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Professional Training Institute
Effective CBT Treatment of Hair Pulling and Skin Picking Disorders

Hair Pulling and Skin Picking are treatable disorders.

Trichotillomania (Hair Pulling Disorder) affects up to 9 million Americans, of all ages, genders, ethnicities, nationalities and socio-economic backgrounds.

Skin Picking Disorder affects an estimated 12 million Americans. 
Online referral listings receive over 3,000 unique visits per month. That’s 3,000 people looking for relief.

TLC currently lists only 200 known providers throughout the world.

About the Training  | Schedule  |  Who Should Attend  |  Facilitators  | Testimonials | Hotel Accommodations

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The Professional Training Institute offers a three-day intensive training program, facilitated by leading experts in the treatment of Trichotillomania, skin picking and related body-focused repetitive behaviors (BFRBs), provides health care professionals with practical training in current cognitive-behavioral treatment approaches for these behaviors.  Up to 20 CE Credits are offered for licensed practitioners. Read more about Continuing Education >>

• Learn current, clinically relevant information about these problems and empirically supported treatments to address them
• Build your practice by joining TLC’s Online Referral Directory
• Change the lives of patients who have suffered in isolation with the shame and stigma of an under-treated and misunderstood disorder. 
  

“I recommend the PTI without any reservations.  It is a rare treat to have the world’s expert clinicians in one room teaching all they know to an intimate group of highly skilled colleagues. I wish cognitive-behavioral training of this intensity was available for some of the other syndromes I treat. ”
David Kosins, PhD, Clinical Psychologist
Seattle, WA
 
“I was absolutely floored by the quality of the PTI. It is so rare to have the opportunity to learn from so many experts in such an intimate training setting. Having the chance to hear those who helped develop the current state-of-the-art teach, model, and demonstrate the treatments was incredible.”
Stacy Shaw Welch, PhD, Director, Anxiety & Stress Reduction Center
Seattle, WA

Sponsored by the Behavior Therapy Center of Greater Washington, and the Trichotillomania Learning Center.

About the Training:

Prior to the weekend, a reading list will be assigned (materials will be mailed upon registration), and during the weekend, didactic instruction, case consultation, and experiential learning will be utilized to achieve training goals. At the end of the weekend, a certificate of completion will be awarded to trainees. 

Follow-up consultations will be available. For those trainees who provide treatment services to the TTM community, TLC will note on its referral lists that the trainee has completed the PTI. TLC Professional members receive priority listings on all referral lists.

This program has been submitted for approval of up to 16 Continuing Education Credits for licensed

Training Schedule:

Friday, October 19: 7:30pm - 9:30pm
Orientation and Screening of documentary “Bad Hair Life." Refreshments included.
Objectives: Describe the interpersonal impact of BFRBs, list secondary psychological issues with BFRBs.

Saturday, October 20: 9:00am - 5:00pm
Diagnosis, Assessment and Comorbidity
Objectives: List diagnosis criteria of TTM and other BFRBs, discuss different assessment instruments used in the treatment of BFRBs, explain common conditions co-morbid to BFRBs.

Etiology/Conceptual Models and Research
Objectives: Describe the most common psychological models used to explain BFRBs, discuss the evolution of TTM and other BFRB treatment as derived from different treatment models, recite important research studies that influenced the conceptual model of treatment for BFRBs.

Introduction to Behavior Therapy—Overview of Habit Reversal
Objectives: Apply the fundamentals of Behavior Therapy, describe the components of Habit Reversal Training, assess other behavioral treatment approaches.

12:30-1:30pm: Lunch (on your own)

Clinical Presentation and Phenomenology
Objectives: Assess the clinical presentation of TTM and other BFRB’s, predict the idiosyncratic nature of BFRBs, demonstrate awareness of the personal toll of BFRBs on sufferers.

Comprehensive Behavioral Model (ComB)
Objectives: List the 5 modalities of the ComB Model, describe the phases of treatment in the ComB Model, analyze the strengths and limitations of ComB Model.

Case Presentation I
Objectives: Explain the intake process of treatment for TTM, plan pacing and focus in the initial phase of treatment, select important initial questions during the intake process.

Sunday, October 21: 9:00am - 5:00pm

Assessment, Treatment Implementation,Clinical Decision Making and Problem Solving
Objectives: List 3 problems commonly faced during treatment, analyze co-existing problems that affect treatment (school, marriage problems, expectations, etc.), assess impediments to treatment.

Case Presentation II
Objectives: Plan 3 strategies used for the sensory modality in the treatment of BFRBs, describethe role of monitoring during treatment.

Treatment Augmentation Including Medication
Objectives: Compare medications commonly prescribed for treatment of BFRBs, analyze some non-pharmacological augmentation interventions used for the treatment of TTM or BFRBs, Recite empirical support for augmentation procedures.

12:00-1:00pm: Lunch (on your own)

Case Presentation III
Objectives: Assess major elements in termination of BFRB treatment, explain means for assessing areas of progress in BFRB treatment, identify relapse prevention techniques

Treatment of Children and Adolescents
Objectives: Describe different therapeutic issues at the different developmental stages of young patients, assess parental involvement in treatment at these stages, discuss co-morbid conditions of the different developmental stages.

Termination, Relapse Prevention, Business Issues
Objectives: Describe termination issues unique to BFRB clients, when working BFRBs, design relapse prevention techniques to use throughout the treatment process, utilize business resources for developing a practice specializing in treatment of BFRBs.

