Table of Contents for THE HAIR PULLING PROBLEM: A COMPLETE GUIDE TO TRICHOTILLOMANIA BY FRED PENZEL, Ph.D. List of Illustrations List of Tables Foreword Introduction 1. What Is Trichotillomania? The Diagnostic Criteria TTM and OCD The Effects of Hair Pulling Patterns and Signs of Pulling How People Pull Disguises and Camouflage Physical Sensations and Pulling Trying to Stop Testing and Measuring TTM Who Pulls? TTM Across the Lifespan TTM and Heredity What Gets TTM Started? Disorders That Occur Together With TTM Problems Mistaken for TTM 2. The Shame Of It All - What To Do About It The Stigma of TTM The Emotional Cost Destigmatizing Yourself The Self-Esteem Trap Self-acceptance The Only Logical Way Defining Acceptance Acceptance and TTM Treatment Issues Mindfulness, Breathing and Meditation The Five Acceptances Accepting yourself Accepting others Accepting the illness and the nature of the illness Accepting the nature of the task of therapy Accepting the nature of the task of ongoing recovery 3. The Causes Of TTM - Why Do People Pull? The Psychoanalytic Model The Addiction Model The Behavioral Model The Ethological Model The Neurobiological Model TTM and the Obsessive-Compulsive Spectrum Similarities and connections linking TTM and OCD Dissimilarities between TTM and OCS Similarities of TTM and Tourette's The Comprehensive Model The Stimulus Regulation Model An Integrated Approach The Yeast Allergy Model 4. Some Facts About Hair The Functions of Hair The Structure and Composition of Hair How Hair Grows Permanent Hair Loss and TTM Other Causes of Hair Loss Popular Hair Myths Common Hair Frauds and What Really Works 5. How TTM Is Treated Therapy for TTM Treatments That Don't Work Traditional Talk Therapy and TTM Play Therapy Energy Therapy Homeopathy Special Diets Supplements Other Miscellaneous Treatments Treatments That Might Work Hypnosis Biofeedback Treatments That Work Behavioral Therapy Cognitive Therapy Therapy, the Therapist, and My Feelings Behavioral Therapy Steps for TTM Habit Reversal Training Stimulus Control Behavioral Therapy A Time Frame Knowing When You Need Therapy Recovery with Behavioral Therapy Alone Only Commitment Brings Success Using Medication with Behavioral Therapy Behavioral Therapy Can Help Biological Problems Getting the Right Treatment Where and how to look What to ask What you should know Choosing a therapist 6. Designing A Self-Help Program Is Self Help For You? Getting Started Assembling the Steps Relaxation script Brief relaxation exercise 7. Medication And TTM Treatment Medication as Part of Treatment Medications Used to Treat TTM Drug Augmentation Prescribing Medications for TTM Getting Started with Medications Medications - Everything Works for Somebody, Nothing Works for Everybody The Best Medication for You How to Tell When Medication is Working Long Term Medication and Side Effects The Effects of Other Medications on TTM TTM, Medication and Pregnancy Side Effects and What Can Be Done About Them TTM Medications and Addiction Getting Well Using Medication Alone If Your TTM Medication Stops Working If Medications Don't Work Discontinuing Medication Once Symptoms Improve Special Diets or Supplements When You Can't Afford Medication 8. Recovery And Maintenance Defining Recovery Relapse Prevention Staying Well Additional TTM Maintenance Goals 9. TTM And Your Child Recognizing TTM in Children Coming to Terms With Your Child's Disorder Explaining the Disorder to a Child The Reluctant Child Treatment for the Child with TTM The Therapy Process A Hairpiece for Your Child Pros and Cons Medication and Your Child Medications Used to Treat Children Children with TTM and School Childhood TTM and Strep Infections 10. TTM And The Other People In Your Life The People Close To You Help or Hindrance? If the TTM Sufferer Refuses Help TTM, Relationships, and Intimacy Coming Out 11. Resources For Getting Help The Trichotillomania Learning Center Other Organizations That Can Help Support Groups Resources Online TTM Reading and Viewing List Medical Facilities Offering Treatment for TTM Glossary Appendices A TTM, Skin Picking and Nail Biting Symptom Checklist B TTM Clinical Rating Scales and Questionnaires C Official DSM-IV Diagnostic Criteria for Trichotillomania About The Author Index |