Trichotillomania: An ACT-Enhanced Behavior Therapy Approach (Second Edition): Workbook
This workbook provides a structured, evidence-based approach to addressing trichotillomania (TTM) or 'hair-pulling disorder' that draws on habit reversal training (HRT) and acceptance and commitment therapy (ACT). It is designed to help clients understand, manage, and overcome TTM. A therapist guide is downloadable separately.
Trichotillomania: An ACT-Enhanced Behavior Therapy Approach (Second Edition): Workbook
The Trichotillomania: An ACT-Enhanced Behavior Therapy Approach workbook is designed to help you understand and address hair pulling or ‘trichotillomania’. Written by leading experts, it offers step-by-step guidance and effective strategies that will help you build healthier habits, manage urges, and feel better.
Overview
Trichotillomania (TTM) is a condition characterized by repetitive hair-pulling that causes visible hair loss, significant distress, and impairment in daily functioning. Often misunderstood and underdiagnosed, TTM can impact emotional well-being and lead to social and physical complications. This treatment manual offers a comprehensive approach to managing TTM by combining habit reversal training (HRT) and acceptance and commitment therapy (ACT). HRT teaches clients to recognize and interrupt pulling behaviors with alternative actions, while ACT addresses the emotional and cognitive factors driving the behavior, such as urges, stress, and psychological inflexibility. The program emphasizes skill-building, self-monitoring, and values-based action to reduce pulling and improve quality of life. Structured across ten sessions, it includes psychoeducation, trigger reduction strategies, acceptance of pulling-related experiences, and relapse prevention techniques. Research supports the efficacy of this approach, showing significant reductions in pulling severity and meaningful clinical responses in both individual and group formats.
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