Internet CBT for Trichotillomania and Skin Picking Disorder

Internet Delivered Cognitive Behavior Therapy for Trichotillomania and Skin Picking Disorder

The primary aim of the study is to test the feasibility, safety and efficacy of a manual based, Internet-delivered, behavior therapy (I-BT) for trichotillomania and skin picking disorder.

Inclusion Criteria:

• Primary diagnosis of trichotillomania and/or skin picking disorder according to DSM-5
• Living in Sweden with a Swedish personal identification number
• Able to participate in study assessment in Swedish and understand Swedish text
• Have regular access to a computer with Internet access and skills to use Internet
• Signed informed consent
• Outpatient

Exclusion Criteria:

• Psychotropic medication changes that can affect symptoms of trichotillomania or skin picking disorder within 2 months prior to treatment
• Other ongoing psychological treatments that could affect symptoms of trichotillomania or skin picking disorder
• Completed CBT for trichotillomania or skin picking disorder within the last 24 months
• Ongoing substance dependence or misuse
• Lifetime bipolar disorder or psychosis
• Suicidal ideation (a score of 5 points or higher on item 9 on the self-reported Montgomery-Åsberg depression rating scale
• Psychiatric comorbidity that could severely jeopardize treatment participation