Trichotillomania and Excoriation Disorder are impulse control disorders in which people pull out hairs and pick their skin to satisfy an urge or tension.
Recognizing the sensory qualities of hair and skin and how it helps produce calm when overwhelmed or stimulation when bored is usually enough to produce a more hypnotic, semi-trance like state. Once people realize their emotional state of anxiety, stress, or boredom become alleviated, the hair pulling, skin picking, or nail biting become a very addictive, self-soothing behavior often perceived as impossible to stop, which is NOT TRUE!
Hair pulling (aka trichotillomania) and skin picking (excoriation disorder) are behaviors, which are not known or understood by most doctors. Needless to say, implementing a cookie cutter approach in treating hair pulling and skin picking will yield little or no improvement in the people treated by non experts. Each person has a different motivation behind the pulling or picking and treatment needs to help people who engage in this body-focused repetitive behavior to take control over their urges.
Dr. Shinar has been treating hair pulling and skin picking patients for over twenty years. He has a 98% success rate by helping people acquire more adaptive tools to deal with unpleasant emotional states. He helps sufferers to pay close attention to the triggers (thoughts, feelings, impulses, urges, images) that precede the behavior, collecting every detail about the behaviors, and formulate treatment plans accordingly. And most importantly, Dr. Shinar recognizes the sensitivity of these disorders and provides the utmost compassion and proficiency in treating his patients.
“For me, the most rewarding result of my two decades treating hair pullers and skin pickers, is being witness to new hair growth, clearer skin, and a vastly improved confidence and self image in my patients.” --- Dr. Shinar