Behavioral Treatment of Trichotillomania

1984 ◽  
Vol 55 (3) ◽  
pp. 987-990 ◽  
Author(s):  
Michael J. Stevens
Keyword(s):  
Behavior Therapy ◽  
Behavioral Change ◽  
Behavioral Treatment ◽  
Aversive Stimulus ◽  
Relevant Literature ◽  
Hair Pulling ◽  
Assessment And Treatment ◽  
Treatment Procedures

The frequency of a 29-yr.-old woman's chronic hair pulling was reduced by training in awareness of the habit and the application of a mildly aversive stimulus. This report presents a review of the relevant literature on behavior therapy, a description of assessment and treatment procedures, data supporting the elimination of hair pulling, and a discussion of factors which might have influenced behavioral change.

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.

The Need for a Broad-Based Model of Phonological Disorders

1992 ◽  
Vol 23 (3) ◽  
pp. 261-268 ◽  
Author(s):  
Alan G. Kamhi
Keyword(s):  
Speech Production ◽  
Phonological Disorders ◽  
Production Processes ◽  
Assessment And Treatment ◽  
Speech Delays ◽  
Explanatory Adequacy ◽  
State Of Affairs ◽  
Assessment Procedures ◽  
Treatment Procedures

My response to Fey’s article (1985; reprinted 1992, this issue) focuses on the confusion caused by the application of simplistic phonological definitions and models to the assessment and treatment of children with speech delays. In addition to having no explanatory adequacy, such definitions/models lead either to assessment and treatment procedures that are similarly focused or to procedures that have no clear logical ties to the models with which they supposedly are linked. Narrowly focused models and definitions also usually include no mention of speech production processes. Bemoaning this state of affairs, I attempt to show why it is important for clinicians to embrace broad-based models of phonological disorders that have some explanatory value. Such models are consistent with assessment procedures that are comprehensive in nature and treatment procedures that focus on linguistic, as well as motoric, aspects of speech.

Dialectical Behavior Therapy and Treatment of Emotion Dysregulation

2019 ◽  
pp. 462-476
Author(s):  
Alexander L. Chapman ◽  
Nora H. Hope
Keyword(s):  
Behavior Therapy ◽  
Dialectical Behavior Therapy ◽  
Emotion Dysregulation ◽  
Behavioral Treatment ◽  
Distress Tolerance ◽  
Therapy Group ◽  
Skills Training ◽  
Individual Therapy ◽  
Cognitive Behavioral Treatment ◽  
Multimethod Research

Developed to treat highly suicidal patients and often associated with the treatment of borderline personality disorder (BPD), dialectical behavior therapy (DBT) has evolved into a transdiagnostic treatment addressing emotion dysregulation. DBT is an emotion-focused, comprehensive cognitive-behavioral treatment including individual therapy, group skills training, between-session skills coaching (phone coaching), and a therapist consultation team. Several elements of DBT address emotion dysregulation directly or indirectly, including emotion regulation skills, distress tolerance strategies to dampen physiological arousal and curb impulses to engage in problematic behaviors, and individual therapy interventions to reduce emotion dysregulation. Growing evidence suggests that DBT may address behavioral, cognitive, physiological, and neurobiological aspects of emotion dysregulation. Future directions should include increasing multimethod research on the effects of DBT on emotion dysregulation, streamlining treatment, making DBT more efficient and targeted, and conceptualizing DBT’s place within the spectrum of other emotion-focused transdiagnostic treatments.

Psychological treatment of trihotillomania: A case study

2017 ◽  
Vol 41 (S1) ◽  
pp. S417-S417
Author(s):  
T. Sarmiento Luque ◽  
J.M. Sanchez
Keyword(s):  
Public Health ◽  
Clinical Case ◽  
Psychological Treatment ◽  
Cognitive Behavioral ◽  
Clinical Aspects ◽  
Hair Pulling ◽  
Behavioral Techniques ◽  
Competing Interest ◽  
Treatment Procedures

This paper presents a clinical case of trichotillomania. Therefore, the aim of this study is to present in detail the procedure followed in a case of trichotillomania in a public health context, using cognitive-behavioral techniques, in order to deepen the knowledge of the efficacy of these treatment procedures and demonstrate the feasibility of implementation.The results obtained show significant improvements in different clinical aspects: first, the hair pulling behavior disappeared completely; moreover, anxiety diminished significantly and mood normalized. All these results allow us to conclude that the intervention was successful.Disclosure of interestThe authors have not supplied their declaration of competing interest.

