Dr. David Tolin

David F. Tolin, Ph.D., ABPP
Director, Anxiety Disorders Center
Director, Division of Neuropsychology
Director, Division of Health Psychology
Director, Center for Cognitive Behavioral Therapy
Phone: (860) 545-7685
Fax: (860) 545-7156
Website: www.drtolin.com

Dr. David Tolin is the founder and Director of the Anxiety Disorders Center, Director of the Division of Neuropsychology, Director of Health Psychology, and Director for Cognitive Behavioral Therapy at the The Institute of Living. He is also Adjunct Associate Professor of Psychiatry at Yale University School of Medicine. Dr. Tolin received his Ph.D. from the University of Arkansas, and completed a predoctoral internship at Tufts University School of Medicine/VA Medical Center, Boston.

Dr. Tolin’s research and clinical interests include:
  • 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 hoarding disorder.
  • 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 President-Elect of the Clinical Psychology Division of the American Psychological Association. He 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 and Distinguished Contribution to the Practice 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 the author of the book Face Your Fears: A Proven Plan to Beat Anxiety, Panic, Phobias, and Obsessions, and 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 also authored a DVD training program for professionals entitled Buried in Treasures: A Professional's Guide to Hoarding Disorder.

Dr. Tolin has been principal investigator on the National Institute of Mental Health (NIMH)-funded studies “Neural Mechanisms of Compulsive Hoarding,” “Exposure, D-Cycloserine Enhancement, and Genetic Modulators in Panic Disorder,” and “Stepped Care for Obsessive-Compulsive Disorder” 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 currently hosts the Oxygen television series My Shopping Addiction. Previously, he was the host of the VH1 television series The OCD Project, and was the first psychologist featured on the A&E series Hoarders. In addition, he has been a recurrent guest on programs such as The Dr. Oz Show, Anderson Cooper Live, and The Oprah Winfrey Show (1, 2, 3).

 


Representative Publications:

Journal Articles:

Tolin, D. F., Stevens, M. C., Villavicencio, A. L., Norberg, M. M., Calhoun, V. D., Frost, R. O., et al. (2012). Neural mechanisms of decision-making in hoarding disorder. Archives of General Psychiatry, 69, 832-841.

Tolin, D. F., Stevens, M. C., Nave, A. M., Villavicencio, A., & Morrison, S. (2012). Neural mechanisms of cognitive behavioral therapy response in hoarding disorder: A pilot study. Journal of Obsessive-Compulsive and Related Disorders, 1, 180-188.

Nations, K. R., Smits, J. A. J., Tolin, D. F., Rothbaum, B. O., Hofmann, S. G., Tart, C. D., et al. (2012). Evaluation of the glycine transporter inhibitor Org 25935 as augmentation to cognitive-behavioral therapy for panic disorder: A multi-center, randomized, double-blind, placebo-controlled trial. Journal of Clinical Psychiatry, 73, 647-653.

Frost, R. O., Steketee, G., & Tolin, D. F. (2012). Diagnosis and assessment of hoarding disorder. Annual Review of Clinical Psychology, 8, 219-242.

Otto, M. W., Tolin, D. F., Nations, K. R., Utschig, A. C., Rothbaum, B. O., Hofmann, S. G., et al. (2012). Five sessions and counting: Considering ultra-brief treatment for panic disorder. Depression and Anxiety, 29, 465-470.

Norberg, M. M., Gilliam, C. M., Villavicencio, A., Pearlson, G. D., & Tolin, D. F. (2012). D-cycloserine for treatment nonresponders with obsessive-compulsive disorder: A case report. Cognitive and Behavioral Practice, 19, 338-345.

Tolin, D. F., Frost, R. O., & Steketee, G. (2012). Working with hoarding vs. non-hoarding clients: A survey of professionals' attitudes and experiences. Journal of Obsessive-Compulsive and Related Disorders, 1, 48-53.

Gilliam, C. M., Norberg, M. M., Villavicencio, A., Morrison, S., Hannan, S. E., & Tolin, D. F. (2011). Group cognitive behavioral therapy for hoarding disorder: An open trial. Behaviour Research and Therapy, 49, 802-807.

Tolin, D. F., & Villavicencio, A. (2011). An exploration of economic reasoning in hoarding disorder patients. Behaviour Research and Therapy, 49, 914-919.

Tolin, D. F., Villavicencio, A., Umbach, A., & Kurtz, M. M. (2011). Neuropsychological functioning in hoarding disorder. Psychiatry Research, 189, 413-418.

Frost, R. O., Steketee, G., & Tolin, D. F. (2011). Comorbidity in hoarding disorder. Depression and Anxiety, 28, 876-884.

Tolin, D. F., Diefenbach, G. J., & Gilliam, C. M. (2011). Stepped care versus standard cognitive-behavioral therapy for obsessive-compulsive disorder: A preliminary study of efficacy and costs. Depression and Anxiety, 28, 314-323.

