Behavioral Treatment
Awareness and control are the keys to behavioral treatment. Very few methods of treatment have proved to be successful for TTM, but behavioral treatment has had 
numerous studies and there is accurate data regarding it.
numerous studies and there is accurate data regarding it. Behavioral treatment can be modified through your own personal strategies too and can depend on the person. Check out the Strategies page for some suggestions!
HRT (Habit Reversal Training)
Habit Reversal Training is at least 3 sessions of working with a psychologist focusing on treating habitual disorders. The 1st session focuses on increasing awareness of urges and pulling. The 2nd is responding to the urges by doing “exercises” such as fist clenching or arm crossing to help prevent pulling. The 3rd is social support, where you get others to help remind you of what you’ve learned and to praise you for practicing good techniques.
There are few places that offer HRT, which is a downfall of the treatment. To name the places that do:
-University of Wisconsin Milwaukee
-University of Pennsylvania
-University of Michigan
-Massachusetts General Hospital/Harvard
-University California Los Angeles
-Western Suffolk Psychological Services-Huntington New York
-Behavioral Therapy Center-Washington D.C.
Live near one of these places? Click here for contact info
Self Monitoring
Another approach to treating TTM is self monitoring. This is where the puller increases self 
awareness by recording data on pulling episodes, urges, emotions, thoughts or numbers. Usually you record data in a chart and by analyzing the chart try to come up with what things you should try to help your most vulnerable situations etc...
Here is a link to a chart you can print out to record data: CLICK HERE!
Stoppulling.com is also a “self monitoring” site that guides you along each step of the way and has proven to be effective for some people. www.stoppulling.com
Punishment/Reward Technique
The guardians or pullers themselves may try to reduce hair pulling by either praising for newly grown hair or positive actions, or punishment for pulled hair or negative actions. They may also perform “over-correction,” where the puller practices trigger situations over and over to try to overcome urges that may occur in that particular situation. Reinforcement and praise is used, while rewards of some kind may be used also.
Group Treatment
Joining support groups in your area, online groups, or just being with other pullers is a way to try to treat trich. In support groups the pullers try to work together to increase awareness of their pulling , perform relaxation techniques and socialize with others.
For finding local support groups contact the Trichotillomania Learning Center www.trich.org
Medication
All in all, medication up to this point has not proven to be effective for the majority of the Trichotillomania population. There is no specific trich medicine, and though many anti-depressants, 
anti-psychotics and other meds have all been tried, for most people none have proven to be effective. Popular medications tried (based off of TIP-A results) are:
-Prozac
-Paxil
-Zoloft
-Effexor
-Anfranil
-Lexapro
-And more
-Paxil
-Zoloft
-Effexor
-Anfranil
-Lexapro
-And more
The medications above are all anti-depressants, and none have proven to be effective on a large scale in the treatment of Trichotillomania.