Trichotillomania
A disorder that involves recurrent, irresistible urges to pull out body hair.
The urges involve pulling out hair from the scalp, eyebrows, or other areas of the body.
Symptoms include compulsive hair pulling and hair loss, such as bald patches on the scalp. Social and work functioning may be affected.
Treatment options include counseling and medications, such as antidepressants.
Cluster Number:
Wiki Number: PW220
Diagnosis: Trichotillomania
US Patients: 0.6% to 4%
World Patients:
Sex Ratio: B;G10; M;F3
Age Onset: childhood or 9-13 and then continues into adulthood if there are underlying psychiatric causes
Brain Area: basal ganglia develop a habit and the frontal lobes don’t stop them; extra gray matter (interpretation)
Symptoms: Compulsive hair-pulling from scalp, eyebrows, eyelashes, face, arms and legs – and rarely, elsewhere,may also eat the hair
Progression: Can result in low self-esteem and fear of socializing
Causes: hereditary, pulls triggered by anxiety, depression, obsessive-compulsive disorder
Medications: clomipramine may help; naltrexone and fluoxetine, also ; some medications increase hair-pulling
Therapies: CBT- habit-reversal training, biofeedback, hypnosis; electronic hand-tracking equipment may help, support groups
Youtube Video:
Overcoming Trichotillomania: The Power of Awareness
Amazon or Library Book: The Hair Pulling “Habit” and You
Click the book to link or order from Amazon.
Support Group: bfrb.org; 831-0457-1004
(Body Focused Repetitive Disorders)
4 CURRENT ARTICLES
FROM PUBMED
The world-wide medical research
reports chosen for each diagnosis
Clicking each title opens the
PubMed article’s summary-abstract.
- Neurocognitive functioning in adults with trichotillomania: Predictors of treatment response and symptom severity in a randomized control trialby Kathryn E Barber on May 18, 2024
Trichotillomania (TTM) is associated with impairments in response inhibition and cognitive flexibility, but it is unclear how such impairments relate to treatment outcome. The present study examined pre-treatment response inhibition and cognitive flexibility as predictors of treatment outcome, change in these domains from pre-to post-treatment, and associations with TTM severity. Participants were drawn from a randomized controlled trial comparing acceptance-enhanced behavior therapy (AEBT) to...
- Non-Suicidal Self-Injury in Trichotillomania and Skin Picking Disorderby Jon E Grant on May 17, 2024
No abstract
- Rapunzel syndrome in children: a retrospective review of ten cases combined with literature review in a tertiary referral centerby Yiyuan Liang on May 4, 2024
CONCLUSION: The accuracy of ultrasound diagnosis in identifying Rapunzel syndrome is high; however, it may lead to misdiagnosis if not complemented with the patient's medical history. Endoscopic presents a heightened treatment risk and a reduced success rate. The condition commonly presents with severe complications, thus making laparotomy a safe and effective option for intervention.
- The eye in forensic practice: In the deadby Alok Atreya on May 1, 2024
Post-mortem examination of the eye provides valuable forensic information yet is often overlooked. This brief review focuses on determining the cause/manner of death and post-mortem interval. External eye findings like corneal haziness and tache noire, combined with post-mortem changes in the iris, lens, retina and vitreous humour, can help estimate time since death. Ocular biometrics (iris/retinal scans) may facilitate identification. Age-related ocular changes can provide insights. The eye...