A Simplified Behavioral Treatment for Trichotillomania: Report of Two Cases

PEDIATRICS ◽  
1993 ◽  
Vol 91 (5) ◽  
pp. 993-995
Author(s):  
NATHAN J. BLUM ◽  
VINCENT J. BARONE ◽  
PATRICK C. FRIMAN
Keyword(s):  
Preliminary Report ◽  
Behavioral Treatment ◽  
College Freshmen ◽  
Recent Literature ◽  
Behavioral Disorder ◽  
Survey Study ◽  
Response To Treatment ◽  
Pharmacologic Treatment ◽  
Hair Pulling ◽  
Adolescents And Adults

Trichotillomania is a behavioral disorder characterized by habitual hair pulling resulting in alopecia. Although once considered extremely rare, a recent survey study of college freshmen suggests a lifetime prevalence of more than 3% in females and more than 1% in males.1 The recent literature on trichotillomania has emphasized the pharmacologic treatment of adolescents and adults. Some studies have reported decreased hair pulling in response to treatment with the antiobsessional medications clomipramine and fluoxetine2,3 However, Christenson and colleagues4 failed to demonstrate benefit from fluoxetine, and in a preliminary report Rothbaum and Ninan5 found greater decreases in hair pulling with a behavioral intervention than with clomipramine.

Dissosiativ identitetsforstyrrelse i utredning av barn og ungdom: Teori og kliniske utfordringer

2021 ◽  
Vol 58 (8) ◽  
pp. 672-680
Keyword(s):  
Clinical Practice ◽  
Relevant Literature ◽  
Dissociative Disorders ◽  
Cognitive Difficulties ◽  
Dissociative Symptoms ◽  
Literature Searches ◽  
Adequate Understanding ◽  
Assessment And Treatment ◽  
Trauma Model ◽  
Practice Methods

Background: Clinical practice and recent research indicate that dissociative symptoms and disorders are left unidentified and undiagnosed by health professionals. Based on a clinical case from our work setting, this article describes relevant literature regarding dissociation and dissociative disorders to add to the knowledge of the theoretical and phenomenological features of complex dissociative disorders. Further, we describe differential diagnostic challenges that may arise in clinical practice. Methods: Both systematic and non-systematic literature searches were performed. Findings: Recent research shows the Trauma model to be central to understanding dissociative disorders. Symptoms can be mistaken for cognitive difficulties, oppositional issues or other somatic symptoms. Quantitative measures, systematic observations and clinical evaluations are fundamental for identifying dissociative symptoms and disorders. Implications: There is potential for identifying and evaluating dissociative symptoms at an earlier stage. Interdisciplinary and differential diagnostic evaluations are crucial to provide adequate understanding, assessment, and treatment of these patients. Keywords: Dissociative identity disorder, dissociation, somnambulism, biopsychosocial framework, clinical practice

How Can Speech-Language Pathologists Think About Sensation During Swallowing Evaluation and Intervention?

2021 ◽  
pp. 1-11
Author(s):  
Aarthi Madhavan ◽  
Nicole M. Etter
Keyword(s):  
Behavioral Treatment ◽  
Sensory Information ◽  
Treatment Strategies ◽  
Clinical Importance ◽  
Functional Results ◽  
Future Research ◽  
Speech Language Pathologists ◽  
Swallowing Evaluation ◽  
Assessment And Treatment ◽  
Swallowing Assessment

Purpose Both the enjoyment of foods and safe swallowing revolve around incorporating multiple streams of sensory feedback to form a positive sensory experience; these include information about the taste, smell, texture, temperature, and even the sight of food. Traditional swallowing assessment and treatment paradigms have primarily focused on the motor aspects of swallowing. However, sensory information is vital for not only enjoying foods while eating but also coordinating safe and efficient swallow behaviors. The purpose of this clinical focus article is to discuss the clinical importance of sensation in swallowing evaluation and intervention. Conclusions During their clinical assessments of swallowing, speech-language pathologists are already documenting the functional results of oropharyngeal sensorimotor impairments (e.g., residue). A combination of sensory and motor aspects is already integrated within current behavioral treatment strategies for dysphagia. Focused attention to the salient sensory features of swallowing has the potential to improve swallowing evaluation and intervention efforts. A discussion of potential future research in improved measurement and documentation of altered sensation is provided.

Commentary

2013 ◽  
pp. 419-423
Author(s):  
Melanie Duckworth
Keyword(s):  
Pain Assessment ◽  
Biopsychosocial Model ◽  
Rehabilitation Program ◽  
Assessment And Treatment ◽  
Key Dimensions ◽  
Biopsychosocial Model Of Pain ◽  
Pain Symptoms ◽  
Treatment Procedures

Using the biopsychosocial model of pain assessment and treatment, Gatchel presents the reader with an overview of the assessment and treatment procedures that he employed in addressing the pain symptoms of a patient who participated in an interdisciplinary pain rehabilitation program headed by Gatchel. The following is a summary of my comments on the key dimensions of the chapter....

Panic Disorder and Agoraphobia

2001 ◽  
pp. 130-168
Author(s):  
Peter D. McLean ◽  
Sheila R. Woody
Keyword(s):  
Panic Disorder ◽  
Panic Attacks ◽  
Current Understanding ◽  
Theoretical Perspectives ◽  
Assessment And Treatment ◽  
Treatment Procedures

This chapter addresses current understanding of panic disorder, with particular emphasis on assessment and treatment procedures. It first reviews the features of panic attacks and panic disorder, followed by a discussion of various theoretical perspectives on the problem, and assessment and treatment procedures, which focuses on pragmatics of working with clients with panic and agoraphobia.

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