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Trichotillomania Learning Center

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Professional Training Institute

TLC offers licensed clinicans two training programs: in-person training and a 16-hour DVD program.

In-Person Training

Stay tuned for information on the 2014 Training

The in-person PTI is a three-day intensive training program for licensed clinicians. Typically held in the fall of each year, the 2014 Training is slated for October in Chicago.


DVD Training Program

Training in Effective CBT-Based Treatment of
Hair Pulling and Skin Picking Disorders (Body-Focused Repetitive Behaviors)

For Licensed Mental & Behavioral Health Practitioners

The Virtual Professional Training Institute (VPTI) is a 3-DVD training program based on TLC's live, in-person PTI. Instructors Charles Mansueto, PhD, Fred Penzel, PhD and Ruth Goldfinger Golomb, LCPC, MEd, have designed this program to provide health care professionals with practical training in current cognitive-behavioral treatment approaches for trichotillomania, skin picking, and related body-focused repetitive behaviors (BFRBs).

Click the link below to learn more about:

Target Audience and Instruction Level
DVD Outline and Learning Objectives
Presenter Biosketch
Continuing Education Information Course Completion Process

Purchase Online >>

Up to 13 CE Credits are offered for licensed mental health practitioners.

  • Learn current, clinically relevant information about these problems and empirically supported treatments to address them
  • Build your practice by joining TLC’s Online Referral Directory
  • Change the lives of patients who have suffered in isolation with the shame and stigma of an under-treated and misunderstood disorder. 
  • $89.00 for DVDs, plus additional $50.00 for Continuing Education

Each Training Set includes 3 DVDs of instruction and 1 CD with supplemental reading materials. TLC will promote trainees who complete the program AND successfully pass a follow-up test as graduates of the Virtual Professional Training Institute on their referral list. Trainees must also be a TLC professional member to be listed on the TLC Referral List).

Target Audience and Instruction Level:

Participants in the VPTI should be mental & behavioral health professionals licensed to practice independently in their state. Didactic instruction, case consultation, and experiential learning will be utilized to achieve training goals. Content is intended for intermediate to advanced practitioners. Purchase Online >>

DVD Chapters and Learning Objectives

Documentary “Bad Hair Life."
Objectives: Describe the interpersonal impact of BFRBs, list secondary psychological issues with BFRBs.

Diagnosis, Assessment and Comorbidity
Objectives: List diagnosis criteria of TTM and other BFRBs, discuss different assessment instruments used in the treatment of BFRBs, explain common conditions co-morbid to BFRBs.

Etiology/Conceptual Models and Research
Objectives: Describe the most common psychological models used to explain BFRBs, discuss the evolution of TTM and other BFRB treatment as derived from different treatment models, recite important research studies that influenced the conceptual model of treatment for BFRBs.

Introduction to Behavior Therapy—Overview of Habit Reversal
Objectives: Apply the fundamentals of Behavior Therapy, describe the components of Habit Reversal Training, assess other behavioral treatment approaches.

Clinical Presentation and Phenomenology
Objectives: Assess the clinical presentation of TTM and other BFRB’s, predict the idiosyncratic nature of BFRBs, demonstrate awareness of the personal toll of BFRBs on sufferers.

Comprehensive Behavioral Model (ComB)
Objectives: List the 5 modalities of the ComB Model, describe the phases of treatment in the ComB Model, analyze the strengths and limitations of ComB Model.

Case Presentation I
Objectives: Explain the intake process of treatment for TTM, plan pacing and focus in the initial phase of treatment, select important initial questions during the intake process.

Assessment, Treatment Implementation,Clinical Decision Making and Problem Solving
Objectives: List 3 problems commonly faced during treatment, analyze co-existing problems that affect treatment (school, marriage problems, expectations, etc.), assess impediments to treatment.

Case Presentation II
Objectives: Plan 3 strategies used for the sensory modality in the treatment of BFRBs, describethe role of monitoring during treatment.

Treatment Augmentation Including Medication
Objectives: Compare medications commonly prescribed for treatment of BFRBs, analyze some non-pharmacological augmentation interventions used for the treatment of TTM or BFRBs, Recite empirical support for augmentation procedures.

Case Presentation III
Objectives: Assess major elements in termination of BFRB treatment, explain means for assessing areas of progress in BFRB treatment, identify relapse prevention techniques

Treatment of Children and Adolescents
Objectives: Describe different therapeutic issues at the different developmental stages of young patients, assess parental involvement in treatment at these stages, discuss co-morbid conditions of the different developmental stages.

Termination, Relapse Prevention, Business Issues
Objectives: Describe termination issues unique to BFRB clients, when working BFRBs, design relapse prevention techniques to use throughout the treatment process, utilize business resources for developing a practice specializing in treatment of BFRBs.

Supplemental Reading List
Provided upon registration. Must be read BEFORE training weekend. Required reading for full credit.

