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Those who choose to hire a trichotillomania therapist have the opportunity to improve the quality of their lives through the different therapies employed during the sessions. The main treatment commonly used for TTM is a type of cognitive behavioral therapy called habit reversal training (HRT), however other psychotherapy options include exposure and response prevention (ERP), acceptance and commitment therapy (ACT), and stimulus control techniques. HRT treats hair pulling as a habituated response to certain situations and events. This therapy mainly concentrates on developing habit awareness, followed by the development of healthier coping strategies. Clients are encouraged to increase their awareness of the places, emotional states, times of day, and other circumstances that trigger hair pulling in order to avoid relapse.