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Comprehensive behavioral treatment for an adult with sensory-based trichotillomania: An illustrative case study.

Authors
  • Mouton-Odum, Suzanne1
  • Houghton, David C2
  • 1 Clinical assistant professor and director of Psychology Houston, PC: The Center for Cognitive Behavioral Treatment, Houston, Texas.
  • 2 Post-doctoral fellow, Medical University of South Carolina, Charleston.
Type
Published Article
Journal
Bulletin of the Menninger Clinic
Publication Date
Jan 01, 2018
Volume
82
Issue
4
Pages
288–307
Identifiers
DOI: 10.1521/bumc.2018.82.4.288
PMID: 30589578
Source
Medline
Keywords
Language
English
License
Unknown

Abstract

Trichotillomania (TTM) is a poorly understood condition that causes significant impairment, but effective behavioral management strategies exist. The phenomenology of TTM is complex and requires an individualized treatment approach, and there are some important facets of TTM that have only recently been recognized. Specifically, contemporary research indicates that hair pulling is often performed to regulate aversive sensations and provide somatosensory reward. In this article, we describe the complex phenomenology of TTM, evidence-based treatment options, and illustrate a case of sensory-based TTM treated effectively with a comprehensive behavioral intervention.

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