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.
Includes assessment measures and analysis, as well as core elements of treatment
Special chapter on frequently asked questions about body-focused impulse control disorders and CBT
Describes the nature of these disorders, distinguishing them from the OCD spectrum of disorders
The first comprehensive, clinical, and empirically-based volume to address these disorders
Relevant to both child and adult clinicians and researchers
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.
PART 1: OVERVIEW AND ASSESSMENT
Chapter 1: TRICHOTILLO-WHAT? Definition, epidemiology, impairment
Chapter 2: PUTTING IT TOGETHER: Biopsychosocial theory of TTM
Chapter 3: WHAT IT IS AND WHAT IT ISN’T: Diagnostics, differential diagnosis, measures
Chapter 4: DOING THE DETECTIVE WORK: Comprehensive assessment/functional analysis
Chapter 5: WHAT SHOULD BE DONE? Presentation of treatment alternatives (including CBT)
Chapter 6: WHAT DO WE NEED TO KNOW? Frequently and infrequently asked questions
PART 2: TREATMENT: CORE ELEMENTS
Chapter 7: YOU CAN'T FIGHT WHAT YOU CAN'T SEE: Awareness Training and Self-Monitoring
Chapter 8: SPEED BUMPS: Stimulus Control
Chapter 9: ACTIVE STRATEGIES FOR ACTIVE HANDS: Habit Reversal/Competing Response
Chapter 10: HOLDING THE LEAD: Maintenance
PART 3: TREATMENT: ADJUNCTIVE MODULES
Introduction to Section: What are these for? How do you know if you need them?
Chapter 11 – I’M NOT SURE IF I’M READY: Module 1: motivational enhancement
Chapter 12 – CALMING DOWN: Module 2: relaxation/deep breathing
Chapter 13 – CHANGING YOUR THINKING: Module 3: cognitive restructuring
Chapter 14 – WHEN OTHER PROBLEMS ARE ALSO PRESENT: Module 4: clinical management of comorbidity
Chapter 15 – ATTENDING TO THE CONTEXT: Module 5: family assessment and family-based interventions
Chapter 16 – GETTING SUPPORT: Module 6: group based interventions
PART 4: RESOURCES FOR CLINICIANS, PATIENTS, AND FAMILIES
- Comprehensive list of professional and informational sources for clinicians, patients and families
- Literature cited