Trichotillomania: Therapist Guide

Trichotillomania (TTM) is a complex disorder that is difficult to treat and few effective therapeutic options exist. This Therapist Guide for the Acceptance and Commitment Therapy (ACT) Enhanced Behavior Therapy for Trichotillomania (AEBT-T), and the accompanying client workbook, is a 10-session program designed to teach therapists how to help clients reduce their pulling, think differently about the internal experiences that trigger pulling, and learn to live a more valued life.

Douglas Woods is currently Dean of the Graduate School and Professor of Psychology at Marquette University in Milwaukee, WI. Prior to that he was Head of Psychology at Texas A&M University from 2013-2015 and held various faculty and administrative appointments at the University of Wisconsin-Milwaukee from 1999-2013. Dr. Woods received his Ph.D. in Clinical Psychology from Western Michigan University and is a licensed psychologist in Wisconsin. Dr. Woods has authored or co-authored over 300 papers and 9 books and multiple grants for his work on tic disorders, trichotillomania, and other OCD-related problems.
Michael P. Twohig, Ph.D. is a psychologist in Utah and a Professor of Psychology at Utah State University, where he co-runs the ACT Research Group (with Dr. Levin). He studied at the University of Wisconsin-Milwaukee, the University of Nevada, Reno, and the University of British Columbia Hospital. He is past-President of the Association of Contextual Behavioral Science. His
research focuses on the use of ACT with an emphasis on obsessive compulsive and related disorders. He has published over 200 scholarly works including 7 books. His research has been funded through multiple sources including the NIMH and the IOCDF.

Introductory Information for Therapists and Assessment
Chapter 1: Session 1: Trichotillomania (TTM) Education, Therapy Overview, Expectations, and Assessment of Pulling Triggers
Chapter 2: Session 2: Habit Reversal Training and Trigger Reduction Strategies
Chapter 3: Session 3: Increasing Motivation for Treatment Through Values
Chapter 4: Session 4: Can Pulling-Related Inner Experiences Be Controlled?
Chapter 5: Session 5: Acceptance of Pulling-Related Inner Experiences
Chapter 6: Sessions 6 and 7: Defusion from Your Inner Experiences: You Are Not Your Urges to Pull
Chapter 7: Session 8: Practicing Acceptance and Commitment Therapy (ACT)
Chapter 8: Session 9: Practicing ACT and Review of Treatment
Chapter 9: Session 10: Review and Relapse Prevention
Chapter 10: Modifications for Working with Adolescents
Appendix A: Assessment Measures
Appendix B: Client Forms, Graphs, and Worksheets
Appendix C: Caregiver Handouts
References