{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,9,25]],"date-time":"2025-09-25T00:16:36Z","timestamp":1758759396687,"version":"3.44.0"},"reference-count":23,"publisher":"Guilford Publications","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Bulletin of the Menninger Clinic"],"published-print":{"date-parts":[[2025,9]]},"abstract":"<jats:p> Greater therapist experience is not necessarily associated with superior treatment outcomes, but some data suggest that experience with a specific disorder or treatment protocol is helpful. This study conducted a secondary analysis of one such finding, in which therapists with previous experience treating trichotillomania (TTM) achieved better outcomes than did TTM-novice therapists in a randomized controlled trial of the Comprehensive Behavioral (ComB) model. Sixty session recordings from this trial were randomly selected for coding on rationally-selected dimensions of therapist competence, of which seven proved sufficiently reliable for between-groups analysis. Sessions conducted by experienced therapists were superior in management of session time and most indicators tapping complex ComB-specific skills, whereas they were inferior to novice therapists on addressing patient nonadherence. Discussion focused on possible explanations for these results and proposed testing a sequence in which TTM therapists could begin with less complex interventions and implement ComB only after developing improved expertise. <\/jats:p>","DOI":"10.1521\/bumc.2025.89.3.194","type":"journal-article","created":{"date-parts":[[2025,9,24]],"date-time":"2025-09-24T14:58:21Z","timestamp":1758725901000},"page":"194-213","source":"Crossref","is-referenced-by-count":0,"title":["What do therapists with prior experience treating trichotillomania do differently?"],"prefix":"10.1521","volume":"89","author":[{"given":"Jacob J.","family":"Gustaveson","sequence":"first","affiliation":[{"name":"Department of Psychology, American University, Washington, D.C."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zo\u00eb E.","family":"Laky","sequence":"additional","affiliation":[{"name":"Department of Psychology, American University, Washington, D.C."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kara N.","family":"Kelley","sequence":"additional","affiliation":[{"name":"Department of Psychology, American University, Washington, D.C."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David A. 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