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Pediatric trichotillomania: Review of management
Emily D Henkel1, Sasha D Jaquez2,3,4, Lucia Z Diaz4,5,6
1Long School of Medicine, University of Texas Health Science Center at San Antonio, San Antonio, Texas.
Insights
Pediatric trichotillomania (hair pulling disorder) significantly impacts children
Area of Science:
- Pediatric dermatology
- Child psychology
- Mental health
Background:
- Trichotillomania (hair pulling disorder) often presents in childhood, leading families to seek dermatological evaluation for hair loss.
- Early diagnosis is critical to mitigate academic, social, and mental health consequences, including distress from appearance-related bullying.
Purpose of the Study:
- To review the psychosocial impacts of pediatric trichotillomania.
- To examine current interventions for this condition in children.
Main Methods:
- Literature review of studies on behavioral therapies.
- Literature review of studies on pharmacologic interventions.
Main Results:
- Behavioral and pharmacologic interventions have been studied in pediatric trichotillomania.
- Psychosocial impacts, including distress from bullying, are significant.
Conclusions:
- Early identification and intervention are crucial for managing pediatric trichotillomania.
- Further research into effective treatments for children is needed.
Abstract:
Trichotillomania can present in childhood, with many families seeking initial evaluation by a dermatologist for hair loss. Prompt and accurate diagnosis by dermatologists is crucial, as children can suffer from academic or social impairments as well as mental health sequelae. Children are especially vulnerable to lasting psychological distress from appearance-related bullying. This article reviews the psychosocial impacts of pediatric trichotillomania and the current interventions studied in this population. Included are studies evaluating behavioral therapies as well as pharmacologic options. This review highlights the importance of early and appropriate identification, intervention, and the need for more treatment studies in the pediatric population.
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