Anxiety Disorders Center: David Tolin, Ph.D., ABPP

David F. Tolin, Ph.D., ABPP Director, Anxiety Disorders Center Phone: (860) 545-7685 Fax: (860) 545-7156 Email: dtolin@harthosp.org Website: www.drtolin.com

• Cognitive-behavioral therapy for anxiety disorders in adults and children, particularly obsessive-compulsive disorder, posttraumatic stress disorder, and panic disorder.
• The nature and treatment of compulsive hoarding.
• The nature and treatment of body-focused repetitive behavior disorders such as trichotillomania.
• The interaction between psychotherapy and pharmacotherapy in the treatment of anxiety disorders.
• Cognitive processes that underlie anxiety disorders, particularly dysfunctional beliefs and mechanisms of information processing.

Dr. Tolin is board certified in clinical psychology by the American Board of Professional Psychology, and is a Fellow of the American Academy of Clinical Psychology.  He is the recipient of the award for Distinguished Contribution to the Science of Psychology from the Connecticut Psychological Association, and an Early Career Award from the Anxiety Disorders Special Interest Group of the Association for Advancement of Behavior Therapy. Since 2003 he has served as a scientific reviewer for the National Institutes of Health.

Dr. Tolin is the author of over 100 journal articles and book chapters, and over 180 research presentations to national and international organizations.  He is co-author of the books Buried in Treasures: Help for Compulsive Acquiring, Saving, and Hoarding (with Drs. R. Frost and G. Steketee) and Treating Trichotillomania: Cognitive Behavior Therapy for Hair Pulling and Related Problems (with Dr. M. Franklin).  Dr. Tolin is principal investigator on the National Institute of Mental Health (NIMH)-funded studies “Stepped Care for Obsessive-Compulsive Disorder” and “Neural Mechanisms of Compulsive Hoarding,” and co-investigator on the NIMH-funded studies “Psychopathology of Compulsive Hoarding” (principal investigator: R. Frost), “Treatment of Compulsive Hoarding” (principal investigator: G. Steketee), and “Screening for GAD among Frail Elderly” (principal investigator: G. Diefenbach).  He has served as principal investigator on several industry-sponsored clinical trials of experimental medications.  Dr. Tolin has been interviewed for The New York Times and the Associated Press, and has been a recurrent guest on The Today Show, Good Morning America (1, 2) and The Oprah Winfrey Show (1, 2, 3).

Representative Publications:

Journal Articles:

Tolin, D.F., & Lohr, J.M. (2009, Fall). Psychologists, American Psychological Association, and torture. Clinical Science, 4-10.

Tolin, D. F., Whiting, S., Maltby, N., Diefenbach, G. J., Lothstein, M. A., Hardcastle, S., Catalano, A., & Gray, K. D. (2009). Intensive (daily) behavior therapy for school refusal: A multiple baseline case series. Cognitive and Behavioral Practice, 16, 332-344.

Tolin, D. F., Kiehl, K. A., Worhunsky, P., Book, G. A., & Maltby, N. (2009). An exploratory study of the neural mechanisms of decision-making in compulsive hoarding. Psychological Medicine, 38, 1-12.

Tolin, D. F., Brady, R. E., & Hannan, S. E. (2008). Obsessional beliefs and symptoms of obsessive-compulsive disorder in a clinical sample. Journal of Psychopathology and Behavioral Assessment, 30, 31-42.

Tolin, D. F., Frost, R. O., Steketee, G., Gray, K. D., & Fitch, K. E. (2008). The economic and social burden of compulsive hoarding. Psychiatry Research, 160, 200-211.

Norberg, M. M., Krystal, J. H., & Tolin, D. F. (2008). A meta-analysis of d-cycloserine and the facilitation of fear extinction and exposure therapy. Biological Psychiatry, 63, 1118-1126.

Tolin, D. F., Frost, R. O., Steketee, G., & Fitch, K. E. (2008). Family burden of compulsive hoarding: Results of an internet survey. Behaviour Research and Therapy, 46, 334-344.

Wilhelm, S., Buhlmann, U., Tolin, D.F., Meunier, S.A., Pearlson, G.D., Reese, H.E., Cannistraro, P., Jenike, M.A., & Rauch, S.L. (2008). Augmentation of behavior therapy with d-cycloserine for obsessive-compulsive disorder. American Journal of Psychiatry, 165, 335-341.

Tolin, D.F., Franklin, M.E., Diefenbach, G.J., Anderson, E., & Meunier, S.A. (2007). Pediatric trichotillomania: Descriptive psychopathology and an open trial of cognitive-behavioral therapy. Cognitive Behaviour Therapy, 36, 129-144.

Tolin, D.F., Robison, J.T., Gaztambide, S., Horowitz, S., & Blank, K. (2007). Ataques de nervios and psychiatric disorders in older Puerto Rican primary care patients. Journal of Cross-Cultural Psychology, 38, 659-669.

Tolin, D.F., Frost, R.O., & Steketee, G. (2007). An open trial of cognitive-behavioral therapy for compulsive hoarding. Behaviour Research and Therapy, 45, 1461-1470.

