Materiały źródłowe

• #1 Trichotillomania (hair-pulling disorder) – Symptoms and causes – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/trichotillomania/symptoms-causes/syc-20355188

  Trichotillomania (trik-o-til-o-MAY-nee-uh), also called hair-pulling disorder, is a mental health condition. It involves frequent, repeated and irresistible urges to pull out hair from your scalp, eyebrows or other areas of your body. You may try to resist the urges, but you can’t stop. Trichotillomania is part of a group of conditions known as body-focused repetitive behaviors. […] For some people, trichotillomania may be mild and can be managed. For others, the automatic or deliberate urge to pull out hair is too much to handle emotionally. Some treatment options may help reduce hair pulling or stop it entirely. […] If you can’t stop pulling out your hair or you feel embarrassed or ashamed by your appearance as a result, talk to your health care provider. Trichotillomania is not just a bad habit, it’s a mental health condition. It’s not likely to get better without treatment.

• #2 Trichotillomania – StatPearls – NCBI Bookshelf

  https://www.ncbi.nlm.nih.gov/books/NBK493186/

  Trichotillomania (TTM) also known as hair-pulling disorder, was first described in ancient Greece, but its current name was coined in the later part of the 18th century. […] This activity describes the etiology, presentation, and management of trichotillomania and highlights the role of the interprofessional team in the care of patients with this condition. […] The treatment will likely include therapy techniques, and there may be the use of medications. The currently studied therapy techniques for the treatment of trichotillomania include cognitive behavioral therapy (CBT) and habit reversal training. […] Unfortunately, the disorder has no cure and all treatments have limitations. The disorder has relapses and remissions. In the long run, the patient has permanent loss of hair, scarring, and poor cosmesis.

• #3 Trichotillomania (Hair Pulling): What It Is, Causes & Treatment

  https://my.clevelandclinic.org/health/diseases/9880-trichotillomania

  Trichotillomania is a mental health condition where you compulsively pull out your own hair. It often has severe negative effects on your mental health and well-being when it happens in your adolescent, teen and adult years. However, this condition is treatable. […] TTM falls under the overall category of obsessive-compulsive disorder, but it has some key differences from OCD itself. […] People with TTM commonly feel anxiety, embarrassment or shame about this condition. This can affect their work and social lives. Many people with this condition don’t seek treatment because they feel embarrassed or ashamed. […] Treating TTM often involves therapy, medication or a combination of both. Ongoing research shows some medications for other mental health conditions might help TTM, but more research is necessary before any specific medication becomes a part of the standard care.

• #4 Hair Pulling | Trichotillomania | BFRB

  https://www.bfrb.org/hair-pulling

  Trichotillomania is currently classified under Obsessive-Compulsive and Related Disorders in the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition. […] Although the severity of hair pulling varies widely, many people with hair pulling disorder have noticeable hair loss, which they attempt to camouflage. […] Due to shame and embarrassment, individuals not only try to cover up the effects of hair pulling, but may avoid activities and social situations which may lead them to feel vulnerable to being discovered. […] For many, shame and embarrassment about hair pulling causes painful isolation and results in a great deal of emotional distress, placing them at risk for a co-occurring psychiatric disorder, such as a mood or anxiety disorder. […] The most successful management strategies make use of a variety of therapeutic techniques that address actionable emotional and behavioral components.

• #5 Hair Pulling | Trichotillomania | BFRB

  https://www.bfrb.org/hair-pulling

  Hair pulling disorder or trichotillomania (TTM or trich) is characterized by the repetitive pulling out of one’s hair. […] Trichotillomania usually begins in late childhood/early puberty, and occurs about equally in boys and girls. […] Hair pulling varies greatly in its severity, location on the body, and response to treatment. […] Without treatment, this hair pulling disorder tends to be a chronic condition; that may come and go throughout a lifetime. […] The DSM-5 diagnostic criteria include recurrent hair pulling, resulting in hair loss, repeated attempts to decrease or stop the behavior, clinically significant distress or impairment in social, occupational, or other area of functioning, not due to substance abuse or a medical condition, and not better accounted for by another psychiatric disorder.

