Trichotillomania (TTM) is a poorly understood condition that causes significant impairment, but effective behavioral management strategies exist. The phenomenology of TTM is complex and requires an individualized treatment approach, and there are some important facets of TTM that have only recently been recognized. Specifically, contemporary research indicates that hair pulling is often performed to regulate aversive sensations and provide somatosensory reward. In this article, we describe the complex phenomenology of TTM, evidence-based treatment options, and illustrate a case of sensory-based TTM treated effectively with a comprehensive behavioral intervention.

中文翻译：

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成年人以感官为基础的毛滴虫病的综合行为治疗：一个案例研究。

滴虫病（TTM）是一种鲜为人知的疾病，可导致严重损害，但存在有效的行为管理策略。TTM的现象学很复杂，需要个体化的治疗方法，而且TTM的一些重要方面直到最近才被认识到。具体而言，当代研究表明，经常进行拔发来调节厌恶感并提供体感奖励。在本文中，我们描述了TTM的复杂现象学，基于证据的治疗选择，并举例说明了通过综合行为干预有效治疗的基于感官的TTM的情况。