Tolin, D.F., Hannan, S., Maltby, N., Diefenbach, G.J., Worhunsky, P., & Brady, R.E. (2007). A randomized controlled trial of self-directed versus therapist-directed CBT for OCD patients with prior medication trials. Behavior Therapy, 38, 179-191.

Olatunji, B.O., Cisler, J., & Tolin, D.F. (2007). Quality of life in the anxiety disorders: A meta-analytic review. Clinical Psychology Review, 27, 572-581.

Tolin, D.F., & Foa, E.B. (2006). Sex differences in trauma and posttraumatic stress disorder: A quantitative review of 25 years of research. Psychological Bulletin, 132, 959-992.

Diefenbach, G.J., Tolin, D.F., Hannan, S., Maltby, N., & Crocetto, J. (2006). Group treatment of trichotillomania: Behavioral therapy versus supportive therapy. Behavior Therapy, 37, 353-363.

Astur, R.S., St. Germain, S.A., Tolin, D.F., Ford, J., Russell, D., & Stevens, M. (2006). Hippocampus function predicts severity of post-traumatic stress disorder. CyberPsychology & Behavior, 9, 234-240.

Tolin, D.F., Worhunsky, P., & Maltby, N. (2006). Are "obsessive" beliefs specific to OCD? A comparison across anxiety disorders. Behaviour Research and Therapy, 44, 469-480.

Tolin, D.F., Diefenbach, G.J., Maltby, N., & Hannan, S. (2005). Stepped care for obsessive-compulsive disorder: A pilot study. Cognitive and Behavioral Practice, 12, 403-414.

Maltby, N., & Tolin, D. F. (2005). A brief motivational intervention for treatment-refusing OCD patients. Cognitive Behaviour Therapy, 34, 176-184.

Diefenbach, G.J., Tolin, D.F., Crocetto, J., Maltby, N., & Hannan, S. (2005). Assessment of trichotillomania: A psychometric evaluation of hair pulling scales. Journal of Psychopathology and Behavioral Assessment, 27, 169-178.

Tolin, D.F., Abramowitz, J.S., & Diefenbach, G.J. (2005). Defining "response" in clinical trials for OCD: A signal detection analysis of the Yale-Brown Obsessive-Compulsive Scale. Journal of Clinical Psychiatry, 66, 1549-1557.

Tolin, D.F., Robison, J.T., Gaztambide, S., & Blank, K. (2005). Anxiety disorders in older Puerto Rican primary care patients. American Journal of Geriatric Psychiatry, 13, 150-156.

Maltby, N., Tolin, D.F., Worhunsky, P., O'Keefe, T.M., & Kiehl, K.A. (2005). Dysfunctional action monitoring hyper-activates frontal-striatal circuits in obsessive-compulsive disorder: An event-related fMRI study. NeuroImage, 24, 495-503.

Tolin, D.F., Maltby, N., Diefenbach, G. J., Hannan, S. E., & Worhunsky, P. (2004). Cognitive-behavioral therapy for medication nonresponders with obsessive-compulsive disorder: a wait-list-controlled open trial. Journal of Clinical Psychiatry, 65, 922-931.

Tolin, D.F., Maltby, N., Weathers, F.W., Litz, B.T., Knight, J., & Keane, T.M. (2004). The use of the MMPI-2 infrequency-pathology scale in the assessment of posttraumatic stress disorder in veterans. Journal of Psychopathology and Behavioral Assessment, 26, 23-29.

Lovejoy, D.W., Diefenbach, G.J., Licht, D.J., & Tolin, D.F. (2003). Tracking levels of psychiatric distress associated with the terrorist events of September 11, 2001: A review of the literature. Journal of Insurance Medicine, 35, 114-124.

Tolin, D.F., Woods, C.M., & Abramowitz, J.S. (2003). Relationship between obsessive beliefs and obsessive-compulsive symptoms. Cognitive Therapy and Research, 27, 657-669.

Tolin, D.F., Abramowitz, J.S., Przeworski, A., & Foa, E.B. (2002). Thought suppression in obsessive-compulsive disorder. Behaviour Research and Therapy, 40, 1251-1270.

Tolin, D.F., Hamlin, C., & Foa, E.B. (2002). Directed forgetting in obsessive-compulsive disorder: Replication and extension. Behaviour Research and Therapy, 40, 793-803.

Tolin, D.F. (2001). Bibliotherapy and extinction treatment of obsessive-compulsive disorder in a five-year-old boy. Journal of the American Academy of Child and Adolescent Psychiatry, 40, 1111-1114.

Tolin, D.F., Abramowitz, J.S., Brigidi, B.D., Amir, N., Street, G.P., & Foa, E.B. (2001). Memory and memory confidence in obsessive-compulsive disorder. Behaviour Research and Therapy, 39, 913-927.

Abramowitz, J.S., Tolin, D.F., & Street, G.P. (2001). Paradoxical effects of thought suppression: A meta-analysis of controlled studies. Clinical Psychology Review, 21, 683-703.

