Underestimated, under-researched, and often poorly understood, the body-focused repetitive disorders nevertheless cause human suffering that is serious, persistent, and pervasive. These disorders can occur in both adults and children and manifest themselves as hair pulling (trichotillomania), pathologic skin picking, thumb sucking, and nail biting. Although these disorders are common, very few medical students and residents hear them addressed in lectures or know where to begin when confronted with a patient presenting with these behaviors. Trichotillomania, Skin Picking, and Other Body-Focused Repetitive Behaviors seeks to remedy this situation by synthesizing the latest research on body-focused repetitive disorders and presenting it in a systematic, easy-to-grasp manner.

Much has changed in the more than a decade since the last book on this topic was published. This new volume reflects the most current and substantive research into the etiology and symptoms of body-focused repetitive disorders and therapeutic options. Organized in logical fashion, it begins with a review of the clinical characteristics, moves on to diagnosis and evaluation, and concludes with a full review of treatment options. Special features include: - Extensive material to help clinicians and patients understand the underlying purpose of engaging in these behaviors, which include, reducing tension, regulating strong emotion, and alleviating boredom.- Separate chapters on adults and children, who may have a different presentation and a different set of treatment options. An additional chapter focuses on the role of the child patient's family in the diagnosis and treatment of the disorder.- Thorough coverage of the full range of treatments -- including psychotherapy, medication, and alternative treatments -- which provides the clinician with an evidence-based approach to treating patients.- Discussion of the psychobiology of hair pulling and skin picking, which allows the reader to understand and contextualize the disorder from a neurological perspective and offers clues that may assist in optimizing treatment.- A presentation style that is detailed enough for clinicians, yet accessible enough for a lay audience, including patients with the disorder and the families who seek to understand and support them.

Trichotillomania, Skin Picking, and Other Body-Focused Repetitive Behaviors fills a critical gap in the literature by addressing this common and frequently debilitating disorder in an utterly current, highly practical, and wholly compassionate manner.

If you suffer from Tourette Syndrome (TS), or any other chronic motor or vocal tic disorder, you know how difficult it can be to manage your symptoms. You may be taking medication or working with a medical doctor to control your tics. If you are seeking an alternative or adjunctive treatment, you may wish to try the scientifically proven behavior therapy program described in this workbook.
Behavior therapy can teach you skills for effectively managing your tics. Designed to be used in conjunction with visits to a qualified mental health professional, this workbook outlines an 11-session treatment package for adults and children with tic disorders.
Behavior therapy can teach you skills for effectively managing your tics. Designed to be used in conjunction with visits to a qualified mental health professional, this workbook outlines an 11-session treatment package for adults and children with tic disorders. The goal of this program is not to cure your disorder, but to teach you the best ways to manage it so that you can improve your quality of life and look to the future with optimism.
TreatmentsThatWorkTM represents the gold standard of behavioral healthcare interventions

. All programs have been rigorously tested in clinical trials and are backed by years of research
. A prestigious scientific advisory board, led by series Editor-In-Chief David H. Barlow, reviews and evaluates each intervention to ensure that it meets the highest standard of evidence so you can be confident that you are using the most effective treatment available to date
. Our books are reliable and effective and make it easy for you to provide your clients with the best care available
. Our corresponding workbooks contain psychoeducational information, forms and worksheets, and homework assignments to keep clients engaged and motivated
. A companion website (www.oup.com/us/ttw) offers downloadable clinical tools and helpful resources
. Continuing Education (CE) Credits are now available on select titles in collaboration with PsychoEducational Resources, Inc. (PER)"

Trichotillomania (TTM) is a complex disorder that is difficult to treat as few effective therapeutic options exist. Behaviour therapy has the greatest empirical support, but the number of mental health providers familiar with TTM and its treatment is quite small. This manual was written as a tool for therapists to become familiar with an effective treatment for TTM. The treatment approach described in this guide blends traditional behaviour with therapy elements of habit reversal training and stimulus control techniques with the more contemporary behavioural elements of Acceptance and Commitment Therapy (ACT). In the first phase of the program, clients are taught skills for stopping and preventing their unconscious pulling episodes. In the second phase, clients are introduced to ACT. Unlike traditional interventions that aim to change type or frequency of pulling-related cognitions in the hopes of reducing urges to pull hair, this innovative program uses strategies to change the function of these cognitions. Clients are taught to see urges for what they really are and to accept their pulling-related throughts, feelings, and urges wihtout fighting against them. This is accomplished through discussions about the function of language and defusion exercises that show the client how to respond to thoughts about pulling less literally. Over the course of 10 weeks, clients learn to be aware of their pulling and warning signals, use self-management strategies for stopping and preventing pulling, stop fighting against their pulling-related urges and thoughts, and work towards increasing their quality of life. Self-monitoring and homework assignments keep clients motivated and engaged throughout. Designed to be used with older adolescents and adults, this innovative intervention has proven efficacy and is sure to be a powerful tool for the clinician who treats TTM.

