Quick Guide  

 

How to use Prohibere

Prohibere was designed to be applied directly to scalp when a pulling episode begins. Cooling sensation may take up to 5-10 minutes to occur.  

Below is the standard plan for habit reversal training for trichotillomania incorporating Prohibere as a competing response tool.

Competing response training

1. Competing Reaction Training- Subject learns the inconspicuous competing response of clenching fists and/or applying cooling Prohibere whenever pulling occurs

2. Awareness Training- Subject learns to be aware of the specific movements involved in hair pulling especially by observing themselves in mirror or using awareness bracelet.

3. Identifying Response Precursors- A common response that is a precursor to hairpulling is face-touching as is also hair straightening. Subject learns which are specific to his or her habit.

4. Identify Habit Prone Situations- Subject learns to identify which situations lead to hair pulling, such as watching TV, reading, studying, and driving.

5. Relaxation Training- Nervousness is a common precursor to hair puling. The subject is taught how to relax with deep breathing, mindfulness training, and postural adjustment.

6. Prevention- Practice competing reaction by applying cooling Prohibere and 3 min of clenching fists whenever nervousness or a response precursor exists, thereby preventing hair pulling.

7. Habit Interruption- Subject practices using the competing response (hair cooling prohibere and/or fist clenching) to interrupt hair pulling immediately

8. Positive Attention (over correction)- The subject practices positive hair care such as applying hair growth products, hair nourishing masks, or brushing hair after each episode of hair pulling.  

9. Daily Practice of Competing Reaction- Subject practices the competing reaction before a mirror at home on a scheduled basis to be assured of the inconspicuousness of the competing reaction.

10. Self-recording: Subjects recorded each instance of actual hair pulling and each strong compulsion to hair pull on a recording chart to provide greater awareness and feedback for progress in hair pulling