Abstract

AbstractSome habit disorders involve ‘empty’ behaviours, and symptom‐oriented approaches are appropriate. Others appear to be maintained by underlying anxieties and unresolved issues. The case of trichotillomania described here fell into the second of these categories and so a two‐stage approach was adopted. Uncovering and ego‐state therapy techniques were used first to explore and resolve issues related to the hair‐pulling, followed by a more direct behavioural approach to removing the problem behaviour itself. Though this was a habit of some 25 years duration a successful outcome was achieved. The appropriateness of a two‐stage approach to these types of problem and the role of hypnosis as an adjunctive procedure in their treatment are discussed. Copyright © 1998 British Society of Experimental and Clinical Hypnosis

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