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Four Steps in Helping a child with Trichotillomania. Identify behaviors Identify when will it occur Sensor input Develop reward system. Comprehensive Behavioral Intervention for BFRB developed by Dr Charles Mansueto & Colleagues. Each domain is subdivide into two categories
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Four Steps in Helping a child with Trichotillomania • Identify behaviors • Identify when will it occur • Sensor input • Develop reward system
Comprehensive Behavioral Intervention for BFRB developed by Dr Charles Mansueto & Colleagues • Each domain is subdivide into two categories • The first being the Cognitive Behavioral Strategy • The second being the Specific Intervention
Sensory Cognitive Behavior Strategy Sensory Specific Intervention Cortisone & antibiotic creams lacrilube Bath messages Nibble on Food, Positive skin care brush hair • Medication • Distraction / Stimulation/ Soothing • Substitution
Cognitive Behavior Strategy Cognitive Specific Intervention Cognitive Correction Problem Solving Strategies Cognitive Conditioning • Psycho education • Cognitive
Affective Cognitive Behavioral Strategy Affective Specific Intervention Serotonin reuptake inhibitors Antidepressants Anxiolytics • Mediation • Emotive • Relaxation
Motor Awareness Self Monitoring Finger Bandages Gloves, band aids on fingertips clothes, that recover area Cut finger nails short Self-manicures positive hand care Holding Koosh ball or other touch tom knitting or other crafts Phsyical exercise • Training • Response • Prevention • Competing Response Training
Place Stimulus Control • Environment • Location • Activity • Social environmenttime of day
Remove/Cover mirrors • Eliminate tweezes • Stay out of certain room • Dim lights • Cover mirror
Contingency Rewards Penalties Convert Contingencies • Management