Decoupling in case of impulse control disorders

Decoupling in impulse control disorders is a self-help technique for forcing Related Disorders ( DSM 5 ) or impulse control disorders ( ICD-10 ) as trichotillomania , onychophagia (nail biting), and skin picking of psychologists the Department of Psychiatry and Psychotherapy of the University Medical Center Hamburg-Eppendorf was developed . The person concerned is instructed to modify the original behavioral path by performing a reverse movement in the opposite direction shortly before the end of the self-injurious behavior (e.g. tearing out the hair; pounding the skin). This is supposed to trigger irritation, which enables the person affected to recognize the compulsive behavior early on and to prevent it. The manual is available in five languages (as of January 4, 2020).

The benefit for trichotillomania and onychophagia (nail biting) has been demonstrated in three randomized controlled trials. In one study, the effects were also detectable six months later.

Web links

Isolation treatment manual - website of the clinical neuropsychology working group of the Clinic for Psychiatry and Psychotherapy of the University Medical Center Hamburg-Eppendorf

Individual evidence

↑ Steffen Moritz, Andras Treszl, Michael Rufer: A Randomized Controlled Trial of a Novel Self-Help Technique for Impulse Control Disorders: A Study on Nail-Biting . In: Behavior Modification . tape 35 , no. 5 , September 2011, ISSN 0145-4455 , p. 468-485 , doi : 10.1177 / 0145445511409395 ( sagepub.com [accessed January 4, 2020]).
↑ ^a ^b Steffi Weidt, Richard Klaghofer, Alexa Kuenburg, Annette Beatrix Bruehl, Aba Delsignore: Internet-Based Self-Help for Trichotillomania: A Randomized Controlled Study Comparing Decoupling and Progressive Muscle Relaxation . In: Psychotherapy and Psychosomatics . tape 84 , no. 6 , 2015, ISSN 0033-3190 , p. 359-367 , doi : 10.1159 / 000431290 ( karger.com [accessed January 4, 2020]).
↑ Steffen Moritz, Michael Rufer: Movement decoupling: A self-help intervention for the treatment of trichotillomania . In: Journal of Behavior Therapy and Experimental Psychiatry . tape 42 , no. 1 , March 2011, p. 74–80 , doi : 10.1016 / j.jbtep.2010.07.001 ( elsevier.com [accessed January 4, 2020]).

[1] Steffen Moritz, Andras Treszl, Michael Rufer: A Randomized Controlled Trial of a Novel Self-Help Technique for Impulse Control Disorders: A Study on Nail-Biting . In: Behavior Modification . tape 35 , no. 5 , September 2011, ISSN 0145-4455 , p. 468-485 , doi : 10.1177 / 0145445511409395 ( sagepub.com [accessed January 4, 2020]).

[:0-2] Steffi Weidt, Richard Klaghofer, Alexa Kuenburg, Annette Beatrix Bruehl, Aba Delsignore: Internet-Based Self-Help for Trichotillomania: A Randomized Controlled Study Comparing Decoupling and Progressive Muscle Relaxation . In: Psychotherapy and Psychosomatics . tape 84 , no. 6 , 2015, ISSN 0033-3190 , p. 359-367 , doi : 10.1159 / 000431290 ( karger.com [accessed January 4, 2020]).

[3] Steffen Moritz, Michael Rufer: Movement decoupling: A self-help intervention for the treatment of trichotillomania . In: Journal of Behavior Therapy and Experimental Psychiatry . tape 42 , no. 1 , March 2011, p. 74–80 , doi : 10.1016 / j.jbtep.2010.07.001 ( elsevier.com [accessed January 4, 2020]).