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Trichotillomania.

Monica Huynh1, Aide Carlo Gavino, Michelle Magid

  • 1Chicago College of Osteopathic Medicine, Illinois, USA. monicahuynh@gmail.com

Seminars in Cutaneous Medicine and Surgery
|September 21, 2013
PubMed
Summary
This summary is machine-generated.

Trichotillomania (TTM) is a hair-pulling disorder affecting up to 4% of people, often starting in youth. This review covers TTM features and treatments, highlighting habit reversal training and clomipramine as effective options.

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Area of Science:

  • Psychiatry
  • Psychology
  • Dermatology

Background:

  • Trichotillomania (TTM) is an impulse control disorder characterized by chronic hair pulling and noticeable hair loss.
  • It affects up to 4% of the population, with peak incidence during childhood and adolescence.

Purpose of the Study:

  • To review the clinical features of Trichotillomania.
  • To discuss current and emerging treatment options for TTM.
  • To enhance the clinical management of TTM.

Main Methods:

  • Literature review of clinical features and treatment options for TTM.
  • Analysis of diagnostic criteria evolution, including DSM-V revisions.
  • Evaluation of evidence for behavioral and pharmacologic therapies.

Main Results:

  • Cognitive behavioral therapy, particularly habit reversal training, is the first-line treatment for TTM.
  • Clomipramine has shown efficacy in clinical trials for pharmacologic therapy.
  • Selective serotonin reuptake inhibitors are commonly prescribed but lack supporting efficacy data.

Conclusions:

  • TTM diagnosis and management require updated clinical understanding.
  • Habit reversal training and clomipramine represent evidence-based treatment strategies.
  • Further research is needed to clarify the role of SSRIs in TTM treatment.