• #6 Trichotillomania – symptoms and treatment options | healthdirect

  https://www.healthdirect.gov.au/trichotillomania

  The physical, emotional and social impacts of trichotillomania can be distressing. […] The condition fits the medical definition if it meets 4 specific criteria: The pulling results in hair loss, There is evidence that the person has tried to stop, The condition can’t be explained better by another medical condition such as body dysmorphic disorder, The pulling is causing significant distress.

• #7 Hair Pulling | Trichotillomania | BFRB

  https://www.bfrb.org/hair-pulling

  Hair pulling disorder or trichotillomania (TTM or trich) is characterized by the repetitive pulling out of one’s hair. […] Trichotillomania usually begins in late childhood/early puberty, and occurs about equally in boys and girls. […] Hair pulling varies greatly in its severity, location on the body, and response to treatment. […] Without treatment, this hair pulling disorder tends to be a chronic condition; that may come and go throughout a lifetime. […] The DSM-5 diagnostic criteria include recurrent hair pulling, resulting in hair loss, repeated attempts to decrease or stop the behavior, clinically significant distress or impairment in social, occupational, or other area of functioning, not due to substance abuse or a medical condition, and not better accounted for by another psychiatric disorder.

• #8 Optimizing psychological interventions for trichotillomania (hair-pulling disorder): an update on current empirical status

  https://pmc.ncbi.nlm.nih.gov/articles/PMC4396507/

  The most common age of onset is early adolescence, although HPD can occur at any age. […] HPD tends to be a chronic condition and can be difficult to treat. […] In recent years, several authors have attempted to augment traditional behavioral strategies with other cognitive-behavioral interventions, including cognitive therapy, dialectical behavioral therapy, and acceptance and commitment therapy. […] This literature has produced some promising findings and a consensus is emerging among experts that cognitive-behavioral interventions should be regarded as the first-line treatment for HPD. […] The core diagnostic feature of HPD is the recurrent pulling of hairs from ones own body, which results in loss of hair. […] In order to distinguish HPD from normal or non-pathological hair-pulling (eg, non-problematic grooming practices) the DSM-5 criteria includes the traditional requirement of either significant subjective distress or impairment in functioning due to hair-pulling behaviors.

• #9 Trichotillomania | 5-Minute Clinical Consult

  https://www.unboundmedicine.com/5minute/view/5-Minute-Clinical-Consult/117491/2.1/Trichotillomania

  Trichotillomania (TTM) is a hair-pulling disorder characterized by self-induced, repeated, and often noticeable hair loss. It can become severe and difficult to control. […] TTM usually presents in childhood or early adolescence. […] Denial and hiding of hair pulling is common. […] Recurrence or worsened hair pulling is associated with increased stress/anxiety, but TTM can also occur at times of relaxation and distraction, such as when reading. […] TTM has frequent comorbidity with other psychiatric diagnoses. […] Adults with TTM display sensory over responsivity and maladaptive emotional regulation, a pattern also seen in OCD. […] Genetics appears to contribute to the development of TTM as demonstrated by a higher rate of concordance in monozygotic twins (38.1%) versus dizygotic twins (0%). […] Other psychiatric disorders: depression, OCD, anxiety, posttraumatic stress disorder (PTSD), eating disorders, nail biting, skin picking. […] Commonly associated conditions include depression, anxiety, OCD, and eating disorders.

• #10 Trichotillomania (hair-pulling disorder) – Diagnosis and treatment – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/trichotillomania/diagnosis-treatment/drc-20355193

  To diagnose trichotillomania, you’ll likely start by having a physical exam. You may then be referred to a mental health professional with experience in treating trichotillomania. Diagnosing trichotillomania may include: […] Some treatment options have helped many people reduce hair pulling or stop completely. These include therapy and sometimes medicine. […] Types of therapy that may be helpful for trichotillomania include: […] Therapies that help with other mental health conditions that often occur along with trichotillomania, such as depression, anxiety, or problems with alcohol or drug use, can be an important part of treatment. […] Although no medicines are approved by the U.S. Food and Drug Administration specifically for the treatment of trichotillomania, some medicines may help control certain symptoms, such as anxiety and depression.

