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Trichotillomania





The impulse control disorder that is characterized by the compulsive urge to pull or twist one’s hair is called trichotillomania. This uncontrollable urge, when left untreated, will lead to hair breakage or hair loss resulting to baldness on the scalp and in some areas of the torso or body where hair is present. Trichotillomania is known commonly as “hair-pulling” disorder. In this case, the individual cannot control his urge to pull his hair and often, he does it in private and tries to hide his disorder from people around him. The main target of this disorder is the hair on the head and this is followed by pulling hair from the eyebrows and other areas of the body. A few people, who are conscious of this impulse, still go on with their hair pulling without asking professional help. For some, they may be conscious of their disorder while others are not at all conscious of their action. Hair pulling may be triggered by certain actions such as brushing the hair, scratching, or when facing the mirror. Often, stress also renders the individual to succumb to hair pulling or hair twisting.

Diagnosis of trichotillomania covers the following signs:

There is an uncontrollable urge to pull hair and a feeling of satisfaction or gratification after the hair is pulled by the individual.
There are visible patches of baldness on the scalp or other parts of the body.
The individual has some missing eyebrow hair or eyelashes.
Absentmindedly, the individual sometimes chews the pulled out hair..
Unconsciously sometimes, the individual may rub his pulled out hair across his face.

Lately, only limited methods of treatment have been shown in the study of trichotillomania. There are no other methods of treatment except the successful treatment that involves psychotherapy and medication. To lessen the patient’s urge to pull his hair uncontrollably, the method of habit reversal training is applied in psychotherapy. This training aids the patient to focus on situations where the individual is stimulated to pull his hair. Then, the individual is trained to deal with the situation with another substitute action he can easily or comfortably act out. Take this case when the patient faces the mirror and the urge to pull his hair comes; he must clench his fist to control his behavior or urge. Another successful or effective method of treatment is the Acceptance and Commitment Therapy or ACT. The individual deals with accepting his condition and committing himself to follow instructions against acting out his impulses. In medication, antidepressants are used such as clomipramine.. Another medication used for treating trichotillomania are SSRIs. The patient can also benefit much emotionally from the moral support of his family, friends, and co-workers.
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Article Added on Tuesday, May 24, 2011
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