Evidence Based Therapies

Habit Reversal Training (HRT)

talk therapy

 HRT is an active, present focused therapy that involves decreasing problem behaviors and increasing effective behaviors 

HRT helps you assess and understand what leads to your problematic behaviors 


 HRT teaches you to do new, healthy behaviors instead of problematic ones


The TAP Clinic currently offers individual HRT 


What HRT is:

Habit Reversal Training (HRT) is an evidence-based treatment for hair-pulling, skin-picking, and repetitive behavior disorders. The goal of HRT is to decrease problematic behaviors and learn to use other strategies instead. The first step is assessment to determine which thoughts, emotions, and situations tend to lead to the problematic behavior. The individual and therapist will then work to increase awareness of the behavior, create a competing response (which is a new behavior to do instead of the problematic one), and learn to tolerate urges. The therapist also helps an individual to build motivation to change the problematic behaviors and stay committed to maintaining the progress made in therapy in the long-term. 

What HRT treats:

HRT is an effective treatment for hair-pulling (trichotillomania), skin-picking (excoriation disorder), and may help treat other body-focused, repetitive behaviors like nail biting and lip chewing. 

TAP Clinic HRT Providers:

     In adults: Dr. Miller 

5726 Fayetteville Rd

Suite 101

Durham, NC 27713

Phone:  919-237-3321

Email: info@tapclinicnc.com

Fax: 919-287-2829