CBT for Trichotillomania and Body-Focused Repetitive Behavior Disorders

Dr. Chamorro is an expert in the treatment of trichotillomania (hair-pulling) and Body-Focused Repetitive Behavior Disorders (BFRBs). With expertise in Cognitive-Behavioral Therapy (CBT), Habit Reversal Training (HRT), and the Comprehensive Behavioral Model (COMB) for trichotillomania, she has successfully treated numerous individuals struggling with these conditions. With compassionate guidance and a personalized approach, she is committed to supporting individuals throughout their treatment.

Understanding CBT and COMB for Trichotillomania and BFRBs

Cognitive-Behavioral Therapy (CBT) and the Comprehensive Behavioral Model (COMB) are highly effective approaches for treating Trichotillomania and other Body-Focused Repetitive Behavior Disorders (BFRBs). CBT focuses on identifying and modifying the thoughts and behaviors associated with these conditions, while COMB incorporates elements of habit reversal training, mindfulness, and other therapeutic techniques. Together, these therapies address the underlying factors contributing to BFRBs and provide individuals with practical tools to manage urges and break free from destructive behaviors.

Cognitive-Behavioral Therapy (CBT) for Trichotillomania

CBT helps individuals recognize thought patterns that trigger hair-pulling and develop alternative coping strategies. By identifying and restructuring maladaptive beliefs related to pulling urges, patients gain better control over their behaviors. Individuals who struggle with hair-pulling often experience anxiety and/OCD also. Dr. Chamorro incorporates evidence-based treatments for these issues into treatment to promote increased coping abilities and overall well-being. Learn more about our CBT for Anxiety and OCD.

Habit Reversal Training (HRT) and Stimulus Control

HRT teaches patients how to replace hair-pulling with competing responses, while stimulus control strategies reduce environmental triggers. Patients learn to increase awareness of urges and use alternative actions, such as clenching fists or using fidget tools. Discover how HRT techniques can help manage compulsive behaviors.

Comprehensive Behavioral (COMB) Treatment for Trichotillomania

The COMB model integrates multiple treatment components, tailoring strategies to the individual's unique pulling behaviors. COMB includes:

  • Awareness Training – Identifying when and where pulling occurs.

  • Stimulus Control – Modifying the environment to reduce triggers (e.g., wearing gloves, keeping hands busy).

  • Competing Response Training – Learning alternative behaviors to replace pulling.

  • Cognitive Restructuring – Addressing thoughts and emotions linked to pulling urges.

  • Emotional Regulation Strategies – Managing anxiety and stress effectively.

Acceptance and Commitment Therapy (ACT) for Emotional Regulation

ACT focuses on mindfulness and acceptance strategies to reduce distress around urges. Instead of attempting to eliminate urges, ACT helps individuals accept their thoughts and emotions while committing to values-based behaviors. Explore the effectiveness of ACT therapy for trichotillomania.

Body-Focused Repetitive Behavior Disorders

Trichotillomania

Trichotillomania, also known as hair-pulling disorder, is a BFRB characterized by the recurrent urge to pull out one's hair, resulting in noticeable hair loss. Through targeted CBT and COMB techniques, Dr. Chamorro works closely with her patients to identify triggers, develop alternative coping strategies, and address the underlying emotional factors driving the hair-pulling behavior. Treatment aims to reduce hair pulling, promote healthier hair habits, and enhance overall well-being.

Dermatillomania (Skin Picking Disorder)

Dermatillomania, or Skin Picking Disorder, is a BFRB where individuals compulsively pick at their skin, leading to tissue damage and scarring. CBT and COMB approaches help individuals understand the triggers and patterns associated with skin-picking behavior, develop healthier coping mechanisms, and challenge the underlying beliefs driving the compulsion. Treatment focuses on reducing skin-picking episodes, improving skincare habits, and promoting emotional healing.

How Treatment Can Help

Effective treatment for BFRBs, including Trichotillomania and other disorders, can make a significant difference in individuals' lives. Through CBT and COMB techniques, Dr. Chamorro works with her patients to address the root causes of BFRBs, provide practical strategies to manage urges, and promotes sustainable behavioral changes. Treatment not only helps reduce or eliminate these behaviors but also enhances self-esteem, improves emotional well-being, and empowers individuals to regain control over their lives.

Expert Treatment for Trichotillomania and BFRBs

Dr. Chamorro understands that every individual's experience with these issues is unique. Through a compassionate and personalized approach, she collaborates with her patients to develop an effective treatment plan that aims to improve symptoms, coping skills, and overall emotional well-being.

Reach out today to schedule a consultation call and learn more about how treatment can help.