Technology Assisted Treatment for Trichotillomania

Inclusion Criteria

• 18 years of age or older (criterion 1a) with a diagnosis of TTM focused on primary hair pulling location(s) above the neck (e.g., scalp, eyebrows, eye lashes, beard) (criterion 1b).
• English language fluency (criterion 2).
• Report no current pharmacological intervention targeting TTM symptoms OR a 6-week course of the intervention without change in dosage and intent for that dosage to remain stable for the 12 weeks of this trial (criterion 3a).
• Report no current psychosocial intervention targeting TTM (criterion 3b)

• Reliable and consistent access to the internet and/or mobile device permitting the participant to meet with someone virtually for 90 min.

• Owns a mobile phone running on Apple's operating system (iOS 6+) 6. Identifies a support person that is able to be contacted if an emergency arises.

Exclusion Criteria

• Current suicidal/homicidal ideation, intent, or plan (criterion 1a) or a diagnosis of another psychiatric condition that may impede a participant's ability to fully utilize the app (e.g., psychotic disorder, eating disorder, moderate to severe major depressive disorder [defined by meeting diagnostic criteria on the MINI and a score >13 on DASS-21]) (criterion 1b)
• Has not used HabitAware's Keen or Keen2 bracelet in the past 24 months.
• Residing outside the United States