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===Psychotherapy=== [[Habit reversal training]] (HRT) has the highest rate of success in treating trichotillomania.<ref name="Sah"/> HRT has also been shown to be a successful adjunct to [[medication]] as a way to treat trichotillomania.<ref name="Chamberlain"/><ref name="Woods">{{cite journal | vauthors = Woods DW, Wetterneck CT, Flessner CA | title = A controlled evaluation of acceptance and commitment therapy plus habit reversal for trichotillomania | journal = Behaviour Research and Therapy | volume = 44 | issue = 5 | pages = 639β656 | date = May 2006 | pmid = 16039603 | doi = 10.1016/j.brat.2005.05.006 }}</ref> With HRT, the individual is trained to learn to recognize their impulse to pull and also teach them to redirect this impulse. In comparisons of behavioral versus pharmacologic treatment, [[cognitive behavioral therapy]] (including HRT) have shown significant improvement over medication alone.<ref name="Chamberlain"/><ref name="Sah"/> It has also proven effective in treating children.<ref name="Sah"/> [[Biofeedback]], cognitive-behavioral methods, and [[hypnosis]] may improve symptoms.<ref name="Shenefelt2003">{{cite journal | vauthors = Shenefelt PD | title = Biofeedback, cognitive-behavioral methods, and hypnosis in dermatology: is it all in your mind? | journal = Dermatologic Therapy | volume = 16 | issue = 2 | pages = 114β122 | year = 2003 | pmid = 12919113 | doi = 10.1046/j.1529-8019.2003.01620.x | s2cid = 9242228 | doi-access = free }}</ref> [[Acceptance and commitment therapy]] (ACT) is also demonstrating promise in trichotillomania treatment.<ref>{{cite journal | vauthors = Ruiz FJ |year=2010 |title=A review of Acceptance and Commitment Therapy (ACT) empirical evidence: Correlational, experimental psychopathology, component and outcome studies |journal=International Journal of Psychology and Psychological Therapy |volume=10 |issue=1 |pages=125β62 |url=http://www.ijpsy.com/volumen10/num1/256.html |url-status=live |archive-url=https://web.archive.org/web/20120223144433/http://www.ijpsy.com/volumen10/num1/256.html |archive-date=2012-02-23 }}</ref> A systematic review from 2012 found tentative evidence for "[[Decoupling for body-focused repetitive behaviors|movement decoupling]]".<ref>{{cite journal | vauthors = Sarris J, Camfield D, Berk M | title = Complementary medicine, self-help, and lifestyle interventions for obsessive compulsive disorder (OCD) and the OCD spectrum: a systematic review | journal = Journal of Affective Disorders | volume = 138 | issue = 3 | pages = 213β221 | date = May 2012 | pmid = 21620478 | doi = 10.1016/j.jad.2011.04.051 }}</ref>
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