Tourette syndrome (TS) is a chronic, neurobehavioral disorder of childhood that has traditionally been treated with medication. Although available, many mental health professionals are not familiar with an effective behavioral therapy for tic disorders.
This therapist guide outlines a safe and scientifically proven treatment that can help sufferers of TS and other tic disorders effectively manage their tics and improve their quality of life. The treatment described is an 11-session package for children and adults (ages 9 and older). Psychoeducation about tic disorders is blended with multiple components of behavior therapy, including habit reversal training (HRT), relaxation training, and function-based treatments. The primary goal of this program is to teach the patient effective tic management skills rather than to cure the tic disorder.
At the start of the program, you will work with your patient to create a hierarchy of tics to be addressed in treatment. Each week, a new tic will be targeted and an appropriate function-based intervention implemented. Tic management skills are supplemented with relaxed breathing and progressive muscle relaxation exercises to help the patient combat anxiety. Relapse prevention and booster sessions help reinforce the skills taught in therapy and give the patient a positive outlook for the future.
Complete with step-by-step instructions for conducting sessions, as well as lists of materials needed and copies of necessary forms, this guide provides you with all the information you need to effectively administer treatment.
TreatmentsThatWorkTM represents the gold standard of behavioral healthcare interventions

. All programs have been rigorously tested in clinical trials and are backed by years of research
. A prestigious scientific advisory board, led by series Editor-In-Chief David H. Barlow, reviews and evaluates each intervention to ensure that it meets the highest standard of evidence so you can be confident that you are using the most effective treatment available to date
. Our books are reliable and effective and make it easy for you to provide your clients with the best care available
. Our corresponding workbooks contain psychoeducational information, forms and worksheets, and homework assignments to keep clients engaged and motivated
. A companion website (www.oup.com/us/ttw) offers downloadable clinical tools and helpful resources
. Continuing Education (CE) Credits are now available on select titles in collaboration with PsychoEducational Resources, Inc. (PER)"

Trichotillomania (TTM) is a complex disorder which involves at least two levels of psychological functioning. At one level, it is a habitual behaviour. This type of TTM involves 'automatic pulling' and typically occurs without a person's awareness. The second type of TTM is more closely related to emotional functioning or regulation and is known as 'focused pulling'. Generally, it is believed that most individuals with TTM exhibit both types of pulling. THe most common treatment for TTM is Habit Reversal Therapy (HRT), and its main focus is the habitual, or 'automatic' aspect of the disorder. In this new treatment program, Drs Wood and Twohig have designed a treatment which combines the basic aspects of HRT with Acceptance and Commitment Therapy (ACT) to address the 'focused' aspects of the pulling. ACT seeks to alter the thoughts and feelings surrounding the pulling, and removes the compulsive aspect of the pulling urge, while HRT focuses on increasing the awareness of the pulling and teaches the person to utilise a competing behaviour instead of pulling. Together, these two techniques work to decrease all incidents of pulling, and help the client understand and come to terms with the emotional triggers of their disorder. In a clinical setting, this combined treatment was proven very effective, with high maintenance rates over a three-month period. This treatment consists of 10 60-minute sessions spread out over six weeks, with the final two sessions taking place every two weeks to ease the client out of the therapeutic environment and intrduce relapse prevention techniques. This corresponding workbook will contain monitoring forms to help the client maintain an awareness of their pulling, as well as self-assessment tests and other homework exercises.

If your child has Tourette Syndrome (TS), or any other chronic motor or vocal tic disorder, you know how important it is to get the best treatment available. Behavior therapy, as described in this workbook, is a treatment for tic disorders that is scientifically proven to help sufferers of TS manage their symptoms.
This 11-session program involves helping your child become aware of his tics and the situations that make them worse. In conjunction with visits to a qualified mental health professional, your family will learn to restructure your child's environment so tics occur less frequently. With your help, your child will create a list of tics to be addressed during treatment. Each week a new tic will be targeted and your child will be taught specific exercises for managing that tic. The program also includes relaxation techniques designed to help your child combat anxiety and stress. Relapse prevention strategies will help your family maintain progress and keep your child motivated long after treatment has ended.
Complete with psychoeducational information, as well as child-friendly forms and worksheets, this workbook will help your family better understand TS and the ways you can effectively support your child. The goal of this program is not to cure the tic disorder, but to teach your child skills for managing tics well into the future.
TreatmentsThatWorkTM represents the gold standard of behavioral healthcare interventions

. All programs have been rigorously tested in clinical trials and are backed by years of research
. A prestigious scientific advisory board, led by series Editor-In-Chief David H. Barlow, reviews and evaluates each intervention to ensure that it meets the highest standard of evidence so you can be confident that you are using the most effective treatment available to date
. Our books are reliable and effective and make it easy for you to provide your clients with the best care available
. Our corresponding workbooks contain psychoeducational information, forms and worksheets, and homework assignments to keep clients engaged and motivated
. A companion website (www.oup.com/us/ttw) offers downloadable clinical tools and helpful resources
. Continuing Education (CE) Credits are now available on select titles in collaboration with PsychoEducational Resources, Inc. (PER)"

Grounded in a comprehensive model of Tourette Syndrome (TS) and related disorders, this state-of-the-art volume provides a multidisciplinary framework for assessment and treatment. Leading authorities present the latest knowledge on the neurobehavioral underpinnings of TS, its clinical presentation, and how to distinguish it from frequently encountered co-occurring disorders, such as obsessive-compulsive disorder and attention-deficit/hyperactivity disorder. Strategies for managing symptoms and providing effective support to children and families are thoroughly detailed, with an emphasis on integrating medication and psychosocial therapies. Several chapters also address clinical work with adults with TS. User friendly and practical, the book includes three reproducible assessment tools.