• #11 Trichotillomania (hair-pulling disorder) – Diagnosis and treatment – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/trichotillomania/diagnosis-treatment/drc-20355193

  Talk with your health care provider about any medicine recommended. The possible benefits of medicines should be balanced against possible side effects. […] You may find dealing with trichotillomania challenging. It may help to join a support group for people with trichotillomania so that you can meet others with similar experiences who can relate to your feelings and offer support. […] Seeking help is the first step in treating trichotillomania. At first you may see your primary care provider or a specialist in skin disorders called a dermatologist. Your provider may refer you to a mental health professional with experience in diagnosing and treating trichotillomania. […] Trichotillomania can cause both physical and mental health symptoms. Note what triggers your urges, how you’ve tried to deal with them, and what makes the urges better or worse. […] Be ready to answer questions so that you’ll have time to talk about what’s most important to you.

• #12 Trichotillomania (hair pulling disorder) – NHS

  https://www.nhs.uk/mental-health/conditions/trichotillomania/

  Trichotillomania, also known as trich or TTM, is when someone cannot resist the urge to pull out their hair. […] Trich is commonly treated using a type of CBT called habit reversal training. […] Your GP may examine areas where the hair is missing to check that nothing else is causing the hair to come out, such as a skin infection. […] Antidepressants are not usually prescribed to treat trich. […] It may also help to open up about your trich to people you trust, as hiding it can sometimes make your anxiety worse.

• #13 Trichotillomania Hair Pulling Disorder – Causes, Symptoms & Prevention

  https://chaselodgehospital.com/blog/trichotillomania-hair-pulling-disorder/

  Trichotillomania (TTM) or trich picking disorder, also known as hair picking disorder or hair pulling diseases, is a complex mental health condition characterised by the compulsive urge to ones pulling on hair. This often leads to noticeable hair loss, distress, and difficulties in daily life. […] At Chase Lodge Hospital, we recognise the challenges faced by individuals with trichotillomania hair-pulling disorder and offer comprehensive assessment, diagnosis, and tailored treatment plans to support long-term recovery. […] At Chase Lodge Hospital, hair pulling disease diagnosis is carried out by expert mental health professionals, including psychiatrists, psychologists, and therapists, who specialise in obsessive compulsive disorder trichotillomania. The diagnostic process typically includes: A detailed clinical interview to understand the nature and impact of the symptoms. A review of medical and psychological history to rule out other causes of hair loss (e.g., alopecia areata, skin conditions, or medication side effects). Psychological assessments to evaluate any co-existing conditions, such as anxiety, depression, or OCD.

• #14 Trichotillomania Hair Pulling Disorder – Causes, Symptoms & Prevention

  https://chaselodgehospital.com/blog/trichotillomania-hair-pulling-disorder/

  Trichotillomania (TTM) or trich picking disorder, also known as hair picking disorder or hair pulling diseases, is a complex mental health condition characterised by the compulsive urge to ones pulling on hair. This often leads to noticeable hair loss, distress, and difficulties in daily life. […] At Chase Lodge Hospital, we recognise the challenges faced by individuals with trichotillomania hair-pulling disorder and offer comprehensive assessment, diagnosis, and tailored treatment plans to support long-term recovery. […] At Chase Lodge Hospital, hair pulling disease diagnosis is carried out by expert mental health professionals, including psychiatrists, psychologists, and therapists, who specialise in obsessive compulsive disorder trichotillomania. The diagnostic process typically includes: A detailed clinical interview to understand the nature and impact of the symptoms. A review of medical and psychological history to rule out other causes of hair loss (e.g., alopecia areata, skin conditions, or medication side effects). Psychological assessments to evaluate any co-existing conditions, such as anxiety, depression, or OCD.

• #15 Trichotillomania Hair Pulling Disorder – Causes, Symptoms & Prevention

  https://chaselodgehospital.com/blog/trichotillomania-hair-pulling-disorder/

  Trichotillomania (TTM) or trich picking disorder, also known as hair picking disorder or hair pulling diseases, is a complex mental health condition characterised by the compulsive urge to ones pulling on hair. This often leads to noticeable hair loss, distress, and difficulties in daily life. […] At Chase Lodge Hospital, we recognise the challenges faced by individuals with trichotillomania hair-pulling disorder and offer comprehensive assessment, diagnosis, and tailored treatment plans to support long-term recovery. […] At Chase Lodge Hospital, hair pulling disease diagnosis is carried out by expert mental health professionals, including psychiatrists, psychologists, and therapists, who specialise in obsessive compulsive disorder trichotillomania. The diagnostic process typically includes: A detailed clinical interview to understand the nature and impact of the symptoms. A review of medical and psychological history to rule out other causes of hair loss (e.g., alopecia areata, skin conditions, or medication side effects). Psychological assessments to evaluate any co-existing conditions, such as anxiety, depression, or OCD.

