Skip to content
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