Time and time again you think, “Why did I do that?”

You don’t want to keep pulling your hair, but it’s been hard to stop. Now you’re putting that hat back on to hide the patch so others won’t notice.

So, you are left keeping this a secret while feeling frustrated, hopeless, and embarrassed.

Pulling to Feel Calm, but Instead Feeling Broken

The hair pulling gradually snuck in and may have been outside your awareness at first — until it became a compulsive behavior that’s hard to stop.

You might have experienced a stressful event or noticed a coarse or ingrown hair that sparked curiosity and led to the start of the hair pulling. You may also have realized that you tend to pull your hair during idle moments — such as when you're bored, watching TV, or daydreaming.

Over time, the behavior may have continued as a way to cope, self-soothe, or groom, eventually becoming a compulsive habit.

You’re Tired of Hiding the Damage

The hair pulling has led to partial or total hair loss. If it's in areas visible to others — such as on your head — you may have tried to hide it with a hat, wig, beanie, or by styling your hair a certain way.

You’re left feeling embarrassed and ashamed, and you worry about being judged. As a result, you might avoid social situations or taking pictures — or you endure them while feeling distressed.

Therapy That Helps You Break Free from the Urge

I blend my curiosity and problem-solving skills with a nonjudgmental and empathetic stance. I help you interrupt hair pulling in three stages:

  1. We identify and increase your awareness of triggers that occur right before hair pulling — such as specific situations, locations, thoughts, emotions, or bodily sensations.

  2. We generate a list of competing responses that make it difficult to engage in hair pulling, and we practice them as a way to interrupt the behavior.

  3. We explore and address the stressors, routines, and emotions that maintain the hair pulling over time.

This form of treatment is called Habit Reversal Training (HRT). HRT is one of the most effective and well-researched treatments for Body-Focused Repetitive Behaviors (BFRBs), including Trichotillomania (hair pulling).

I honor our time together by designating a time slot just for you.  Weekly sessions are required because research has shown that weekly therapy leads to the best outcomes in therapy; however, I wouldn’t want to hold you back from growth, so as you make progress in therapy and towards your goals, we decrease the frequency to every other week, every three weeks, monthly, and so on, leading to the final termination session.

How to Get Started

 

1

Complete the Phone Consultation

Schedule a free 15-minute phone call consultation on Calendly. Robyn will call you at the time you select. If it is a good fit, you will be scheduled for your first appointment.

2

Complete Forms Online

Complete intake forms on the secure client portal no later than 24-hours before your first appointment.

 

3

Start Therapy

You will have your first intake assessment appointment. Then weekly 50-minute therapy sessions.

“I blend my curiosity and problem-solving ability with a non-judgmental and empathetic stance to help you interrupt the hair pulling behavior. ”

— ROBYN TAMANAHA, LMFT

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Questions before getting started? Get in touch.