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Trichotillomania Learning Center

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Professional Training Institute

May 2016: Nashville, TN (specific date & venue to be announced next month)

Hair Pulling and Skin Picking are treatable disorders.
Clinicians trained at TLC’s Professional Training Institute (PTI), or with TLC’s video series the Virtual PTI, “saw an increase in the percentage of their BFRB patients who achieved abstinence" as well as an “overall increase in
symptom reduction for their patients.”
Getting the word out: Cognitive-behavioral therapy for trichotillomania (hair pulling disorder) and excoriation (skin picking) disorder. Annals of Clinical Psychiatry, February 2015.

The PTI is a three-day intensive training program, facilitated by leading experts in the treatment of hair pulling disorder, skin picking disorder, and related body-focused repetitive behaviors (BFRBs). The only BFRB training of its kind, the PTI provides health care professionals with practical training in current cognitive-behavioral treatment approaches for these behaviors.

“Since completing the PTI training in 2014 and putting a professional listing on the TLC website, I have watched my practice grow by leaps and bounds! The best part however, is how much I enjoy the work. I have not felt this satisfied with my career in a very long time-maybe ever. I can’t thank Charley, Fred, and Renae enough for giving me the knowledge and tools to launch this new chapter in my life. A big thank you also goes to the TLC community for giving me the courage to share my story.” Secrets from a TLC Professional Member and Former Trichster. TLC Blog, September 2015.

Schedule  |  Who Should Attend  |  Faculty  | Lodging | Continuing Education

Disability Access | Grievance Policy | Cancellation Policy

By completing this training, participants will be able to:

  • Accurately diagnose Body-Focused Repetitive Behaviors (BFRBs), including Trichotillomania and Skin Picking Disorder.
  • Design and implement specific Cognitive Behavioral interventions for BFRBs
  •  Develop treatment plans for adults, children and adolescents who have BFRBs.
  • Explain the role of comorbid disorders and co-existing problems that affect treatment (school, marriage problems, expectations, etc.), and assess related  impediments to treatment.
  • Assess major elements in termination of BFRB treatment, explain means for assessing areas of progress in BFRB treatment, identify relapse prevention techniques.
  • Describe termination issues unique to BFRB clients, design relapse prevention techniques to use throughout the treatment process, utilize business resources for developing a practice specializing in treatment of BFRBs.

In addition, training graduates can:

  • Build their 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
  • Earn 19 CE Credits/19 NBCC Clock Hours.

The need is great: build your practice from a three-day training in specialized treatment for these problems.


About the Training:

Prior to the weekend, a reading list will be assigned (materials will be mailed upon registration), and during the weekend, didactic instruction, case consultation, and experiential learning will be utilized to achieve training goals. At the end of the weekend, a certificate of completion will be awarded to trainees. 

Follow-up consultations will be available. For those trainees who provide treatment services to the BFRB community, TLC will note on its referral lists that the trainee has completed the PTI. TLC Professional members receive priority listings on all referral lists. Follow-up supervision will be available. Eventbrite - East Coast Professional Training Institute: CBT-Based Treatment for Trichotillomania & Skin Picking Disorder


Training Schedule:

Friday: 7:30pm - 9:30pm
Orientation and Screening of documentary “Bad Hair Life” Refreshments included.
Objectives: Describe the interpersonal impact of BFRBs, list secondary psychological issues with BFRBs.

Saturday: 9:00am - 5:00pm
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.

12:00-1:30pm: Lunch on your own

Clinical Presentation and Phenomenology
Objectives: Assess the clinical presentation of TTM and other BFRBs, 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.

Sunday: 9:00am - 5:00pm
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, describe the 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.

12:00-1:30pm: Lunch on your own

Case Presentation III
Objectives: Assess major elements in termination of BFRB treatment, explain means for assessing areas of progress in BFRB treatment, and 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, 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, 10-1.1 Obsessive 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.
• 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 impairment, and treatment utilization. Journal of Clinical Psychiatry, 67, 1877-1888.


Will be updated in Januray 2016.


Who Should Attend

Participants in the PTI should be mental health professionals licensed to practice independently in their state. Program is most suitable for intermediate to advanced-level practitioners. Under special circumstances, non-licensed clinicians (e.g., graduate students, postdoctoral fellows, etc.) may attend the Institute. Contact TLC with any questions at  831-457-1004 or email:

The Faculty

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. You can see the full list of faculty on the left/top part of the page. This PTI will have the following faculty:

Charles Mansueto, PhD, PTI DirectorCharles 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.the disorder.


fred penzelFred Penzel, PhD, is the Executive Director at Western Suffolk Psychological Services in Huntington, New York. He has been involved in the treatment of TTM and Obsessive Compulsive Disorder (OCD) for over 20 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.



ruth headshotRuth 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.


