Definition by Carol Hevia, Psy.D., reproduced with permission from International OCD Foundation.
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habit reversal treatment
( habit reversal training )
This is the behavioral treatment of choice for Trichotillomania. In this treatment the patient becomes more aware of patterns of picking or pulling, identifies the behaviors that bring on the picking or pulling, and then works on developing alternative behaviors to block the destructive habit. For instance, when feeling high levels of anxiety a hair puller can knit, which keeps both hands occupied and keeps the individual engaged in a relaxing activity when s/he is at a high risk to pull.