Concurrent Treatment of Intimate Partner Violence and Trichotillomania From an Emotion Regulation Framework: A Case Study

Survivors of intimate partner violence (IPV) experience a vast array of emotional and behavioral consequences, including difficulties in areas related to emotion regulation, and they often qualify for comorbid psychological diagnoses. Although a modified version of DBT has been examined as a treatment for survivors of IPV experiencing emotional dysregulation, there has been little mention of how to treat comorbid disorders among this population. Given that body focused repetitive behaviors (BFRB’s), such as trichotillomania, can be conceptualized as poor coping mechanisms to soothe dysregulated emotions, it seems beneficial to understand how to treat these diagnoses in the context of IPV sequelae. To date, there are limited examinations of DBT enhanced cognitive behavioral therapy for those suffering from IPV exposure and trichotillomania. The following case provides a successful example for how and why such therapy can be conducted for the treatment of comorbid diagnoses following IPV exposure.