with Trich and provides the reader with an extensive list of books,
DVDs and other resources
References
• Kidshealth. (2013). Trichotillomania. Retrieved from:
http://kidshealth.org/teen/your_mind/mental_health/trichotillomania.html#
• Trichotillomania Learning Center. (2013). Retrieved from: http://www.trich.org/index.html
• Trichotillomania Learning Center’s Scientific Advisory Board. (2011). Treatment guidelines for
trichotillomania, skin picking. Retrieved from:
http://www.trich.org/dnld/ExpertGuidelines_000.pdf
• Manseuto, C.M. (1999). A Comprehensive model for behavioral treatment of trichotillomania.
Retrieved from: http://www.trich.org/dnld/comprehen_model_btt.pdf
• Trichotillomania my battle [Video file]. Retrieved from:
http://www.youtube.com/watch?v=ioI2nbsBe1o
• Trichhelp. Retrieved from: http://trichhelp.tumblr.com/