• #16 Trichotillomania (hair-pulling disorder) – Diagnosis and treatment – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/trichotillomania/diagnosis-treatment/drc-20355193

  To diagnose trichotillomania, you’ll likely start by having a physical exam. You may then be referred to a mental health professional with experience in treating trichotillomania. Diagnosing trichotillomania may include: […] Some treatment options have helped many people reduce hair pulling or stop completely. These include therapy and sometimes medicine. […] Types of therapy that may be helpful for trichotillomania include: […] Therapies that help with other mental health conditions that often occur along with trichotillomania, such as depression, anxiety, or problems with alcohol or drug use, can be an important part of treatment. […] Although no medicines are approved by the U.S. Food and Drug Administration specifically for the treatment of trichotillomania, some medicines may help control certain symptoms, such as anxiety and depression.

• #17 Trichotillomania Information | Mount Sinai – New York

  https://www.mountsinai.org/health-library/diseases-conditions/trichotillomania

  Trichotillomania is hair loss from repeated urges to pull or twist the hair until it breaks off. People are unable to stop this behavior, even as their hair becomes thinner. […] Experts don’t agree on the use of medicine for treatment. However, naltrexone and selective serotonin reuptake inhibitors (SSRIs) have been shown to be effective in reducing some symptoms. Behavioral therapy and habit reversal may also be effective. […] Treatment often improves the hair pulling and the feelings of depression, anxiety, or poor self-image. […] Early detection is the best form of prevention because it leads to early treatment. Decreasing stress can help, because stress may increase compulsive behavior.

• #18 Trichotillomania (hair-pulling disorder) – Symptoms and causes – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/trichotillomania/symptoms-causes/syc-20355188

  Trichotillomania (trik-o-til-o-MAY-nee-uh), also called hair-pulling disorder, is a mental health condition. It involves frequent, repeated and irresistible urges to pull out hair from your scalp, eyebrows or other areas of your body. You may try to resist the urges, but you can’t stop. Trichotillomania is part of a group of conditions known as body-focused repetitive behaviors. […] For some people, trichotillomania may be mild and can be managed. For others, the automatic or deliberate urge to pull out hair is too much to handle emotionally. Some treatment options may help reduce hair pulling or stop it entirely. […] If you can’t stop pulling out your hair or you feel embarrassed or ashamed by your appearance as a result, talk to your health care provider. Trichotillomania is not just a bad habit, it’s a mental health condition. It’s not likely to get better without treatment.

• #19 Trichotillomania (Hair-Pulling Disorder) | Baptist Health

  https://www.baptisthealth.com/care-services/conditions-treatments/trichotillomania

  Trichotillomania (Hair-Pulling Disorder) is the uncontrollable urge to pull out your hair. […] Individuals with trichotillomania often pull hair from their scalp, eyelashes, and eyebrows. […] Trichotillomania is an impulse control disorder. […] While those with the condition recognize the urge to pull hair, they find it difficult or impossible to control the urge. […] All of the trichotillomania symptoms involve hair pulling or the consequences of hair pulling. […] Common signs of trichotillomania include compulsively pulling hair from eyebrows, eyelashes, and scalp. […] Personal distress over hair pulling is also a symptom. […] Individuals with trichotillomania might also repeatedly pick their skin, bite their lips, or chew their fingernails. […] Trichotillomania treatment usually falls into two main categories: therapy and medication.

• #20 Trichotillomania: Compulsive hair-pulling | Psychlinks Forum — Archive Only (2004-2022)

  https://forum.psychlinks.ca/threads/trichotillomania-compulsive-hair-pulling.12024/

  Trichotillomania (hair-pulling disorder) is an irresistible urge to pull out hair from your scalp, eyebrows or other areas of your body. Hair pulling from the scalp often leaves patchy bald spots, which people with trichotillomania may go to great lengths to disguise. For some people, trichotillomania may be mild and generally manageable. For others, the urge to pull hair is overwhelming. Some treatment options have helped many people reduce their pulling or stop entirely. […] Signs and symptoms of trichotillomania include patchy bald areas on the scalp or other areas of your body, sparse or missing eyelashes or eyebrows, chewing or eating pulled-out hair, playing with pulled-out hair, and rubbing pulled-out hair across your lips or face. Most people with trichotillomania pull hair from their scalp, especially the crown. This can lead to what’s known as a Friar Tuck sign – a balding pate surrounded by a fringe of hair.

