Efficacy of COMB (Comprehensive Behavioral) Model of Treatment of Trichotillomania

Treatment Development Study of the COMB Model of Trichotillomania

This pilot study is being conducted in order to help make the case for later, more systematic research on the effectiveness of the Comprehensive Behavioral (COMB) model of treating trichotillomania (compulsive hair pulling). The goals are to standardize COMB treatment techniques in the form of a clear written manual for therapists; determine whether therapists can use these guidelines in a consistent manner in making treatment decisions; develop and test the reliability of measures of how well therapists are conducting the treatment; and collect preliminary data on the acceptability of the treatment to patients.

Inclusion Criteria:

• 18 years or older
• Primary Diagnostic and Statistical Manual, Fifth Edition (DSM-5) diagnosis of Trichotillomania (TTM)

Exclusion Criteria:

• Current suicidality or severe depression
• Current psychosis
• Current alcohol or substance abuse
• Concurrent psychotherapy for TTM
• Psychotropic meds (for any disorder) that have not been stable for >4 weeks