SynopsisTrichotillomania (TTM) is a complex disorder that is difficult to treat as few effective therapeutic options exist. Behavior therapy has the greatest empirical support, but the number of mental health providers familiar with TTM and its treatment is quite small. This manual was written as a tool for therapists to become familiar with an effective treatment for TTM. The treatment approach described in this guide blends traditional behavior therapy elements of habit reversal training and stimulus control techniques with the more contemporary behavioral elements of Acceptance and Commitment Therapy (ACT). In the first phase of the program, clients are taught skills for stopping and preventing their unconscious pulling episodes. In the second phase, clients are introduced to ACT. Unlike traditional interventions that aim to change type or frequency of pulling-related cognitions in the hopes of reducing urges to pull hair, this innovative program uses strategies to change the function of these cognitions. Clients are taught to see urges for what they really are and to accept their pulling-related thoughts, feelings, and urges without fighting against them. This is accomplished through discussions about the function of language and defusion exercises that show the client how to respond to thoughts about pulling less literally. Over the course of 10 weeks, clients learn to be aware of their pulling and warning signals, use self-management strategies for stopping and preventing pulling, stop fighting against their pulling-related urges and thoughts, and work toward increasing their quality of life. Self-monitoring and homework assignments keep clients motivated and engaged throughout., Trichotillomania (TTM) is a complex disorder that is difficult to treat as few effective therapeutic options exist. Behavior therapy has the greatest empirical support, but the number of mental health providers familiar with TTM and its treatment is quite small. This manual was written as a tool for therapists to become familiar with an effective treatment for TTM. The treatment approach described in this guide blends traditional behavior therapy elements of habit reversal training and stimulus control techniques with the more contemporary behavioral elements of Acceptance and Commitment Therapy (ACT). Unlike traditional interventions that aim to change type or frequency of pulling-related cognitions in the hopes of reducing urges to pull hair, this innovative program uses strategies to change the function of these cognitions. Clients are taught to see urges for what they really are and to accept their pulling-related thoughts, feelings, and urges without fighting against them. This is accomplished through discussions about the function of language and defusion exercises that show the client how to respond to thoughts about pulling less literally. Over the course of 10 weeks, clients learn to be aware of their pulling and warning signals, use self-management strategies for stopping and preventing pulling, stop fighting against their pulling-related urges and thoughts, and work toward increasing their quality of life. Self-monitoring and homework assignments keep clients motivated and engaged throughout. Treatments ThatWork TM represents the gold standard of behavioral healthcare interventions - All programs have been rigorously tested in clinical trials and are backed by years of research - A prestigious scientific advisory board, led by series Editor-In-Chief David H. Barlow, reviews and evaluates each intervention to ensure that it meets the highest standard of evidence so you can be confident that you are using the most effective treatment available to date - Our books are reliable and effective and make it easy for you to provide your clients with the best care available - Our corresponding workbooks contain psychoeducational information, forms and worksheets, and homework assignments to keep clients engaged and motivated - A companion website (www.oup.com/us/ttw) offers downloadable clinical tools and helpful resources - Continuing Education (CE) Credits are now available on select titles in collaboration with PsychoEducational Resources, Inc. (PER), This workbook contains useful exercises and forms to enable patients to overcome TTM and come to terms with the emotional triggers of their disorder., Trichotillomania (TTM) is a complex disorder that is difficult to treat as few effective therapeutic options exist. Behavior therapy has the greatest empirical support, but the number of mental health providers familiar with TTM and its treatment is quite small. This manual was written as a tool for therapists to become familiar with an effective treatment for TTM. The treatment approach described in this guide blends traditional behavior therapy elements of habit reversal training and stimulus control techniques with the more contemporary behavioral elements of Acceptance and Commitment Therapy (ACT). Unlike traditional interventions that aim to change type or frequency of pulling-related cognitions in the hopes of reducing urges to pull hair, this innovative program uses strategies to change the function of these cognitions. Clients are taught to see urges for what they really are and to accept their pulling-related thoughts, feelings, and urges without fighting against them. This is accomplished through discussions about the function of language and defusion exercises that show the client how to respond to thoughts about pulling less literally. Over the course of 10 weeks, clients learn to be aware of their pulling and warning signals, use self-management strategies for stopping and preventing pulling, stop fighting against their pulling-related urges and thoughts, and work toward increasing their quality of life. Self-monitoring and homework assignments keep clients motivated and engaged throughout. Treatments ThatWork (TM) represents the gold standard of behavioral healthcare interventions! BL All programs have been rigorously tested in clinical trials and are backed by years of research BL A prestigious scientific advisory board, led by series Editor-In-Chief David H. Barlow, reviews and evaluates each intervention to ensure that it meets the highest standard of evidence so you can be confident that you are using the most effective treatment available to date BL Our books are reliable and effective and make it easy for you to provide your clients with the best care available BL Our corresponding workbooks contain psychoeducational information, forms and worksheets, and homework assignments to keep clients engaged and motivated BL A companion website (www.oup.com/us/ttw) offers downloadable clinical tools and helpful resources BL Continuing Education (CE) Credits are now available on select titles in collaboration with PsychoEducational Resources, Inc. (PER), Trichotillomania (TTM) is a complex disorder which involves at least two levels of psychological functioning. At one level, it is a habitual behaviour. This type of TTM involves 'automatic pulling' and typically occurs without a person's awareness. The second type of TTM is more closely related to emotional functioning or regulation and is known as 'focused pulling'. Generally, it is believed that most individuals with TTM exhibit both types of pulling. THe most common treatment for TTM is Habit Reversal Therapy (HRT), and its main focus is the habitual, or 'automatic' aspect of the disorder.In this new treatment program, Drs Wood and Twohig have designed a treatment which combines the basic aspects of HRT with Acceptance and Commitment Therapy (ACT) to address the 'focused' aspects of the pulling. ACT seeks to alter the thoughts and feelings surrounding the pulling, and removes the compulsive aspect of the pulling urge, while HRT focuses on increasing the awareness of the pulling and teaches the person to utilise a competing behaviour instead of pulling. Together, these two techniques work to decrease all incidents of pulling, and help the client understand and come to terms with the emotional triggers of their disorder. In a clinical setting, this combined treatment was proven very effective, with high maintenance rates over a three-month period.This treatment consists of 10 60-minute sessions spread out over six weeks, with the final two sessions taking place every two weeks to ease the client out of the therapeutic environment and intrduce relapse prevention techniques. This corresponding workbook will contain monitoring forms to help the client maintain an awareness of their pulling, as well as self-assessment tests and other homework exercises.
LC Classification NumberRC569.5.H34W66 2008