Trichotillomania Therapy in NYC

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Alison specializes in the treatment of body focused repetitive behaviors (BFRBs) including trichotillomania (hair pulling) and dermatillomania (skin picking). I currently provide virtual therapy for those who are located in New York. Below you can find more about my about my therapeutic style, specialties & fees. If you are not in New York, but are looking for hair loss support you can click here

trichotillomania therapy nyc, trichotillomania therapy manhattan

Let’s be real: the experience of trichotillomania can feel extremely isolating and misunderstood

I know you have you been there before…

You are sitting in a meeting and all of a sudden you notice a pile of hair starting to accumulate… before that moment if felt so unconscious

You are watching a TV show with your friend and suddenly they ask why you are pulling out your eyelashes… you feel a bit violated

Your mom notices you pulling and she reaches over to move your hand… it made you angry for your autonomy to be taken away

Your family is making comments about what your hair used to look like before… it is starting to impact your self-esteem

Even the moments where you notice the urges, it feels nearly impossible to stop

As a therapist who has been bald since age 6 due to Alopecia and has also has experienced skin picking from a young age, my approach to BFRB treatment might be a bit different than what you have experienced with other professionals. While I believe that behavioral approaches, such as the Comprehensive Behavioral Approach for BFRBs (ComB), are great, I also believe more is needed.

When it comes to supporting my clients with BFRBs, it is important for me that YOU to tell me what you would like for your life. I work with my clients collaboratively to determine what works best for their unique needs and goals. Some of the goals we may create together could include…

  • Decrease shame about engaging in a BFRB

  • Increase self-compassion and self-acceptance

  • Learn alternative coping strategies to decrease engagement in the BFRB

  • Gain deeper understanding of your individual BFRB triggers

  • How to communicate or set boundaries with friends/family relating to your BFRB (ex: how to ask them to stop commenting about it, ways to explain to family that BFRBs are not something you can just ‘stop’)

  • or anything else you desire!

I firmly believe that BFRBs should not solely be approached with trying to “exterminate” the behavior. I have found this only creates more shame and does not empower people to decide what they truly want for themselves. In working together, we will create your individualized goals and help you decide what you want for your BFRB journey. Using a combination of techniques such as ComB, self compassion practices and more, we will individualized your treatment to your unique experience rather than just rely on one textbook approach.

It is possible your BFRB may also overlap with other struggles such as…

  • Anxiety / OCD

  • ADHD / neurodivergence

  • Patterns of overthinking

  • Low self-esteem

BFRBs can feel extremely isolating. Just know, you are not alone and you can live a life that doesn’t feel defined by your BFRB.

And I can help you get there.

Alison Mann is a body image and anxiety therapist in New York

Alison Mann, LMSW

Hi, I’m Alison and I’m a licensed psychotherapist.

I am passionate about working with adolescents and adults who are navigating issues with, but not limited to, anxiety/OCD, body image, eating disorders, athletic pressures, chronic illness/pain, ADD/ADHD and body focused repetitive behaviors. I offer a warm, non-judgmental space for us to work together and explore how your life experiences may have led you to feel unable to reach your full potential.

My approach balances having space for reflective growth while also identifying concrete skills and coping tools tailored to your unique goals. I use an integrative approach that draws from numerous modalities such as CBT, DBT, ERP, psychodynamic and mindfulness. I also have training in Mirror Exposure Therapy and CBT-E.

I am passionate about changing/educating about the larger societal messages & beauty standards that make it so much harder for people to live their best life. I firmly believe that we must celebrate diversity of all kinds & that attractiveness comes from our differences rather than the stereotypical narrative and images we’ve been sold.

I look forward to providing the safe space needed to help you and your children thrive.

45min Session/$225

Limited reduced fee spots currently available

  • Anxiety

  • ADHD

  • Anorexia

  • Athletes

  • Autoimmune conditions

  • Binge eating disorder

  • Body image for teens

  • Body image for adults

  • Body Focused Repetitive Behaviors

  • Bulimia

  • Dermatillomania (Skin picking)

  • Disordered eating

  • Hair Loss

  • Eating disorders

  • Life transitions

  • Neurodivergence

  • OCD

  • PTSD/C-PTSD

  • Perfectionism

  • Physical differences (limb/facial differences)

  • Self esteem

  • Trichotillomania (Hair pulling)

Specialties

  • Attachment-based

  • ACT

  • CBT

  • CBT-E

  • DBT

  • Exposure and Response Prevention (ERP)

  • Internal Family Systems (IFS)

  • Self-compassion

  • Somatic practices

  • Neurodivergent affirming

  • LGBTQ affirming

  • Mindfulness practices

  • Psychodynamic

  • Relational

  • HAES

  • Mirror Exposure Therapy

Clinical Frameworks