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List of Illustrations | |
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List of Tables | |
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Foreword | |
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Introduction | |
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What Is Trichotillomania? | |
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The Diagnostic Criteria | |
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TTM and OCD | |
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The Effects of Hair Pulling | |
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Patterns and Signs of Pulling | |
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How People Pull | |
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Disguises and Camouflage | |
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Physical Sensations and Pulling | |
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Trying to Stop | |
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Testing and Measuring TTM | |
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Who Pulls? | |
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TTM Across the Lifespan | |
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TTM and Heredity | |
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What Gets TTM Started? | |
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Disorders That Occur Together With TTM | |
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Problems Mistaken for TTM | |
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"The Shame of It All"--What To Do About It | |
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The Stigma of TTM--The Emotional Cost | |
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Destigmatizing Yourself | |
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The Self-Esteem Trap | |
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Self-Acceptance--The Only Logical Way | |
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Defining Acceptance | |
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Acceptance and TTM Treatment Issues | |
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Mindfulness, Breathing, and Meditation | |
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The Five Acceptances | |
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Accepting Yourself | |
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Accepting Others | |
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Accepting the Illness and the Nature of the Illness | |
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Accepting the Nature of the Task of Therapy | |
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Accepting the Nature of the Task of Ongoing Recovery | |
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The Causes of TTM--Why Do People Pull? | |
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The Psychoanalytic Model | |
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The Addiction Model | |
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The Behavioral Model | |
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The Ethological Model | |
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The Neurobiological Model | |
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TTM and the Obsessive-Compulsive Spectrum | |
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Similarities and Connections Linking TTM and OCD | |
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Dissimilarities between TTM and OCS | |
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Similarities of TTM and Tourette's | |
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The Comprehensive Model | |
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The Stimulus Regulation Model--An Integrated Approach | |
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The Yeast Allergy Model | |
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Some Facts About Hair | |
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The Functions of Hair | |
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The Structure and Composition of Hair | |
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How Hair Grows | |
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Permanent Hair Loss and TTM | |
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Other Causes of Hair Loss | |
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Popular Hair Myths | |
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Common Hair Frauds and What Really Works | |
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How TTM Is Treated | |
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Therapy for TTM | |
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Treatments That Probably Don't Work | |
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Traditional Talk Therapy and TTM | |
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Play Therapy | |
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Energy Therapy | |
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Homeopathy | |
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Special Diets | |
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Supplements | |
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Other Miscellaneous Treatments | |
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Treatments That Might Work | |
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Hypnosis | |
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Biofeedback | |
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Treatments That Work | |
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Behavioral Therapy | |
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Cognitive Therapy | |
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Therapy, the Therapist, and My Feelings | |
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Behavioral Therapy Steps for TTM | |
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Habit Reversal Training | |
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Stimulus Control | |
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Behavioral Therapy--A Time Frame | |
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Knowing When You Need Therapy | |
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Recovery with Behavioral Therapy Alone | |
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Only Commitment Brings Success | |
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Using Medication with Behavioral Therapy | |
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Behavioral Therapy Can Help Biological Problems | |
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Getting the Right Treatment | |
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Where and How to Look | |
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What to Ask | |
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What You Should Know | |
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Choosing a Therapist | |
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Designing a Self-Help Program | |
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Is Self-Help for You? | |
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Getting Started | |
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Assembling the Steps | |
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Relaxation Script | |
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Brief Relaxation Exercise | |
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Medication and TTM Treatment | |
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Medication as Part of Treatment | |
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Medications Used to Treat TTM | |
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Drug Augmentation | |
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Prescribing Medication for TTM | |
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Getting Started with Medications | |
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Medications: Everything Works for Somebody, Nothing Works for Everybody | |
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The Best Medication for You | |
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How to Tell When Medication is Working | |
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Long Term Medication and Side Effects | |
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The Effects of Other Medications on TTM | |
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TTM, Medication, and Pregnancy | |
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Side Effects and What Can Be Done About Them | |
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TTM Medications and Addiction | |
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Getting Well Using Medication Alone | |
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If Your TTM Medication Stops Working | |
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If Medications Don't Work | |
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Discontinuing Medication Once Symptoms Improve | |
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Special Diets or Supplements | |
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When You Can't Afford Medication | |
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Recovery and Maintenance | |
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Defining Recovery | |
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Relapse Prevention--Staying Well | |
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Facing Professional Hair Care | |
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Additional TTM Maintenance Goals | |
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TTM and Your Child | |
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Recognizing TTM in Children | |
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Coming to Terms with Your Child's Disorder | |
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Explaining the Disorder to a Child | |
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The Reluctant Child | |
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Treatment for the Child with TTM | |
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Preadolescent Children | |
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Adolescents | |
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The Therapy Process | |
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Stimulus Control and Morale Builders | |
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Relapse Prevention | |
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A Hairpiece for Your Child--Pros and Cons | |
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Medication and Your Child | |
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Medications Used to Treat Children | |
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Children with TTM and School | |
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Childhood TTM and Strep Infections | |
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TTM and the Other People in Your Life | |
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The People Close To You--Help or Hindrance? | |
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If the TTM Sufferer Refuses Help | |
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TTM, Relationships, and Intimacy | |
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Coming Out | |
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Resources for Getting Help | |
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The Trichotillomania Learning Center | |
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Other Organizations That Can Help | |
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Support Groups | |
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Resources Online | |
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TTM Reading and Viewing List | |
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Medical Facilities Offering Treatment for TTM | |
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Glossary | |
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Appendices | |
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Trichotillomania, Skin Picking and Nail Biting Symptom Checklist | |
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TTM Clinical Rating Scales and Questionnaires | |
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Official DSM-IV Diagnostic Criteria for Trichotillomania | |
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Index | |
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About the Author | |