One form of treatment for Trichotillomania is Habit Reversal Training. Many patients who pull their hair don?t realize that they are doing this; it is a conditioned response. With Habit Reversal Training doctors train the individual to learn to recognize their impulse to pull and also teach them to redirect this impulse. Patients who feel the urge to pick at their hair are taught to visualize something that will get their mindset off of picking at their hair. Once they are aware of what they are doing then they are able to focus and stop themselves from the urge of picking.
Patients are also often instructed to keep a journal of their hair-pulling episodes. They may be asked to record the date, time, location, and number of hairs pulled, as well what they are thinking or feeling at the time. This can help the patient learn to identify situations where they commonly pull out their hair and develop strategies for avoiding episodes.