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Transcript
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/