Treating Trichotillomania: Cognitive-Behavioral Therapy for Hairpulling and Related Problems (Series in Anxiety and Related Disorders)

Trichotillomania has been described in the literature for at least a hundred years, but has only in the past decade received serious clinical attention. Although now a "higher profile" disorder, there is still scant clinical information on trichotillomania. A full-length cognitive-behavioral treatment manual, Treating Trichotillomania (TTM) fills that need. Designing the book for maximum usefulness, authors Franklin and Tolin share their considerable expertise in treating body-focused repetitive behavior disorders (not only hair-pulling but skin-picking and nail-biting as well) in an accessible, clinically valid reference. Treating Trichotillomania carefully defines TTM, differentiating the disorder from other conditions such as OCD, reviewing the varied clinical forms it can take, and setting out its diagnostic criteria. Treatment chapters are not one-size-fits-all, but offer an evidence-based framework to help practitioners in designing the most appropriate course of treatment across the developmental spectrum, from toddlers to elders. The authors give the reader: * Comprehensive discussion of assessment and treatment methods. * Key elements of treatment, including awareness training, habit reversal, and maintenance techniques. * Helpful ideas for treating clients with other disorders in addition to TTM. * "What Do We Need to Know?" chapter, addressing clients’ and families’ frequently asked questions. * Adjunctive cognitive-behavioral strategies, including family and group interventions. * Resources for clinicians, clients, and families. With the increasing recognition of body-focused repetitive behavior disorders and their negative impact upon the lives of sufferers, the clinical psychologist, psychiatrist, social worker, counselor, or school practitioner needs the broadest understanding of the problem, which can be found in this reader-friendly volume. The first and perhaps most important step in writing a treatment manual for use in clinical practice is to clearly explicate the logic of how the treatment, and hence the book, should be organized. Accordingly, our goal in this section is to lay out the structure of cognitive-behavioral therapy (CBT) for trichotillomania (TTM) and other body-focused impulse control disorders, clearly explaining critical decisions such as the chosen sequence of techniques or whether a given technique is considered a core component or a module to be used in some but not all cases. The structure of this particular book is influenced by the work of experts who have gone before us in pioneering CBT for TTM, and is also informed by over a decade of our own clinical work and research on TTM across the developmental spectrum. We are indebted to those who developed this approach to treatment and also to those who built the extant literature on the psychopathology of TTM and related disorders. These clinicians and researchers did so in order to help alle- ate the suffering of those afflicted with these conditions, and we endeavor to f- low in their footsteps in continuing this important work. Front Matter....Pages i-xiii Front Matter....Pages 1-1 Trichotillo-What?....Pages 3-14 Putting it Together:....Pages 15-23 What it is and What it isn’t:....Pages 25-37 Doing the Detective Work:....Pages 39-50 What Should be Done?....Pages 51-60 What do we Need to Know?....Pages 61-65 Front Matter....Pages 67-67 You Can’T Fight What You Can’T See:....Pages 69-80 Speed Bumps:....Pages 81-89 Active Strategies for Active Hands:....Pages 91-99 Holding the Lead:....Pages 101-114 Front Matter....Pages 115-116 I’m not Sure if I’m Ready:....Pages 117-124 Calming Down:....Pages 125-134 Changing Your Thinking:....Pages 135-149 When Other Problems are also Present:....Pages 151-160 Attending to the Context:....Pages 161-171 Getting Support:....Pages 173-177 Back Matter....Pages 179-210 There is still scant clinical information on trichotillomania. This book fills the need for a full-length cognitive-behavioral treatment manual. The authors share their considerable expertise in treating body-focused repetitive behavior disorders (not only hair-pulling but skin-picking and nail-biting as well) in an accessible, clinically valid reference. This is the first comprehensive, clinical, and empirically-based volume to address these disorders.