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Trichotillomania Learning Center

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Professional Training Institute

TLC offers licensed clinicans two training programs: in-person training and a 16-hour DVD program.

In-Person Professional Training Institute (PTI)

OCt 24 - 26, 2014 - Chicago, Illinois

Over 5 million people in the US suffer from Hair Pulling and Skin Picking Disorder.
Less than 200 providers are trained in effective treatment for these problems.

TLC's Online referral listings receive over 4,000 unique visits per month. That’s 4,000 people looking for relief, and less than 200 providers available to treat them.

Through TLC's PTI, you will:

  • 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
  • Earn Up to 20 CE Credits. Application is pending approval.

The need is great: build your practice from a three-day training in specialized treatment for these problems.

The PTI is a three-day intensive training program, facilitated by leading experts in the treatment of hair pulling disorder, skin picking disorder, and related body-focused repetitive behaviors (BFRBs). The only BFRB-training of its' kind, the PTI provides health care professionals with practical training in current cognitive-behavioral treatment approaches for these behaviors.  Up to 20 CE Credits included for licensed practitioners. Application is pending approval.

About the Training  | Schedule  |  Who Should Attend  |  Facilitators  |  Hotel Accommodations | Continuing Education

Scholarship Information | Cancellation & Grievance Policy | Special Accommodation Requests


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 clinicians. Follow-up supervision will be available.

PTI Registration Scholarships are available!

Applicants must be a mental health professional licensed to practice independently in their state. Two scholarships will be awarded to cover training registration costs of $399.00. Recipients will be selected by a committee of PTI Faculty and the Board of Directors. Scholarship awards may not be applied to travel or accommodation expenses, and are not transferable.

To apply, please complete this form. Applicants will be notified of award status by August 15. Please email with any questions.

Training Schedule:

Friday: 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: 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 BFRBs, 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: 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, describe the 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, 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, 10-1.1 Obsessive 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.
• 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 impairment, and treatment utilization. Journal of Clinical Psychiatry, 67, 1877-1888.


A limited number of group rate rooms are available at the:
Courtyard by Marriott Chicago Downtown Magnificent Mile 
165 E Ontario Street | Chicago, IL 60611 

Rooms are 209.00 per night for a limited time. Book your room today.


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 Faculty

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 mansuetoCharles 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.

John's headshotJon Grant, MD, JD, MPH is a Professor of Psychiatry and Behavioral Neuroscience at the University of Chicago. Dr. Grant completed an undergraduate degree at the University of Michigan, a master's degree at the University of Chicago, a law degree from Cornell University, a medical degree from Brown University, and a masters degree in public health from Harvard University. Dr. Grant is a board-certified psychiatrist. Dr. Grant has written over 200 peer-reviewed articles and book chapters on the phenomenology and pharmacological management of impulse control disorders, particularly pathological gambling, kleptomania, and grooming disorders. Dr. Grant's research is funded by the National Institutes of Mental Health.

Dr. Fred PenzelFred Penzel, PhD, is the Executive Director at Western Suffolk Psychological Services in Huntington, New York. He has been involved in the treatment of TTM and Obsessive Compulsive Disorder (OCD) for over 20 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.

Renae Reinardy, PsyDPrior to founding the Lakeside Center for Behavioral Change near Lake Minnetonka, Renae Reinardy, PsyD worked as a psychologist at the Behavior Therapy Center of Greater Washington in Silver Spring, Maryland.

Dr. Reinardy specializes in the treatment of hair pulling disorder, skin picking disorder, obsessive compulsive disorder, compulsive hoarding, and related conditions. She has been an adjunct professor at the doctoral level and has presented numerous times at national conferences and at local meetings and trainings. Dr. Reinardy has been interviewed on Good Morning America, the Joy Behar Show, Dateline NBC, and A&E’s Hoarders.

Continuing Education

Continuing Education approval is currently pending. Please check back for updates!

Grievance Policy

Cancellations must be received in writing via email, mail or fax. Voice-mail messages are not valid or accepted. Cancellation deadline
dates are as follows: Up to 30 days prior to the event: TLC will cancel your registration and issue a refund of paid registration fees, minus a $25.00 processing fee.

14 days prior to the event: TLC will cancel your registration and issue a refund of paid registration fees, minus a $60.00 late cancellation-processing fee, regardless of the reason for the cancellation (including medical emergencies).
7 days prior to the event or later: No refunds will be issued, regardless of the reason for the cancellation (including medical emergencies).

TLC cannot make exceptions to this policy, as we must prepay most meeting expenses.

If you have a grievance concerning this training please contact Leslie Lee, Trichotillomania Learning Center: Phone: 831-457-1004 or email:

Special Accommodation Requests

If you have special needs, questions or concerns please contact:
Leslie Lee, Program Coordinator Trichotillomania Learning Center
Phone: 831-457-1004 or

PTI Faculty

Charles Mansueto, PhD
PTI Director

Director, Behavior Therapy Center of Greater Washington
Silver Spring, MD

Fred Penzel, PhD
Senior Faculty

Director, Western Suffolk
Psychological Services
Huntington, NY

Ruth Golomb, MEd, LCPC, Supervisory Director
Behavior Therapy Center of Greater Washington
Silver Spring, MD

Jon Grant, MD, JD, MPH
Chair, TLC Scientific Advisory Board

Professor of Psychiatry and Behavioral Neuroscience
University of Chicago, Chicago, IL

Marla Deibler, PsyD
Executive Director
Center for Emotional Health of Greater Philadelphia
Cherry Hill, NJ
Princeton, NJ

Jennifer Kessler, PhD
Behavior Therapy Center of Greater Washington
Silver Spring, MD

Renae Reinardy, PsyD, LP
Lakeside Center for
Behavioral Change
Fargo, ND

Suzanne Mouton-Odum, PhD
Private Practice
Houston, TX

Stacy Shaw Welch, PhD
Director, Anxiety & Stress
Reduction Center of Seattle
Seattle, WA

Sherrie Vavrichek, LCSW-C
Behavior Therapy Center of Greater Washington
Silver Spring, MD

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