A comprehensive model for behavioral treatment of trichotillomania

Trichotillomania is a disorder characterized by repetitive pulling out of o ne's hair In this paper, we explore the essential elements for effective tr eatment and propose a comprehensive model for behavioral intervention. Indi vidualized, focused treatment proceeds through four phases: First, a functi onal analysis is conducted that garners information about critical antecede nts, behaviors, and consequences of hair pulling. Next, this information is organized into-cognitive, affective, motoric, sensory, and environmental m odalities. Then, specific treatment strategies are selected and implemented to target critical maintaining factors through relevant modalities. Finall y, evaluation and modifications are made as necessary. The potential advant ages of this approach are discussed, as are its limitations.