Supplemental Reading List
Provided upon registration. Must be read BEFORE training weekend. Required reading for full credit.

• Mansueto, C. S. Trichotillomania Focus. OCD Newsletter, Issue 11, 10-1.1Obsessive Compulsive Foundation.
• Mansueto, C. S., Stemberger, R. M. T., Thomas, A. M., Golomb, R. G. (1997) Trichotillomania: A Comprehensive Behavioral Model. Clinical Psychology Review, 17, 567-577.
• Mansueto, C.S., Stemberger, R.M.T., Thomas, A.M., Golomb, R.G. (1999) A Comprehensive Model for Behavioral            Treatment of Trichotillomania. Cognitive and Behavioral Practice, 6, 23-46.
• Stemberger, R.M.T., Thomas, A.M., Mansueto, C.S., Carter, J.G. (2000) Personal Toll of Trichotillomania: Behavioral and Interpersonal Sequelae. Journal of Anxiety Disorders, Vol. 14, No. 1, 97-104
• Stemberger, R.M.T., Stein, D. J., Mansueto, C. S.(2003) Behavioral and Pharmacological Treatment of Trichotillomania. Brief Treatment and Crisis Prevention, 3, 339-352.
• Penzel, F. (1996) You, Your Child, and Your Child’s Pulling. Trichotillomania Learning Center. InTouch 15, 1996.
• Penzel, F. (2002) A Stimulus Regulation Model for Trichotillomania. Trichotillomania Learning Center. InTouch 33.
• Penzel, F. (2006) What Cognitive Therapy Can do for TTM. Trichotillomania Learning Center. InTouch 45.
• Golomb, R. G., Mansueto, C. S. (1994) Trichotillomania in Children. Trichotillomania Learning Center. InTouch 8.
• Golomb, R. G. (2005) Toddler and Preschool Hair Pulling. Trichotillomania Learning Center. InTouch 41.
• Grant, J. (2007) Medications for Trichotillomania & Skin Picking. Trichotillomania Learning Center. InTouch 47.
• Grant, J. (2009) N-Acetylcysteine for Trichotillomania, Skin Picking, and Nail Biting. Trichotillomania Learning Center. InTouch 55.
• Woods, D.W., Flessner, C.A., Franklin, M.E., Keuthen, N.J., Goodwin, R., Stein, D.J. Walther, M., & Trichotillomania Scientific Advisory Board (2006) The Trichotillomania Impact Project (TIP): Exploring phenomenology, functional impariment, and treatment utilization. Journal of Clinical Psychiatry, 67, 1877-1888.

Who Should Attend:

Participants in the PTI should be mental health professionals licensed to practice independently in their state. Program is most suitable for intermediate to advanced-level practitioners. Under special circumstances, non-licensed clinicians (e.g., graduate students, postdoctoral fellows, etc.) may attend the Institute. Contact TLC with any questions at  831-457-1004 or email info trich org

The Facilitators:

The Institute is staffed by members of TLC’s Scientific Advisory Board (SAB).  The SAB is comprised of leading researchers and clinicians in the areas of  TTM and BFRBs.  Their expertise ranges from biological foundations of TTM to applied psychiatry and psychology.

Charles S. Mansueto, PhD (PTI Director), is founder and director of the Behavior Therapy Center of Greater Washington in Silver Spring, Maryland, where he has been involved in the study and treatment of hundreds of BFRB sufferers. He is a founding member of TLC’s Scientific Advisory Board and also serves on the Scientific Advisory Boards of the Obsessive Compulsive Foundation and the Tourette Syndrome Association of Greater Washington. He is past professor of psychology at Bowie State University, Maryland, and is on the clinical faculty of the American School of Professional Psychology of Argosy University, Virginia. He chaired the first national symposium on TTM in 1990 and continues to investigate, publish, and speak about the disorder.

Ruth Goldfinger Golomb, MEd, LCPC,  is a senior clinician, supervisor, and co-director of the doctoral training program at the Behavior Therapy Center of Greater Washington. She has conducted numerous workshops and seminars, and participated as an expert in panel discussions covering many topics, including Tourette Syndrome, Obsessive Compulsive Disorder, Trichotillomania, and managing anxiety disorders in the classroom. In addition to publishing articles for professional journals and newsletters, Ms. Golomb is an author of The Hair Pulling ‘Habit’ and You: How to Solve the Trichotillomania Puzzle, a book describing the comprehensive treatment of trichotillomania in children, and Stay Out of My Hair, a book aimed at helping parents of children with trichotillomania. Ms. Golomb is a member of the Scienctific Advisory Board for the Trichotillomania Learning Center.

Fred Penzel, PhD, Executive Director, Western Suffolk Psychological Services in Huntington, New York,  has been involved in the treatment of TTM and Obsessive Compulsive Disorder (OCD) for over 18 years. He sits on the Scientific Advisory Board of both TLC and the Obsessive Compulsive Foundation, and is a founding member of both. Dr. Penzel is a prolific writer on the subjects of TTM and OCD, and is the author of Obsessive Compulsive Disorder:  A Guide to Getting Well and Staying Well and The Hair Pulling Problem:  A Complete Guide to Trichotillomania.

 

Lodging and Accommodations:

A limited number of group rate rooms are avaialble at the Sheraton Silver Spring. Group rate is 115.00 per night, plus taxes, etc. Book by phone using group code "Trichotillomania Learning Center" to secure this low room rate.

For questions about this program, contact TLC directly: 831-457-1004.

 

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