Habit reversal therapy in the management of body focused repetitive behavior disorders

2020 ◽  
Vol 33 (6) ◽  
Author(s):  
Jonathon Skurya ◽  
Mohammad Jafferany ◽  
Gregory J. Everett
Keyword(s):  
Behavior Disorders ◽  
Repetitive Behavior ◽  
Habit Reversal ◽  
Habit Reversal Therapy

Trichotillomania and Skin Picking Disorder

2017 ◽  
Author(s):  
Jon E. Grant ◽  
Sarah A. Redden ◽  
Eric W. Leppink
Keyword(s):  
Behavior Disorders ◽  
Clinical Characteristics ◽  
Repetitive Behavior ◽  
Skin Picking ◽  
Dsm 5 ◽  
Habit Reversal Therapy ◽  
Repetitive Nature ◽  
Neural Underpinnings ◽  
To Come ◽  
Skin Picking Disorder

This chapter summarizes the clinical characteristics and treatment of trichotillomania and skin picking disorder (excoriation), collectively known as body focused repetitive behavior disorders. These two conditions are found in the new chapter on OCD and related disorders in DSM-5; skin picking disorder is a new DSM diagnosis. They are conceptualized as related to OCD due to the repetitive nature of the symptomatology, but they also differ in important ways. The neural underpinnings of these disorder are only beginning to come into focus, and much work is needed. The best-proven psychotherapy for these conditions is a form of CBT known as habit reversal therapy. Principles of pharmacotherapy are not clearly established, though there have been promising early studies of a number of agents.

The Assessment and Treatment of Trichotillomania

2012 ◽  
Author(s):  
Gary A.-H. Christenson
Keyword(s):  
Behavioral Treatment ◽  
Habit Reversal ◽  
Hair Pulling ◽  
Psychiatric Interview ◽  
Treatment Approaches ◽  
Time Treatment ◽  
Habit Reversal Therapy ◽  
Situational Characteristics ◽  
Assessment And Treatment ◽  
Additional Support

The successful treatment of trichotillomania necessitates an initial clinical evaluation of the cognitive, emotional, behavioral, and situational characteristics contributing to an individual’s hair pulling. Assessment also requires a comprehensive psychological/psychiatric interview to assess for comorbid illness, which may either contribute to hair pulling or require separate attention. Several instruments have been designed to assist in quantifying the core symptoms of trichotillomania and can be useful for monitoring treatment progress over time. Treatment approaches include medication, hypnosis, and behavioral therapies, especially modifications of habit reversal therapy. Controlled studies are few in number and are limited to only a few behavioral treatment approaches and medication classes. Research suggests that variations of habit reversal therapy have the greatest efficacy of the interventions investigated thus far. There is additional support for treatment with clomipramine, N-acetylcysteine, and olanzapine, in contrast to multiple other drugs that have been studied or suggested as useful for trichotillomania.

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