Continuing Education Information

Continuing Education Credits (CEs) are being offered through R. Cassidy Seminars.
Participants who satisfactorily complete the training will earn 19 CE Credits.
This event is co-sponsored by R. Cassidy Seminars

Satisfactory Completion

Participants must have paid tuition fee, signed in, attended the entire seminar, completed an evaluation, and signed out in order to receive a certificate. Failure to sign in or out will result in forfeiture of credit for the entire course. No exceptions will be made. Partial credit is not available.


R. Cassidy Seminars is approved by the American Psychological Association (APA) to offer continuing education for psychologists.  R. Cassidy Seminars maintains responsibility for this program. 19 CE hours.

Social Workers

This organization, R. Cassidy Seminars, ACE provider #1082,  is approved as a provider for social work continuing education by the Association of Social Work Boards (ASWB), through the Approved Continuing Education (ACE) Program. R. Cassidy Seminars maintains responsibility for the program. Approval Period: April 15, 2015-April 15, 2018.  Social workers should contact their regulatory board to determine course approval. Social workers participating in this course will receive 19 continuing education clock hours.

NJ: This course is approved by the Association of Social Work Boards - ASWB NJ CE Course Approval Program Provider #31 Course #556 from XX/XX/2015 to XX/XX/2017. Social workers will receive the following type and number of credit(s): Clinical Social Work Practice 19 

NY: R. Cassidy Seminars is recognized by the New York State Education Department's State Board for Social Work as an approved provider (#0006) of continuing education for licensed social workers. This program is approved for 19 contact hours live.

OH : Provider approved by the Ohio Counselor, Social Worker and Marriage and Family Therapist Board for 19 clock hours, #RCST110701

Counselors/Marriage and Family Therapists

IL: Illinois Dept of Professional Regulation, Approved Continuing Education Sponsor, #168-000141.  19 hours.

OH: Provider approved by the Ohio Counselor, Social Worker and Marriage and Family Therapist Board for ( ) clock hours, #RCST110701

TX: Approved CE Sponsor through the Texas State Board of Examiners of Marriage & Family Therapists. Provider #151. 19 credit hours.

Chemical Dependency Counselors

CA: Provider approved by CFAAP/CAADAC, Provider #4N-00-434-0212 for 19 CEHs. CAADAC is an ICRC member which has reciprocity with most ICRC member states

TX: Provider approved by the TCBAP Standards Committee, Provider No. 1749-06, 19 hours general. Expires 3/31/2016.  Complaints about provider or workshop content may be directed to the TCBAP Standards Committee, 1005 Congress Avenue, Ste. 460, Austin, Texas 78701, Fax Number (512) 476-7297. 

Disability Access- If you require ADA accommodations please contact our office 10 days or more before the event. We cannot ensure accommodations without adequate prior notification.

Please Note: Licensing Boards change regulations often and while we attempt to stay abreast of their most recent changes, if you have questions or concerns about this course meeting your specific board’s approval, we recommend you contact your board directly to obtain a ruling.

Grievance Policy

When a participant, either orally or in written format, files a grievance or expects  action on the complaint; the following actions will be taken.

1. If the grievance concerns a speaker, the content presented by the speaker, or the style of presentation, the individual filing the grievance will be asked to put his/her comments in written format. TLC staff will then pass on the comments to the speaker, assuring the confidentiality of the grieved individual.

2. If the grievance concerns a workshop or home study offering, its content, level of presentation, or the facilities in which the workshop was offered, TLC staff will mediate and will be the final arbitrator. If the participant requests action, TLC may do one of the following:

a. attempt to provide the participant with another workshop or home study or

b. provide a credit for a subsequent year's workshop or

c. provide a partial or full refund of the workshop fee.

3. If the grievance concerns our CE program, in a specific regard, the Continuing Education Administration Director will attempt to arbitrate.

4. Participants of approved continuing education courses by The New Jersey State Board of Social Work Examiners have the option to appeal to the Board if an attendee is displeased with the results of the process. Phone: 866-825-9580 or email

Cancellation and Refund Policy

For event cancellations:  If notice of cancellation is received at least 14 days prior to the event: TLC will cancel your registration and issue a refund of paid registration fees, minus a $60.00 late cancellation-processing fee, regardless of the reason for the cancellation (including medical emergencies). If notice is 13 days or less, prior to the event, no refunds will be issued, regardless of the reason for the cancellation (including medical emergencies). TLC cannot make exceptions to this policy, as we must prepay most meeting expenses.

For any products or services that are purchased from TLC, if you are not satisfied within 30 days of receiving them we will grant you a full refund. Please keep all billing receipts and records that are provided to use as proof of purchase when returning a product. For any questions or concerns, contact us at 831-457-1004.

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

Jon Grant, MD, JD, MPH
Chair, TLC Scientific Advisory Board

Professor of Psychiatry and Behavioral Neuroscience
University of Chicago, Chicago, IL

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

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

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

Suzanne Mouton-Odum, PhD
Private Practice
Houston, TX

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

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

Noah Weintraub
Behavior Therapy Center of Greater Washington
Silver Spring, MD

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