- Recorded Webinar
Hair Pulling Disorder & Skin Picking: Evidence-Based Approach to Treating Trichotillomania and Excoriation
Charles Mansueto, Ph. D
- Recorded Webinar
Overview:
Body-Focused Repetitive Behaviors (BFRB) disorders, including Hair Pulling Disorder (also known as Trichotillomania) and Skin Picking Disorder (also known as Excoriation Disorder), are neither rare nor benign conditions. As many as one in 20 people have engaged in non-cosmetic BFRBs, resulting in bodily damage and personal distress. Yet these conditions are often not recognized as legitimate clinical disorders, and those individuals have been underserved by the clinical community.Â
In this presentation, Charles Mansueto, Ph.D., will provide an overview of BFRBs, highlight their treatment and present recent research findings. The primary focus of the workshop is to introduce the Comprehensive Behavioral (ComB) treatment approach, an evidence-based therapy widely used by expert BFRB clinicians. ComB treatment offers a conceptual framework that integrates sensory, cognitive, affective, motor, and environmental variables into an individualized treatment plan tailored to the clinical phenomenology of each individual.
The unique advantages of ComB treatment over alternative approaches will be highlighted, and case vignettes will demonstrate how to implement treatment consistent with the ComB approach and the needs of the client.
Objectives:
- Analyze the varieties and defining characteristics of BFRBs as currently understood by expert clinicians and researchers.
- Evaluate the importance of clinical phenomenology in BFRBs as reflected in Comprehensive Behavioral (ComB) treatment.
- Explain how the ComB model guides assessment, patient education, and clinical decision-making throughout the treatment process.
Scope and Limitations Disclosure
This webinar explores Body-Focused Repetitive Behaviors (BFRBs), specifically Trichotillomania and Excoriation Disorder, and introduces the Comprehensive Behavioral (ComB) treatment model. ComB is supported by clinical use and peer-reviewed literature, including a recent randomized controlled trial that showed promising outcomes for individuals with Trichotillomania. However, more research is needed to confirm its effectiveness across diverse populations and to compare it with other treatments such as Habit Reversal Training (HRT).
This course is intended for licensed mental health professionals and assumes familiarity with behavioral interventions. It reflects current evidence and practice, but it is not a substitute for formal training or supervision.
Commercial Support Disclosure
Dr. Charles Mansueto is the developer of the Comprehensive Behavioral (ComB) treatment model presented in this webinar. He is receiving a presenter fee for delivering this continuing education program. While he does not receive additional commercial support related to ComB, his role as the model’s originator may be considered a potential conflict of interest. This relationship has been disclosed and reviewed to ensure objectivity and balance in the content.
There is no known commercial support for this program, and there is no requirement to purchase any additional materials to complete the webinar.
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Charles Mansueto, Ph. D
Dr. Charles Mansueto is the founder and director of the Behavior Therapy Center of Greater Washington, a leading center for the treatment of obsessive-compulsive and related disorders. He has over 40 years of experience in the application of cognitive behavior therapy to a broad range of clinical problems. Dr. Mansueto has written extensively and presented nationally and internationally on OCD and related disorders. He currently serves as a member of the Scientific and Clinical Advisory Board of the International Obsessive-Compulsive Disorder Foundation, is past president and current board member of OCD Mid-Atlantic, and a founding member of the Scientific Advisory Board of the TLC Foundation for Body- Focused Repetitive Behaviors, where he is Director of Professional Training. Dr. Mansueto created the Comprehensive Behavioral (ComB) model, a widely used treatment approach for BFRBs.
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Professional Counselors — The National Board for Certified Counselors (NBCC)
E Care Behavioral Health Institute has been approved by NBCC as an approved Continuing Education Provider. ACEP No. 6703. Programs that do not qualify for NBCC are clearly identified. E care Behavioral Health Institute is solely responsible for all aspects of the programs.
Addiction Professionals — NAADAC, the Association for Addiction Professionals (NAADAC)
E Care Behavioral Health Institute is officially on file with NAADAC, the Association for Addiction Professionals (NAADAC) as an Approved Education Provider. They are formally known as NAADAC Provider #139138. Please note that E care Behavioral Health Institute is solely responsible for all aspects of the program.
Social Workers — Association of Social Work Boards (ASWB)
E Care Behavioral Health Institute, #1706, is approved to offer social work continuing education by the Association of Social Work Boards (ASWB) Approved Continuing Education (ACE) program. Organizations, not individual courses, are approved as ACE providers. State and provincial regulatory boards have the final authority to determine whether an individual course may be accepted for continuing education credit. E Care Behavioral Health Institute maintains responsibility for this course.  ACE provider approval period: 06-03-2020 – 06-03-2026.Â
Psychologists — American Psychological Association (APA)
E Care Behavioral Health Institute is approved by the American Psychological Association to sponsor continuing education for psychologists. E Care Behavioral Health Institute maintains responsibility for this program and its content.
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Who This Training is For:
This program is intended for mental health professionals such as Social Workers, Mental Health Counselors, Addiction Counselors, & MFT’s. Psychologists are encouraged to verify if this specific course meets their board’s approval requirements.
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