Role of Habit Reversal Therapy (HRT) in Treating Obsessive Compulsive Related Behaviors

Abstract

Background: Obsessive-compulsive related behaviors like trichotillomania and excoriation disorder are some behaviors which radically interfere with one’s psychological wellness. Habit Reversal Therapy (HRT) has been studied extensively to determine its effectiveness in treating these disorders.

Aim: The purpose of this review is to analyze existing literature in order to evaluate the extent to which HRT is effective for patients suffering from Obsessive-compulsive related behaviors.

Method: A systematic literature review was performed, measuring HRT’s impact in treating Obsessive-compulsive related behaviors using eight peer reviewed studies. The selected studies consisted of clinical case reports, literature reviews, and treatment focused analyses. Study selection was conducted using a methodology approach which focused on the study design, the interventions made, and their outcomes.

Results: The literature review showed that HRT is helpful for Obsessive-compulsive related behaviors since it significantly reduces symptoms. It was shown that HRT alone or with other cognitive behavioral therapies like CBT or DBT are much more effective than traditional practices. Behavioral therapies are crucial for long standing positive changes. In addition to other studies, HRT proved effective to children and young adolescents. Long term effectiveness, adherence to treatment, and the impact of different cultures on therapy results still remain unresolved issues.

Conclusion: This review posits that HRT is a viable course of treatment for Obsessive-compulsive related behaviors and that, as with any HRT, further longitudinal studies should be done to ascertain its sustainability, adherence factors, and applicability to various populations.