Trichotillomania Habit Reversal Therapy

Trichotillomania Habit Reversal Therapy

"Bfrb" (Body focused repetitive behavior) encompasses many behaviors such as hair pulling, aka "Trich."  I was pleasantly surprised to meet the Clinical Director of CBIT Therapy, Susan Epping,  Our hair systems create a barrier to help prevent pulling hair and  help to stop the obsession of the action of pulling out hair, and works well with Habit Reversal Therapy.  Many of our clients our now in remission utilizing a combination of both hair systems and CBIT.  

"CBIT Therapy uses sensory integration, which is a habit reversal strategy, the TLC ComB protocol, and direct CBIT  responses to help patients to  stop their behaviors such as hair pulling and picking.  They research consequences and incidents of grooming behaviors, as well as triggers that cause the behavior including factors such as the environments and people with whom and when the Trich occurs, exact motivation and thoughts related to grooming, physical sensations felt when pulling, the patients moods and environment that trigger behaviors, inspection of pulling sites, and the muscular action involved in  pulling hair. Treatment also involves determining what is done with the hair when pulled.  

Reversal Habit Therapy is a promising modality, taking CBT (Cognitive Behavioral Therapy) to another level focusing on repetitive behaviors.  

Our salon is training other stylists, across the country, to work with our hair systems and hair extensions that are successful in creating a "barrier."  We never shave or glue our hair systems or hair extensions, we have created our own application technique and brand.  The information can be found on  We recommend that clients that can not travel to us, ask their stylist/salon to investigate into our brand and training.  We offer virtual training as well! 

It is our goal to take our care a step further than aesthetic and barrier creation, but to create a network of professionals highly skilled in Trich, as well as other BFRB's  Noelle Salon is honored to work with many professionals and the TLC network.   We currently have a referral relationship with the Mass General Hospital, and other professional providers. 

CBIT is a local organization, with a high success rate of helping those with Trichotillomania, a BFRB.  

Below is the contact information for CBIT

Phone : 617-221-5944 Fax : 857-202-5085 Email :

Visit their website to view habit reversal techniques from being kind to oneself, excercise, games and puzzles, to playing with silly putty and hair extensions.

The section on BFRB is


Hair Loss background

With Alopecia Areata, fungal infections, other autoimmune diseases, thinning hair by Trichotillomania which removes hair follicles by physical means. At Noelle Salon, we cover the various approaches to hair solutions to treat hair loss, female pattern baldness, balding spots, and other conditions to which you lose hair. At Noelle Salon we focus on hair growth techniques.

Hair systems and hair extension maintenance is part of the journey while wearing them. For Trichotillomania, as our hair grows they both will loosen, and service is required. The difference between a hair system and hair extensions for Trichotillomania clients varies based on the location of hair loss. 


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