• Mansueto, C. S. Trichotillomania Focus. OCD Newsletter, Issue 11, 10-1.1Obsessive Compulsive Foundation.
• Mansueto, C. S., Stemberger, R. M. T., Thomas, A. M., Golomb, R. G. (1997) Trichotillomania: A Comprehensive Behavioral Model. Clinical Psychology Review, 17, 567-577.
• Mansueto, C.S., Stemberger, R.M.T., Thomas, A.M., Golomb, R.G. (1999) A Comprehensive Model for Behavioral            Treatment of Trichotillomania. Cognitive and Behavioral Practice, 6, 23-46.
• Stemberger, R.M.T., Thomas, A.M., Mansueto, C.S., Carter, J.G. (2000) Personal Toll of Trichotillomania: Behavioral and Interpersonal Sequelae. Journal of Anxiety Disorders, Vol. 14, No. 1, 97-104
• Stemberger, R.M.T., Stein, D. J., Mansueto, C. S.(2003) Behavioral and Pharmacological Treatment of Trichotillomania. Brief Treatment and Crisis Prevention, 3, 339-352.
• Penzel, F. (1996) You, Your Child, and Your Child’s Pulling. Trichotillomania Learning Center. InTouch 15, 1996.
• Penzel, F. (2002) A Stimulus Regulation Model for Trichotillomania. Trichotillomania Learning Center. InTouch 33.
• Penzel, F. (2006) What Cognitive Therapy Can do for TTM. Trichotillomania Learning Center. InTouch 45.
• Golomb, R. G., Mansueto, C. S. (1994) Trichotillomania in Children. Trichotillomania Learning Center. InTouch 8.
• Golomb, R. G. (2005) Toddler and Preschool Hair Pulling. Trichotillomania Learning Center. InTouch 41.
• Grant, J. (2007) Medications for Trichotillomania & Skin Picking. Trichotillomania Learning Center. InTouch 47.
• Grant, J. (2009) N-Acetylcysteine for Trichotillomania, Skin Picking, and Nail Biting. Trichotillomania Learning Center. InTouch 55.
• Woods, D.W., Flessner, C.A., Franklin, M.E., Keuthen, N.J., Goodwin, R., Stein, D.J. Walther, M., & Trichotillomania Scientific Advisory Board (2006) The Trichotillomania Impact Project (TIP): Exploring phenomenology, functional impariment, and treatment utilization. Journal of Clinical Psychiatry, 67, 1877-1888.

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The Facilitators:

The Institute is staffed by members of TLC’s Scientific Advisory Board (SAB).  The SAB is comprised of leading researchers and clinicians in the areas of  TTM and BFRBs.  Their expertise ranges from biological foundations of TTM to applied psychiatry and psychology.

Dr. Charles MansuetoCharles S. Mansueto, PhD (PTI Director), is founder and director of the Behavior Therapy Center of Greater Washington in Silver Spring, Maryland, where he has been involved in the study and treatment of hundreds of BFRB sufferers. He is a founding member of TLC’s Scientific Advisory Board and also serves on the Scientific Advisory Boards of the Obsessive Compulsive Foundation and the Tourette Syndrome Association of Greater Washington. He is past professor of psychology at Bowie State University, Maryland, and is on the clinical faculty of the American School of Professional Psychology of Argosy University, Virginia. He chaired the first national symposium on TTM in 1990 and continues to investigate, publish, and speak about the disorder.

Ruth GHolomb, MED, LCPCRuth Goldfinger Golomb, MEd, LCPC,  is a senior clinician, supervisor, and co-director of the doctoral training program at the Behavior Therapy Center of Greater Washington. She has conducted numerous workshops and seminars, and participated as an expert in panel discussions covering many topics, including Tourette Syndrome, Obsessive Compulsive Disorder, Trichotillomania, and managing anxiety disorders in the classroom. In addition to publishing articles for professional journals and newsletters, Ms. Golomb is an author of The Hair Pulling ‘Habit’ and You: How to Solve the Trichotillomania Puzzle, a book describing the comprehensive treatment of trichotillomania in children, and Stay Out of My Hair, a book aimed at helping parents of children with trichotillomania. Ms. Golomb is a member of the Scienctific Advisory Board for the Trichotillomania Learning Center.

Dr. Fred PenzelFred Penzel, PhD, Executive Director, Western Suffolk Psychological Services in Huntington, New York,  has been involved in the treatment of TTM and Obsessive Compulsive Disorder (OCD) for over 18 years. He sits on the Scientific Advisory Board of both TLC and the Obsessive Compulsive Foundation, and is a founding member of both. Dr. Penzel is a prolific writer on the subjects of TTM and OCD, and is the author of Obsessive Compulsive Disorder:  A Guide to Getting Well and Staying Well and The Hair Pulling Problem:  A Complete Guide to Trichotillomania.


