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Trichotillomania Learning Center

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Professional Training Institute

In-Person Training

Oct. 16-18, 2015

Jersey City, New Jersey - Registration Coming Soon!

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.

Schedule  |  Who Should Attend  |  Facilitators  | Continuing Education

Cancellation & Grievance Policy | Special Accommodation Requests

In the February 2015 issue of Annals of Clinical Psychiatry, the article, “Getting the word out: Cognitive-behavioral therapy for trichotillomania (hair-pulling disorder) and excoriation (skin-picking) disorder” reports that clinicians trained at TLC's Professional Training Institute (PTI), or with TLC's video series the "Virtual PTI", saw an increase in the percentage of their BFRB patients who achieved abstinence, as well as an overall increase in symptom reduction for their patients.

Graduates of TLC's Professional Training Institute significantly increased their use of the CBT techniques taught during the Institute. They received an increase in referrals of TTM and Skin Picking cases, with 100% reporting seeing TTM patients after the training and 82.4% seeing Skin Picking patients.

Learning Objectives
By completing this training, participants will be able to:

  • Accurately diagnose Body-Focused Repetitive Behaviors (BFRBs), including Trichotillomania and Skin Picking Disorder.
  • Design and implement specific Cognitive Behavioral interventions for BFRBs
  •  Develop treatment plans for adults, children and adolescents who have BFRBs.
  • Explain the role of comorbid disorders and co-existing problems that affect treatment (school, marriage problems, expectations, etc.), and assess related  impediments to treatment.
  • Assess major elements in termination of BFRB treatment, explain means for assessing areas of progress in BFRB treatment, identify relapse prevention techniques.
  • 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.

In addition, training graduates can:

  • Build their 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 20 CE Credits/20 NBCC Clock Hours. Continuing Education for mental health care professionals is being offered through PsychoEducational Resources, Inc. (PER).

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


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. Follow-up supervision will be available.


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.

12:00-1:30pm: 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.

12:00-1:30pm: 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.


Courtyard by Marriott Los Angeles Westside
6333 Bristol Parkway, Culver City, CA 90230 

The Group Room Rate is 132.00 plus tax. Click here to book before April 10.

Transportation from Los Angeles International Airport - LAX

Hotel: 3.5 miles away; please note, this hotel does not provide shuttle service.

  • Alternate transportation: Super Shuttle; fee: 10 USD (one way); on request
  • Bus service, fee: 3 USD  (one way)
  • Estimated taxi fare: 15 USD  (one way)


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:

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. You can see the full list of faculty on the left/top part of the page. This PTI will have the following faculty:

charleyCharles 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.

johnJohn Piacentini, Ph.D., A.B.P.P.,is a Professor of Psychiatry and Biobehavioral Sciences in the David Geffen School of Medicine and Director of the Child OCD, Anxiety, and Tic Disorders Program at the Semel Institute for Neuroscience and Human Behavior at UCLA. He received his Ph.D. in Clinical Psychology from the University of Georgia and completed post-doctoral training and was a faculty member at Columbia University/NY State Psychiatric Institute.

Dr. Piacentini has authored over 140 papers, chapters, and books and has received numerous NIH and other grants addressing the etiology, assessment and treatment of childhood anxiety, OCD, tic disorders, and adolescent suicide. He is Chair of the Tourette Syndrome Association Behavioral Sciences consortium, Founding Fellow of the Academy of Cognitive Therapy, President-elect of the American Board of Clinical Child and Adolescent Psychology, and a member of the Scientific Advisory Board for the Trichotillomania Learning Center. Dr. Piacentini is also Deputy Editor for the Journal of the American Academy of Child and Adolescent Psychiatry and an editorial board member for several leading psychology journals. He is a frequent lecturer and actively involved in training mental health practitioners how to treat youngsters with anxiety and similar problems. He has also received a number of research grants to study treatments for the above disorders and lectures frequently on this topic.

StacyStacy Shaw Welch, PhD, is the founder and director of Anxiety and Child Anxiety Centers at EBTCS, a specialty center devoted to providing high quality, state of the art treatment for anxiety disorders, body-focused repetitive behaviors (including trichotillomania and skin-picking) and related problems, such as depression and stress management. EBTCS clinicians specialize in treating these problems, and are committed to delivering treatments that are evidence-based. EBTCS most typically provides cognitive behavioral treatment (or CBT), which has strong scientific data for its efficacy in helping people learn to manage anxiety. Children, adolescents, and adults are treated by various clinicians at EBTCS, depending on their area of specialty. 


Continuing Education Credits (CEs) and NBCC Clock Hours are being offered through PsychoEducational Resources, Inc. (PER)

Participants may earn 20 CE Credits/20 NBCC Clock Hours.

PER is approved by the American Psychological Association to sponsor continuing education for psychologists.  PER maintains responsibility for this program and its content.

PER is an NBCC-Approved Continuing Education Provider (ACEPTM) and may offer NBCC-approved clock hours for events (or programs) that meet NBCC requirements. Sessions (or programs) for which NBCC-approved clock hours will be awarded are identified in the program bulletin (or in the catalogue or Web site). The ACEP is solely responsible for all aspects of the program. Unless otherwise noted all sessions approved for CE are also approved for NBCC Clock Hours.

PER is approved as a provider for continuing education by the Association of Social Work Boards, 400 South Ridge Parkway, Suite B, Culpepper, VA 22701. ASWB Approval Period: 4/15/12 – 4/15/15 (Renewal is in Process). Social workers should contact their regulatory board to determine course approval. The following state social work boards recognize the ASWB program: AL, AK, AZ, CT, DC, DE, GA, ID, IN, IA, KY, MA, MD, MI, MO, MS, MT, NM, NC, ND, NJ, OH, OK, OR, PA, RI, SC, TN, TX, UT, VA, VI, VT, WA, WI, and WY.

PER is also an approved provider with a variety of individual state social work boards which include: the Florida Board of Licensed Clinical Social Work, Marriage and Family Therapy, and Mental Health Counseling (CE Provider Tracking #50-1657, Board Provider #351, exp. 03/31/17), the Illinois Social Work Board (159-000505), the Iowa Board of Social Work (#153), the Maryland State Board of Social Work, the Ohio Social Work Board (RSX-019601), and the Texas Board of Social Work (CS 1596).

Course meets the qualifications for continuing education credit for MFTs and/or LCSWs as required by the California Board of Behavioral Sciences (Provider #PCE 203).

PER is approved as a Continuing Education Provider by the National Association of Alcoholism and Drug Abuse Counselors (NAADAC) Provider #374 (exp. 9/30/15). The individual sessions in this conference cover the following counselor skill groups: Ongoing treatment planning and Counseling services.

For additional CE information please call PER at 800-892-9249 or e-mail

PER maintains responsibility for this program and its content and adheres to all sponsorship guidelines for awarding CE credits.

To receive CE Certification you must complete the conference evaluation, an evaluation for each session you attend, the CE Request Form, and sign in and out of each session attended. CE Certification will be mailed to you approximately 30 days from the conclusion of the conference.

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

Noah Weintraub
Behavior Therapy Center of Greater Washington
Silver Spring, MD

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