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Non-pharmacological interventions, including behavior modification programs, may be considered; referrals to psychologists or psychiatrists may be considered when other interventions fail. When trichotillomania begins in adulthood, it is often associated with other mental disorders, and referral to a psychologist or psychiatrist for evaluation ...
Decoupling [1] is a behavioral self-help intervention for body-focused and related behaviors such as trichotillomania, onychophagia (nail biting), skin picking and lip-cheek biting. The user is instructed to modify the original dysfunctional behavioral path by performing a counter-movement shortly before completing the self-injurious behavior ...
Habit reversal training (HRT) is a "multicomponent behavioral treatment package originally developed to address a wide variety of repetitive behavior disorders". [1] Behavioral disorders treated with HRT include tics, trichotillomania, nail biting, thumb sucking, skin picking, temporomandibular disorder (TMJ), lip-cheek biting and stuttering.
Cognitive behavioral therapy was cited as experimental evidence based therapy to treat trichotillomania and nail biting; [7] a systematic review found best evidence for habit reversal training and decoupling. [8] Another form of treatment that focuses on mindfulness, stimuli and rewards has proven effective in some people.
There have been many different theories regarding the causes of excoriation disorder, including biological and environmental factors. [10]A common hypothesis is that excoriation disorder is often a coping mechanism to deal with elevated levels of turmoil, boredom, anxiety, or stress within the individual, and that the individual has an impaired stress response.
Though this is a very serious compulsive behavior, getting treatment and a proper diet plan can help individuals overcome these behaviors. [11] In eating disorders (like anorexia nervosa and bulimia nervosa) a person is preoccupied with weight, body and caloric intake.
Treatment: Psychotherapy [4] Prognosis: ... compulsive grooming disorders such as trichotillomania, ... is a commonly implemented therapeutic intervention for ...
For body-focused repetitive behaviors (BFRB) such as trichotillomania (hair pulling), skin picking and onychophagia (nail biting), behavioral interventions such as habit reversal training and decoupling are recommended for the treatment of compulsive behaviors.
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