Tolin, D. F. (2011). Understanding and treating hoarding: A biopsychosocial perspective. Journal of Clinical Psychology, 67, 517-526.

Tolin, D. F., & Villavicencio, A. (2011). Inattention, but not OCD, predicts the core features of hoarding disorder. Behaviour Research and Therapy, 49, 120-125.

Tolin, D.F., Meunier, S.A., Frost, R.O., & Steketee, G. (2011). Hoarding among patients seeking treatment for anxiety disorders. Journal of Anxiety Disorders, 25, 43-48.

Tolin, D. F., Steenkamp, M. M., Marx, B. P., & Litz, B. T. (2010). Detecting symptom exaggeration in combat veterans using the MMPI-2 symptom validity scales: a mixed group validation. Psychological Assessment, 22, 729-736.

Gilliam, C. M., Diefenbach, G. J., Whiting, S. E., & Tolin, D. F. (2010). Stepped care for obsessive-compulsive disorder: An open trial. Behaviour Research and Therapy, 48, 1144-1149.

Tolin, D. F., Meunier, S. A., Frost, R., & Steketee, G. (2010). The course of compulsive hoarding and its relationship to life events. Depression and Anxiety, 27, 829-838.

Chasson, G. S., Buhlmann, U., Tolin, D. F., Rao, S. R., Reese, H. E., Rowley, T., et al. (2010). Need for speed: Evaluating slopes of OCD recovery in behavior therapy enhanced with d-cycloserine. Behaviour Research and Therapy, 48, 675-679.

Tolin, D. F. (2010). Is cognitive-behavioral therapy more effective than other therapies? A meta-analytic review. Clinical Psychology Review, 30, 710-720.

Tolin, D. F., Frost, R. O., & Steketee, G. (2010). A brief interview for assessing compulsive hoarding: The Hoarding Rating Scale-Interview. Psychiatry Research, 178, 147-152.

Pertusa, A., Frost, R. O., Fullana, M. A., Samuels, J., Steketee, G., Tolin, D. F., Saxena, S., Leckman, J. F., & Mataix-Cols, D. (2010). Refining the diagnostic boundaries of compulsive hoarding: A critical review. Clinical Psychology Review, 30, 371-386.

Steketee, G., Frost, R., Tolin, D. F., Rasmussen, J., & Brown, T. (2010). Waitlist-controlled trial of cognitive behavior therapy for hoarding disorder. Depression and Anxiety, 27, 476-484.

Otto, M. W., Tolin, D. F., Simon, N. M., Pearlson, G. D., Basden, S., Meunier, S. A., Hofmann, S. G., Eisenmenger, K., Krystal, J. H., & Pollack, M. H. (2010). Efficacy of d-cycloserine for enhancing response to cognitive-behavior therapy for panic disorder. Biological Psychiatry, 4, 365-370.

Tolin, D. F., Fitch, K. E., Frost, R. O., & Steketee, G. (2010). Family informants' perceptions of insight in compulsive hoarding. Cognitive Therapy and Research, 34, 69-81. 

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.

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.

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.

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.

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. (2012). Face Your Fears: A Proven Plan to Beat Anxiety, Panic, Phobias, and Obsessions. Hoboken, NJ: John Wiley & Sons. (Self-Help Book of Merit Award, Association for Behavioral and Cognitive Therapies, 2011).

Tolin, D.F. (2012). Combining pharmacotherapy and psychological treatments for OCD. In G. Steketee (Ed.), Oxford handbook of obsessive compulsive and spectrum disorders (pp. 365-375). New York: Oxford University Press.

Gianoli, M. O., & Tolin, D. F. (2012). Cognitive-behavioral therapy for pediatric trichotillomania. In J. E. Grant, D. J. Stein, D. W. Woods, & N. J. Keuthen (Eds.), Clinical manual for the treatment of trichotillomania, skin-picking, and other stereotypic disorders (pp.153-174). Washington, DC: American Psychiatric Press.

Gilliam, C.M., & Tolin, D.F. (2011). Compulsive hoarding. In R. Hudak and D. D. Dougherty (Eds.), Clinical obsessive-compulsive disorders in adults and children (pp. 122-137). Cambridge: Cambridge University Press.

Tolin, D. F., & Morrison, S. (2010). Impulse control disorders. In M. M. Antony & D. H. Barlow (Eds.), Handbook of assessment and treatment planning for psychological disorders (pp. 606-632). New York: Guilford Press.

Tolin, D.F. (2010). Compulsions. In I.B. Weiner & W.E. Craighead (Eds.), Corsini's encyclopedia of psychology (4th Ed., pp. 370-372). New York: John Wiley & Sons. 

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.

Meunier, S. A., & Tolin, D. F. (2009). The treatment of disgust. In B. O. Olatunji & D. McKay (Eds.), Disgust and its disorders: Theory, assessment, and treatment (pp. 271-283). Washington, DC: American Psychological Association.

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. (Self-Help Book of Merit Award, Association for Behavioral and Cognitive Therapies, 2010).

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.