Broadly stated, cognitive-behavior therapy is based on learning theory which has shown that as we practice new behaviors and thoughts in response to familiar emotions or situations, our brain’s physical structure actually changes, too. We develop new neural pathways and, with repetition, the new behavior becomes an automatic response.
Methods of cognitive-behavior therapy, such as Habit-Reversal Training and the Comprehensive Model for Behavioral Treatment of Trichotillomania have shown to be the most successful treatments for trichotillomania known today.