Testing a New Therapy for Trichotillomania

Inclusion Criteria: * Current DSM-IV diagnosis of trichotillomania * Massachusetts General Hospital Hair Scale score greater than 12 * Wechsler Test of Adult Reading score greater than 85 * Fluent in English * Outpatient status * Agreement to not alter the dosage of any psychotropic medication throughout the course of the study, or, if such a dosage change is required, understanding that the participant will continue to receive treatment, and data will continue to be collected on him or her * Individuals who eat their hair after pulling will be eligible for participation only after they have received a physical exam from their primary care physician to determine whether there is any gastrointestinal blockage due to hair pulling, which would require more immediate clinical care. Exclusion Criteria: * Diagnosis of bipolar disorder, psychotic disorder, mental retardation, pervasive developmental disorder, or current substance dependence (with the exception of nicotine dependence) * Current mood or anxiety disorder with an active suicide risk * Currently receiving psychotherapy for trichotillomania or another psychiatric condition * Initiation or change in the dosage of any psychotropic medication for up to 8 weeks preceding participation in the study