{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,9,2]],"date-time":"2025-09-02T06:10:06Z","timestamp":1756793406548,"version":"3.44.0"},"reference-count":13,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2025,9,2]],"date-time":"2025-09-02T00:00:00Z","timestamp":1756771200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Psychiatry"],"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>Trichotillomania is a chronic psychiatric and behavioral disorder characterized by recurrent hair-pulling, often leading to significant distress and impairment. Long-term psychotherapeutic case reports remain scarce, especially those integrating Narrative Therapy and the Satir Model in culturally-specific and resource-limited contexts.<\/jats:p><\/jats:sec><jats:sec><jats:title>Case Presentation<\/jats:title><jats:p>We present a two-year integrated psychotherapy case for a 28-year-old woman with trichotillomania, utilizing Narrative Therapy and Satir Transformational Systemic Therapy. Assessments included the Massachusetts General Hospital Hair Pulling Scale (MGH-HPS), Self-Rating Anxiety Scale (SAS), Personal and Social Performance Scale (PSP), and Clinical Global Impression (CGI). Hair-pulling episodes decreased from 150 per day to 5, and MGH-HPS, SAS, and PSP scores improved substantially from baseline to end of treatment and one-year follow-up. The patient maintained gains post-treatment, with improved self-worth and social functioning.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>This case supports the clinical utility of a Narrative Therapy\u2013Satir Model integration for trichotillomania. The flexible, person-centered approach yielded lasting symptom and functional gains. Limitations include reliance on self-report and potential bias.<\/jats:p><\/jats:sec>","DOI":"10.3389\/fpsyt.2025.1588939","type":"journal-article","created":{"date-parts":[[2025,9,2]],"date-time":"2025-09-02T05:34:26Z","timestamp":1756791266000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Case Report: Narrative therapy combined with Satir model for the treatment of trichotillomania"],"prefix":"10.3389","volume":"16","author":[{"given":"Haiyan","family":"Liu","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Xiuxiu","family":"Chen","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Xiaochao","family":"Wan","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dan","family":"Wang","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zhiguo","family":"Chen","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1965","published-online":{"date-parts":[[2025,9,2]]},"reference":[{"key":"B1","volume-title":"Diagnostic and Statistical Manual of Mental Disorders","year":"2013"},{"key":"B2","article-title":"Alopecie par grattage (trichomanie ou trichotillomanie)","volume":"10","author":"Hallopeau","year":"1889","journal-title":"Bull la Soci\u00e9t\u00e9 Fran\u00e7aise Dermatologie Syphiligraphie"},{"key":"B3","doi-asserted-by":"publisher","DOI":"10.1007\/s13555-025-01380-8","article-title":"Narrative review of internet-based self-help tools for body-focused repetitive behaviors: recommendations for clinical practice","volume":"15","author":"Murase","year":"2025","journal-title":"Dermatol Ther"},{"key":"B4","doi-asserted-by":"publisher","DOI":"10.1586\/ern.11.93","article-title":"Trichotillomania and its treatment: A review and recommendations","volume":"11","author":"Franklin","year":"2011","journal-title":"Expert Rev Neurother"},{"key":"B5","volume-title":"Narrative Means to Therapeutic Ends","author":"White","year":"1990"},{"key":"B6","volume-title":"The Satir Model: Family Therapy and Beyond","author":"Satir","year":"1991"},{"key":"B7","doi-asserted-by":"publisher","DOI":"10.1159\/000289003","article-title":"The massachusetts general hospital (MGH) hairpulling scale: 1. 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