What is the best way to fight trichotillomania?

Combined treatment: Individual psychotherapy including using cognitive behavioral techniques as well as habit reversal training  involving learning to recognize situations where you're likely to pull and substituting other behaviors instead. medications often used to treat obsessive-compulsive disorder may also be helpful including serotonin  specific reuptake inhibitors or the tricyclic antidepressant anafranil (clomipramine).  d.