Herbert, J., Lilienfeld, S.O., Lohr, J.M., Montgomery, R.W., O'Donohue, W., Rosen, G.M., & Tolin, D.F. (2000). The science and pseudoscience of eye movement desensitization and reprocessing: Implications for clinical psychology. Clinical Psychology Review, 20, 945-971.

Foa, E.B., & Tolin, D.F. (2000). A comparison of the PTSD Symptom Scale-Interview Version and the Clinician-Administered PTSD Scale. Journal of Traumatic Stress, 13, 181-191.

Books and Book Chapters:

Tolin, D. F., Gilliam, C. M., & Dufresne, D. (2010). The economic and social burden of anxiety disorders. In D. J. Stein, E. Hollander, & B. O. Rothbaum (Eds.), Textbook of anxiety disorders (2nd Ed., pp. 731-746). Washington, DC: American Psychiatric Publishing.

Treadwell, K. R. H., & Tolin, D. F. (2007). Clinical challenges in the treatment of pediatric OCD. In E. A. Storch, T. K. Murphy, & G. R. Geffken (Eds.), A comprehensive handbook of child and adolescent obsessive-compulsive disorder (pp. 273-294). Mahwah, NJ: Lawrence Erlbaum Associates.

Frost, R.O., & Tolin, D.F. (2008). Compulsive hoarding. In S. Taylor, J. S. Abramowitz, & D. McKay (Eds.), Clinical handbook of obsessive-compulsive disorder and related problems. (pp. 76-94) Baltimore: Johns Hopkins University Press.

Meunier, S.A., Maltby, N.A., & Tolin, D.F. (2008). Compulsive hoarding. In M. Hersen (Series & Vol. Ed.) & J. Rosqvist (Vol. Ed.), The handbook of assessment, conceptualization, and treatment: Vol. 1. (pp. 728-752) New York: John Wiley & Sons.

Franklin, M.E., & Tolin, D.F. (2007). Treating trichotillomania: Cognitive behavior therapy for hair pulling and related problems. New York: Springer.

Tolin, D.F., & Maltby, N. (2007). Motivating treatment-refusing patients with obsessive-compulsive disorder. In H. Arkowitz, H.A. Westra, W.R. Miller, & S. Rollnick (Eds.), Motivational interviewing in the treatment of psychological problems (pp. 85-108). New York: Guilford Press.

Tolin, D.F., & Meunier, S.A. (2007). Contamination and decontamination. In Abramowitz, D. McKay S., & Taylor, J.S. (Eds.), Obsessive-compulsive disorder: Subtypes and spectrum conditions (pp. 3-18). New York: Elsevier.

Franklin, M.E., Tolin, D.F., & Diefenbach, G.J. (2007). Trichotillomania. In Abramowitz, D. McKay S., & Taylor, J.S. (Eds.), Obsessive-compulsive disorder: Subtypes and spectrum conditions (pp. 139-159. New York: Elsevier.

Tolin, D.F., Frost, R.O., & Steketee, G. (2007). Buried in treasures: Help for compulsive acquiring, saving and hoarding. New York: Oxford University Press.

Tolin, D.F., & Steketee, G. (2007). General issues in psychological treatment for OCD. In M.M. Antony, C.L. Purdon, & L.J. Summerfeldt (Eds.), Psychological treatment of OCD: Fundamentals and beyond (pp. 31-59). Washington, DC: American Psychological Association.

Franklin, M.E., Tolin, D.F., & Diefenbach, G.J. (2006). Trichotillomania. In E. Hollander & D.J. Stein (Eds.), Clinical manual of impulse control disorders (pp. 149-173). Washington, DC: American Psychiatric Press.

Hannan, S.E., & Tolin, D.F. (2005). Mindfulness and acceptance based behavior therapy for obsessive-compulsive disorder. In S.M. Orsillo & L. Roemer (Eds.), Acceptance and mindfulness-based approaches to anxiety: conceptualization and treatment (pp. 271-299). New York: Springer.

Tolin, D.F., & Hannan, S.E. (2005). The role of the therapist in behavior therapy. In J.S. Abramowitz & A.C. Houts (Eds.), Handbook of obsessive-compulsive spectrum disorders (pp. 317-332). New York: Springer.

Lohr, J.M., Hooke, W., Gist, R., & Tolin, D.F. (2002). Novel and controversial treatments for trauma-related stress disorders. In S.O. Lilienfeld, J.M. Lohr, & S.J. Lynn (Eds.), Science and pseudoscience in clinical psychology (pp. 243-272). New York: Guilford Press.

Tolin, D.F., & Foa, E.B. (2002). Gender and PTSD: A Cognitive Model. In R. Kimerling, P. Ouimette, & J. Wolfe (Eds.), Gender and PTSD (pp. 76-97). New York: Guilford Press.

Lohr, J.M., Montgomery, R.W., Lilienfeld, S.O., & Tolin, D.F. (1999). Pseudoscience and the commercial promotion of trauma treatments. In R. Gist and B. Lubin (Eds.), Response to disaster: Psychosocial, community, and ecological approaches (pp. 291-326). Washington, DC: Taylor & Francis.