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Hair-Pulling Problem A Complete Guide to Trichotillomania

ISBN-10: 0195149424
ISBN-13: 9780195149425
Edition: 2003
Authors: Fred Penzel
List price: $41.95 Buy it from $11.24
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Description: Trichotillomania, one of the family of obsessive-compulsive disorders, may afflict as many as 6 to 8 million people in the United States. Now, a leading authority on obsessive-compulsive disorders, Dr. Fred Penzel, has written the most up-to-date,  More...

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Book details

List price: $41.95
Copyright year: 2003
Publisher: Oxford University Press, Incorporated
Publication date: 3/27/2003
Binding: Hardcover
Pages: 384
Size: 6.25" wide x 9.25" long x 1.00" tall
Weight: 1.848
Language: English

Trichotillomania, one of the family of obsessive-compulsive disorders, may afflict as many as 6 to 8 million people in the United States. Now, a leading authority on obsessive-compulsive disorders, Dr. Fred Penzel, has written the most up-to-date, comprehensive, and authoritative guide to this syndrome available, filled with reassuring advice for patients and their families. Endorsed by the Trichotillomania Learning Center, the leading advocate group for this disorder, this superb handbook includes all the information a patient or relative would need to understand this illness and to cope with it. Penzel provides a detailed discussion of causes and he reviews all the treatment options, describing the most effective medications and their side effects as well as the recommended cognitive and behavioral treatments. He shows patients how to design a self-help program and gain control of their compulsive behavior, how to prevent relapse, describes trichotillomania and its treatment in children, and suggests coping strategies for families at home and in public situations. He also provides a guide to all the resources available, including internet sites, recommended books, and videos, and outlines ways to start a support group. The appendix will include questionnaires, clinical rating scales, and the official DSM diagnostic criteria for the disorder, so readers can decide if they need to seek behavioral and possibly medical treatment. Dr. Penzel has helped patients with OCD and trichotillomania for over twenty years and is one of America's leading authorities on these disorders. Drawing on decades of hands-on experience, he has produced the most complete and scientifically accurate handbook available on this disorder, a comforting guide packed with information to help people with trichotillomania get well and stay well.

List of Illustrations
List of Tables
Foreword
Introduction
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
"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
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
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
How TTM Is Treated
Therapy for TTM
Treatments That Probably 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
Designing a Self-Help Program
Is Self-Help for You?
Getting Started
Assembling the Steps
Relaxation Script
Brief Relaxation Exercise
Medication and TTM Treatment
Medication as Part of Treatment
Medications Used to Treat TTM
Drug Augmentation
Prescribing Medication 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
Recovery and Maintenance
Defining Recovery
Relapse Prevention--Staying Well
Facing Professional Hair Care
Additional TTM Maintenance Goals
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
Preadolescent Children
Adolescents
The Therapy Process
Stimulus Control and Morale Builders
Relapse Prevention
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
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
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
Trichotillomania, Skin Picking and Nail Biting Symptom Checklist
TTM Clinical Rating Scales and Questionnaires
Official DSM-IV Diagnostic Criteria for Trichotillomania
Index
About the Author

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