Those with Trichotillomania (TTM), commonly referred to as “Tric” pull their hair compulsively. Specifically, they often pull from their scalp, eyebrows and lashes, though they also pull from other area of the body. People with TTM will sometimes pull other’s hair or the the hair of pets. The pulling leads to hair loss and goes on despite efforts to stop. While some assume this hair-pulling is a form of self-harm, most who pull find it to be pleasant and soothing. Indeed, people with TTM enjoy pulling, and it often takes on an addictive quality for them. People often pull to manage emotions and to achieve or avoid certain sensory experiences. The habit is also triggered by associations with certain postures and environments.


There are a few go-to treatments for those with Body-Focused Repetitive Behaviors (BFRBs). One is Habit Reversal Training (HRT). This therapy supports people’s awareness of pulling through logging. Treatment also involves competing response training, in which a person tenses their muscles in a way that is incompatible with pulling for one minute whenever the urge to pull arises. HRT also includes relaxation techniques, like diaphragmatic breathing.

More recent models of HRT, often called HRT Plus, have included Stimulus Control (SC) as part of the approach. SC refers to the fact that certain factors can trigger behaviors. To interrupt these factors, HRT Plus uses techniques, like the use of habit blockers (things that prevent the behavior, like bandaids or hats), stimulation replacements (like fidget toys), and environmental changes to support reduced pulling.

Treatment for TTM also includes a Comprehensive Behavioral (ComB) Model of Treatment. With ComB, individuals track pulling and also note what triggered their pulling. Triggers are organized into five categories: Sensory, Cognitive, Affective, Motor and Place Domains. ComB uses the acronym SCAMP to help people remember these five domains. By noting what precedes pulling, a person can be better prepared for future triggers.


Are you or a loved one struggling with a Trichotillomania and looking for help? Therapists at the Center for the Obsessive Mind use ComB or HRT to support those with TTM. You can learn more about the treatments and services we provide here.


The Center for the Obsessive Mind offers

therapy in several states and abroad.

Learn more about where the staff practices, below.

Pastel skies and a pristine beach in Northern California, one of the areas where The Center for the Obsessive Mind helps people with Trichotillomania.


The Center for the Obsessive Mind’s staff therapists offer online treatment for Trichotillomania throughout California. Our Clients span from San Francisco down to Southern Orange County and San Diego. Whether you’re in Silicon Valley, Santa Barbara, Beverly Hills or Dana Point, the Center’s staff can support you in your recovery.

The red rock spires of Bryce Canyon in Utah, one of the states where The Center for the Obsessive Mind offers counseling for Trichotillomania.


Staff members at the Center for the Obsessive Mind offer therapy for Trichotillomania in the state of Utah. Since we offer online treatment, we work with people who live all across the Beehive State – from Salt Lake City and its suburbs, like West Jordan, Syracuse, Highland and Riverton, to Park City and St. George.

Clear turquoise waters in the Keys, one of the places where The Center for the Obsessive Mind practices psychotherapy for Trichotillomania in Florida.


Therapists at the Center for the Obsessive Mind also offer treatment for Trichotillomania online in Florida. We see people from all corners of the Sunshine state. Whether you’re from Naples, Orlando, Miami, or Boca Raton, we can provide specialized counseling remotely in your area.

The placid, clear waters of Sand Harbor in Lake Tahoe, one part of Nevada where The Center for the Obsessive Mind offers specialized treatment for Trichotillomania.


Therapists at the Center for the Obsessive Mind also practice teletherapy in Nevada. So if you’re seeking help in Glenbrook, Incline Village, Reno or Las Vegas, we offer specialized treatment for Trichotillomania online across the Grand Canyon State.

The Seven Sisters sea cliffs in Sussex, England, one international locale where The Center for the Obsessive Mind provides counseling.


In addition to all of these locations, the staff at the Center for the Obsessive Mind offer teletherapy for Trichotillomania to a number of countries internationally.

Cozy couch and computer: all you need for teletherapy and what your treatment with The Center for the Obsessive Mind could look like.


Online therapy isn’t right for everyone. An assessment must be done to determine if online therapy will meet for your needs. You can reach out here to learn more.


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Disclaimer: The information contained on this website is intended for informational and education purposes only and is not meant to be a replacement for therapy. If you are interested in treatment, you can email us and we will happily provide you with more information.