Original Research J Clin Psychiatry January 2026

Therapist-Delivered Video Therapy Habit Reversal Training for Body-Focused Repetitive Behaviors: Clinical Outcomes From a Large Real-World Sample of Youth and Adults

Full Article Read the complete peer-reviewed article in J Clin Psychiatry. Clinical Summary Many patients with trichotillomania or excoriation disorder never reach evidence-based care despite substantial distress, impairment, and common psychiatric comorbidity. This study addresses whether therapist-delivered video habit reversal training with messaging and app-based support produces meaningful real-world improvement across children, adolescents, and adults. FAQ How much did therapist-delivered video habit reversal training reduce hair-pulling symptoms in this study? 13 questions
Key Takeaways Symptom improvement was already detectable by weeks 5–7, with RBFBS scores falling by −1.65 points, 18.32% for trichotillomania and −1.55 points, 17.51% for ED, suggesting clinicians may be able to identify early benefit within the first 2 assessment intervals. 6 takeaways Clinical Guide How can clinicians structure therapist-delivered video habit reversal training for patients with trichotillomania or excoriation disorder? 7 steps Clinical Guide How should clinicians monitor symptom change during therapist-delivered video habit reversal training for trichotillomania or excoriation disorder? 7 steps