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Sky Maree Steele Clinical Psychologist • ADHD Coach
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Obsessive-Compulsive & Related DSM-5 312.39, 698.4 / ICD-11 6B25

Body-Focused Repetitive Behaviors (Trichotillomania & Excoriation)

Recurrent pulling out of one's own hair (trichotillomania) or skin picking (excoriation disorder) resulting in tissue damage, distress, and shame.

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Diagnostic Code DSM-5 312.39, 698.4 / ICD-11 6B25
Clinical Category Obsessive-Compulsive & Related
Recommended Modalities ComB Model, HRT, Sensory Replacement
Medicare Rebates $141.85 / session with MHTP
Practice Location Albion Park & Telehealth

Diagnostic Formulation

DSM-5 312.39, 698.4 / ICD-11 6B25

Recurrent pulling out of one's own hair (trichotillomania) or skin picking (excoriation disorder) resulting in tissue damage, distress, and shame.

Core Clinical Symptoms & Presentations

Hair pulling (scalp, eyebrows, eyelashes)
Skin picking till bleeding
Trance-like sensory state

Evidence-Based Psychological Interventions

Comprehensive Behavioral Model (ComB)
Habit Reversal Training (HRT)
Sensory tactile replacement tools

Neurodiversity & ADHD Overlap Lenses

Prefrontal Cortex Scaffolding & Dopaminergic Nuances

Very common somatic stimming mechanism in ADHD/Autistic individuals regulating nervous system arousal.

Initiate Clinical Care

Consult with registered psychologist Sky Maree Steele to develop a tailored formulation and neuro-affirming treatment plan.

Standard Consultation: $260.00
Medicare Rebate (Item 80010): $141.85
Out-of-Pocket Gap: $118.15
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