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Clinical Case Studies
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Behavioral Treatment of Trichotillomania

A Case Study

Kurt D. Michael

Appalachian State University

Once considered a rare clinical condition, trichotillomania is now recognized as a psychological disorder that is more prevalent than previously thought. The behavioral treatment of a 21-year old college woman with a longstanding history of chronic hair pulling is described in this case study. The extent of the trichotillomania was measured during an 11-day baseline period (self-monitoring, photographs) followed by 4 months of behavioral treatment including prominent components of habit-reversal training. The results of the interventionwere suggestive of a substantial reduction in hair pulling incidents, hair regrowth in the affected parts of her scalp, and self-reported improvements in mood, anxiety, and self-esteem. Limitations of these data are reviewed and recommendations for clinicians who intend on treating trichotillomania are provided.

Key Words: trichotillomania • hair pulling • case study • behavioral treatment

Clinical Case Studies, Vol. 3, No. 2, 171-182 (2004)
DOI: 10.1177/1534650103259642
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