Behavior Modification Treatment in India

Pari Joshi, a 28-year-old software engineer,...

Pari Joshi, a 28-year-old software engineer, had always been a high achiever. Over the past three years, the pressure of her demanding job and a difficult breakup led to the development of severe trichotillomania (hair-pulling disorder). She would unconsciously pull out her eyebrows and eyelashes during periods of intense focus or stress, leaving her with noticeable bald patches. This caused profound shame, leading her to avoid social situations and wear hats and glasses constantly. Her dermatologist, after ruling out physical causes, referred her to a psychiatrist, Dr. Mehta. Dr. Mehta recommended a comprehensive behavior modification program centered on Habit Reversal Training (HRT). The treatment involved weekly sessions where Pari learned to increase her awareness of the pulling urges, develop a competing response (like clenching her fists), and manage stress through mindfulness. The experience was challenging; bringing conscious attention to the habit was initially anxiety-provoking. However, with consistent practice and support, Pari gained control. Six months post-treatment, the pulling episodes are rare and manageable. Her hair has fully grown back. Emotionally, she moved from a place of secretive despair and self-loathing to one of empowerment and self-compassion. She no longer feels controlled by the impulse and has regained her confidence.