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Breaking the Pulling and Picking Cycle

July 7, 2026 · 29 min

Show notes

Hair pulling. Skin picking. For many people, these behaviors are far more than "bad habits." They're real mental health conditions that often leave people feeling frustrated, embarrassed, and misunderstood.

In this episode of Off the Couch Psychology Podcast, Dr. Jerry Cunningham breaks down trichotillomania and excoriation disorder in plain language. You'll learn what these disorders really are, why they happen, what the brain is doing during an episode, and why willpower alone isn't the answer. You'll also discover the treatments that research has shown can make a real difference, including Habit Reversal Training, Comprehensive Behavioral Treatment, and other practical strategies that help people regain control.

Whether you're struggling with one of these disorders, supporting someone who is, or simply want to better understand body-focused repetitive behaviors, this episode will give you practical knowledge, greater compassion, and hope that lasting improvement is possible.

Key Takeaways
  • Learn the difference between trichotillomania and excoriation disorder.

  • Understand why these disorders are much more than simple habits.

  • Discover what researchers know about the brain and body-focused repetitive behaviors.

  • Explore evidence-based treatments that can help interrupt the cycle.

  • Gain practical insight that can help you support yourself or someone you care about.

For more podcast episodes, books, articles, and resources to help you grow mentally, morally, physically, spiritually, and financially, visit www.Quest-Success.com.

Suggested Reading & Resources
  • Atomic Habits by James Clear

  • Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition, Text Revision (DSM-5-TR)

  • The TLC Foundation for Body-Focused Repetitive Behaviors

  • National Institute of Mental Health

  • American Psychiatric Association

Mentioned in This Episode

#Trichster #ScarsOfShame #OliviaMunn #AmySchumer #AngelaHartlin #AtomicHabits #JamesClear

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