Technology Assisted Treatment of Trichotillomania: Open Trial

This study is testing a technology-assisted treatment program for adults with trichotillomania (TTM) — a condition where people repeatedly pull out their hair and find it very difficult to stop. The program uses a smartphone app along with a wearable wristband device (called Keen2) to help people become more aware of and reduce their hair-pulling behavior. **You may be eligible if...** - You are 18 years or older with a confirmed diagnosis of trichotillomania - English is your primary language - You own or have consistent access to an iPhone (Apple iOS) - You are not currently receiving active treatment for trichotillomania, or you have been in treatment for at least 6 weeks without improvement - You have reliable internet access and can meet virtually for 90-minute sessions - You can identify a support person who can be contacted in an emergency **You may NOT be eligible if...** - You are currently having thoughts of harming yourself or others - You have a diagnosis of a psychotic disorder, severe depression, or another condition that could prevent you from fully engaging with the app Talk to your doctor to see if this trial is right for you.