Identify The Antecedents Of Hair Pulling

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As part of the assessment, the therapist should ask the client to explain the pattern of behaviors involved every time the client engages in hair pulling (Adams, Adams, & Miltenberger, 2009). The client would first describe the pattern in which he strokes his hair, finds a hair strand, twirls the hair strand between his fingers and thumb, reached down to the root of the hair, pulls out the hair, looks at the hair pulled out, and then drops the hair to the floor. The therapist would ask the client about the antecedents and consequences related to hair pulling. Identifying the antecedents that may have stimulus control over the hair pulling will help note any social reinforcements that can be incorporated during treatment and maintenance of treatment. The antecedents of hair pulling for this client may be when they are bored, waiting, or sitting and doing nothing. …show more content…
The consequences are having bald spots on his head, having no eyelashes or eyebrows, and the anxiety and difficulty related to applying for a job. The therapist would help the client develop a data collection plan in the first session. The therapist will ask the client to report the occurrences of hair pulling using frequency, duration, and time sample recording. The therapist would also ask the client to note down the antecedents of when and where the hair pulling occurs. So the client or his significant other, family member, or friend can report whether air pulling occurred while he was watching television. The client will also report a permanent product of hair pulling, so the number of hairs collected or the size of the depilated area (Adams, Adams, & Miltenberger,
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