1.identify behaviors 2.identify when will it occur 3.sensor input 4.develop reward system

Four Steps in Helping a child with Trichotillomania 1. Identify behaviors 2. Identify when will it occur 3. Sensor input 4. Develop reward system

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Four Steps in Helping a child with Trichotillomania

1. Identify behaviors

2. Identify when will it occur

3. Sensor input

4. Develop reward system

Comprehensive Behavioral Intervention for BFRB developed by Dr Charles Mansueto & Colleagues

• Each domain is subdivide into two categories

• The first being the Cognitive Behavioral Strategy

• The second being the Specific Intervention

Page 3: 1.Identify behaviors 2.Identify when will it occur 3.Sensor input 4.Develop reward system

Sensory Cognitive Behavior Strategy

• Medication

• Distraction / Stimulation/ Soothing

• Substitution

Sensory Specific Intervention

• Cortisone & antibiotic creams lacrilube

• Bath messages

• Nibble on Food, Positive skin care brush hair

Page 4: 1.Identify behaviors 2.Identify when will it occur 3.Sensor input 4.Develop reward system

Cognitive Behavior Strategy

• Psycho education

• Cognitive

Cognitive Specific

Intervention

• Cognitive Correction

• Problem Solving Strategies

• Cognitive Conditioning

Page 5: 1.Identify behaviors 2.Identify when will it occur 3.Sensor input 4.Develop reward system

Affective Cognitive Behavioral Strategy

• Mediation

• Emotive

• Relaxation

Affective Specific Intervention

• Serotonin reuptake inhibitors

• Antidepressants

• Anxiolytics

Page 6: 1.Identify behaviors 2.Identify when will it occur 3.Sensor input 4.Develop reward system

Motor

Awareness

• Training

• Response

• Prevention

• Competing Response Training

Self Monitoring

• Finger Bandages

• Gloves, band aids on fingertips clothes, that recover area Cut finger nails short

• Self-manicures positive hand care Holding Koosh ball or other touch tom knitting or other crafts Phsyical exercise

Page 7: 1.Identify behaviors 2.Identify when will it occur 3.Sensor input 4.Develop reward system

Place

• Environment

• Location

• Activity

• Social environment time of day

Stimulus Control

Page 8: 1.Identify behaviors 2.Identify when will it occur 3.Sensor input 4.Develop reward system

Remove/Cover mirrors

• Eliminate tweezes

• Stay out of certain room

• Dim lights

• Cover mirror

Page 9: 1.Identify behaviors 2.Identify when will it occur 3.Sensor input 4.Develop reward system

Contingency

• Management

Rewards

• Penalties

• Convert Contingencies

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