For many of us, this disorder doesn't present itself frequently in our client populations. There is much debate about whether this diagnosis is thought of as an impulse control disorder or OCD or a syndrome with neurological roots, such as Tourette's. The following article offers a primer of treatment for this complex therapeutic condition.
http://www.trich.org/dnld/Adult_Clinicians_Guide_v08.pdf
For an additional resource for clients, check out: www.stoppulling.com
