Trichotillomania. Two case reports from a similar cultural background

Case reports of 2 female patients from the Makrani culture are presented. They were both around 30 years of age, clinically depressed and responded favorably to antidepressants. One of these patients was infertile, and the other one had started pulling her hair when deprived of her jewelry. Fertility and possession of jewelry represent femininity in the Makrani culture. A brief review of the literature on trichotillomania and its psychopathology is also included.