Purchase Online >>

Continuing Education Information Course Completion Process

All who purchase the VPTI will receive a test packet and answer key.
The test packet must be completed by all participants who:

Would like the designation “Graduate of TLC’sVirtual Training Institute Graduate” added to their referral listing


Would like Continuing Education Credits (CEs). THIRTEEN credits are offered. An additional fee of 50.00, payable to TLC, is required for continuing education. The fee should be submitted with your answer form.

A minimum percentage of 80% is required for either designation. Answers must be submitted to TLC using the original enclosed answer form.TLC will submit your answer form to PsychoEducational Resources, the program co-sponsor, for CE processing. You will receive your CE Certification within 30 days of receipt of completed test. 

Continuing Education (CE) credits for mental health professionals are being offered through PsychoEducational Resources, Inc. (PER). Participants may 13 CEs. Purchase Online >>

PER CE Statement

PER is approved by the American Psychological Association to sponsor continuing education for psychologists. PER maintains responsibility for this program and its content.

PER is an NBCC Approved Continuing Education Provider (ACEP) and a co-sponsor of this program. PER may award NBCC approved clock hours for programs that meet NBCC requirements (Approval # 5536). Please check with your state counseling board to see if they accept the NBCC  providership.

PER is approved as a provider for continuing education by the Association of Social Work Boards, 400 South Ridge Parkway, Suite B, Culpepper, VA 22701.   ASWB Approval Period: 4/15/12 - 4/15/15. Social workers should contact their regulatory board to determine course approval. The following recognize the ASWB program: AK, AL, AZ, CT, DC, DE, GA, ID, IN, IA, KY, MA, MD, MI, MO, MS, MT, NM, NC, ND, NJ, OK, OR, PA, RI, SC, TN, TX, UT, VA, VI, VT, WA, WI, and WY.

PER is also an approved provider with a variety of individual state social work boards which include: the Florida Board of  Licensed Clinical Social Work, Marriage and Family Therapy, and Mental Health Counseling (CE Provider Tracking #50-1657, Board Provider #351, exp. 03/31/15), the Illinois Social Work Board (159-000505), the Iowa Board of Social Work (#153), the Maryland State Board of Social Work, the Ohio Social Work Board (RSX-019601), and the Texas Board of Social Work (CS 1596).

Course meets the qualifications for continuing education credit for MFTs and/or LCSWs as required by the California Board of Behavioral Sciences (Provider #PCE 203).

PER is an approved provider with the Illinois Marriage and Family Therapist Board (#168-000125)

PER is an approved Counselor (RCX-129413) provider with the Ohio Counselor, Social Worker and Marriage and Family Therapist Board.

PER is a provider of continuing education with the South Carolina Board of Examiners for Licensure of Professional Counselors, Marriage and Family Therapists, and Psycho-Educational Specialists (#98). Please note that the Board will only accept CE hours for renewal purposes that are related to the professional license that is being renewed and hours that are related to the educational requirements or subject matter that is required for licensure.

PER is an approved provider with the Texas State Board of Examiners of Marriage and Family Therapists (#130).

PER is approved as a Continuing Education Provider by the National Association of Alcoholism and Drug Abuse

Counselors (NAADAC) Provider #374. The individual sessions in this conference cover the following counselor skill groups: clinical assessment, ongoing treatment planning, counseling services, and legal, ethical and professional growth.

PER maintains responsibility for this program and its content. For additional CE information please call PER at 800-892-9249 or e-mail

To receive CE Certification you must complete the course post test and evaluation. CE Certification will be mailed to you within 30 days of receipt of completed test.


Grievance Policy

Your satisfaction with this program is TLC’s utmost priority. Generally, we will replace defective materials with a new copy. In certain cases, we may offer a refund. Unfortunately, refunds are not offered for professional membership, or for defective merchandise, once CE credits have been issued. Please contact the TLC office with any problems or concerns regarding this program: 831-457-1004 or

PTI Faculty

Charles Mansueto, PhD
PTI Director

Director, Behavior Therapy Center of Greater Washington
Silver Spring, MD

Fred Penzel, PhD
Senior Faculty

Director, Western Suffolk
Psychological Services
Huntington, NY

Ruth Golomb, MEd, LCPC, Supervisory Director
Behavior Therapy Center of Greater Washington
Silver Spring, MD

Renae Reinardy, PsyD, LP
Lakeside Center for
Behavioral Change
Fargo, ND

Stacy Shaw Welch, PhD
Director, Anxiety & Stress
Reduction Center of Seattle
Seattle, WA

Suzanne Mouton-Odum, PhD
Private Practice
Houston, TX

Marla Deibler, PsyD
Executive Director
Center for Emotional Health of Greater Philadelphia
Cherry Hill, NJ
Princeton, NJ

Sherrie Vavrichek, LCSW-C
Behavior Therapy Center of Greater Washington
Silver Spring, MD

Jennifer Kessler, PhD
Behavior Therapy Center of Greater Washington
Silver Spring, MD

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