Underestimated, under-researched, and often poorly understood, the body-focused repetitive disorders nevertheless cause human suffering that is serious, persistent, and pervasive. These disorders can occur in both adults and children and manifest themselves as hair pulling (trichotillomania), pathologic skin picking, thumb sucking, and nail biting. Although these disorders are common, very few medical students and residents hear them addressed in lectures or know where to begin when confronted with a patient presenting with these behaviors. Trichotillomania, Skin Picking, and Other Body-Focused Repetitive Behaviors seeks to remedy this situation by synthesizing the latest research on body-focused repetitive disorders and presenting it in a systematic, easy-to-grasp manner.
Much has changed in the more than a decade since the last book on this topic was published. This new volume reflects the most current and substantive research into the etiology and symptoms of body-focused repetitive disorders and therapeutic options. Organized in logical fashion, it begins with a review of the clinical characteristics, moves on to diagnosis and evaluation, and concludes with a full review of treatment options. Special features include: Extensive material to help clinicians and patients understand the underlying purpose of engaging in these behaviors, which include, reducing tension, regulating strong emotion, and alleviating boredom. Separate chapters on adults and children, who may have a different presentation and a different set of treatment options. An additional chapter focuses on the role of the child patient's family in the diagnosis and treatment of the disorder. Thorough coverage of the full range of treatments -- including psychotherapy, medication, and alternative treatments -- which provides the clinician with an evidence-based approach to treating patients. Discussion of the psychobiology of hair pulling and skin picking, which allows the reader to understand and contextualize the disorder from a neurological perspective and offers clues that may assist in optimizing treatment. A presentation style that is detailed enough for clinicians, yet accessible enough for a lay audience, including patients with the disorder and the families who seek to understand and support them.
Trichotillomania, Skin Picking, and Other Body-Focused Repetitive Behaviors fills a critical gap in the literature by addressing this common and frequently debilitating disorder in an utterly current, highly practical, and wholly compassionate manner.
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Jon E. Grant, M.D., M.P.H., J.D., is Professor in the Department of Psychiatry at the University of Minnesota in Minneapolis, Minnesota.
Dan J. Stein, M.D., Ph.D., is Professor in the Department of Psychiatry and Mental Health at the University of Cape Town in Cape Town, South Africa.
Douglas Woods, Ph.D., is Professor in the Department of Psychology at the University of Wisconsin -- Milwaukee in Milwaukee, Wisconsin.
Nancy J. Keuthen, Ph.D., is Associate Professor of Psychology (Psychiatry) at Harvard Medical School; Co-Director of the Trichotillomania Clinic and Research Unit; and Chief Psychologist in the Obsessive Compulsive Disorder Clinic and Research Unit at Massachusetts General Hospital in Boston, Massachusetts.
ContributorsIntroductionPart 1: Clinical CharacteristicsChapter 1. Trichotillomania: epidemiology and clinical characteristicsChapter 2. Pathologic skin pickingChapter 3. Habitual stereotypic movements: a descriptive analysis of four common typesChapter 4. Psychobiology of hair pulling disorder (trichotillomania) and skin picking disorderPart 2: Diagnosis and EvaluationChapter 5. Diagnosis and comorbidityChapter 6. Dermatological assessment of hair pulling, skin picking, and nail bitingChapter 7. Diagnosis and evaluation: trichotillomania, skin picking, and other stereotypic behaviors in childrenChapter 8. Assessment of trichotillomania, pathological skin picking, and stereotypic movement disorderPart 3: TreatmentChapter 9. Cognitive-behavioral therapy for pediatric trichotillomaniaChapter 10. Cognitive-behavioral therapy in adultsChapter 11. Alternative treatmentsChapter 12. PharmacotherapyChapter 13. Family involvement in the treatment of children with body-focused repetitive behaviorsIndex
"While psychiatric books line the shelves of libraries and bookstores, there is a dearth of books that focus on BFRBs. As the editors poignantly point out, BFRBs are a key aspect of human suffering yet are an often neglected area of clinical care. This book answers the call for a publication that gives undivided attention to BFRBs. Clinicians now will be fully prepared with the latest knowledge, proper evaluation techniques, and cutting-edge treatment options for patients with these disorders."-- "Bradley R. Cutler, M.D., DOODY'S PUBLISHERS' CLUB", "December 2011"
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