• #21 Hair Pulling | Trichotillomania | BFRB

  https://www.bfrb.org/hair-pulling

  Physical effects such as pruritus, tissue damage, infection, and repetitive motion injuries to the muscles or joints are not uncommon. […] Hair pulling can lead to great tension and strained relationships with family members and friends. […] Family members may need professional help in coping with this problem. […] Research into treatments for BFRBs, particularly hair pulling and skin picking, has grown steadily over the past decade.

• #22 Trichotillomania (Hair-Pulling Disorder): What to Know

  https://www.verywellhealth.com/trichotillomania-hair-pulling-disorder-5089316

  Trichotillomania, also known as hair-pulling disorder, is a mental health condition that causes recurrent, irresistible urges to pull hair from the scalp, eyebrows, eyelids, and other areas of the body. […] Trichotillomania often results in the complete or partial removal of hair from the body, most commonly from the scalp and face. The symptoms and effects can be severe but are often manageable with treatment. […] For people with hair-pulling disorder, these behaviors negatively affect their daily lives. […] Trichotillomania comes with many physical and emotional complications, which are usually a result of excessive hair-pulling. […] Physical complications of hair-pulling disorder include hair loss and bald spots, itching, localized skin infection, chronic pain, blepharitis (inflammation of the eyelids) from pulling out eyelashes, repetitive motion injuries to muscles and joints (like carpal tunnel syndrome), tissue damage, and gastrointestinal distress and/or hairballs from eating pulled hair.

• #23

  https://step2.medbullets.com/psychiatry/122033/trichotillomania-hair-pulling-disorder

  A 17-year-old female with a history of generalized anxiety disorder and obsessive compulsive disorder presents to the psychiatry clinic with hair loss. During her final exam period, she started pulling out her hair. She now has several large patches of hair loss and states that pulling out her hair relieves her stress. […] Symptoms include recurrent, repetitive, intentional pulling out of one’s hair causing visible hair loss. […] Tension is experienced immediately before the pulling behavior – pleasure or relief occurs afterwards. […] Causes significant distress and impairment in daily functioning. […] Diagnosis involves history to obtain symptoms listed above and physical examination useful in documenting hair loss. […] Treatment includes cognitive behavioral therapy as the first line, with habit reversal training. […] Pharmacologic treatment may involve SSRIs, TCAs, antipsychotics, and lithium. […] Positive reinforcement may have therapeutic benefit.

• #24

  https://step2.medbullets.com/psychiatry/122033/trichotillomania-hair-pulling-disorder

  A 17-year-old female with a history of generalized anxiety disorder and obsessive compulsive disorder presents to the psychiatry clinic with hair loss. During her final exam period, she started pulling out her hair. She now has several large patches of hair loss and states that pulling out her hair relieves her stress. […] Symptoms include recurrent, repetitive, intentional pulling out of one’s hair causing visible hair loss. […] Tension is experienced immediately before the pulling behavior – pleasure or relief occurs afterwards. […] Causes significant distress and impairment in daily functioning. […] Diagnosis involves history to obtain symptoms listed above and physical examination useful in documenting hair loss. […] Treatment includes cognitive behavioral therapy as the first line, with habit reversal training. […] Pharmacologic treatment may involve SSRIs, TCAs, antipsychotics, and lithium. […] Positive reinforcement may have therapeutic benefit.

• #25 Trichotillomania: The Hair-Pulling Disorder That’s More Common Than You Think | Amen Clinics Amen Clinics

  https://www.amenclinics.com/blog/trichotillomania-the-hair-pulling-disorder-thats-more-common-than-you-think/

  Trichotillomania: The Hair-Pulling Disorder That’s More Common Than You Think […] Do you ever find yourself plucking hairs from your head, eyebrows, or eyelashes? Do you do it repeatedly to the point that you have patchy bald spots or noticeable hair loss? You may have trichotillomania, a mental health disorder that involves compulsively yanking out hair despite efforts to stop doing so. […] Hair-pulling disorder occurs in about 1%-2% of American adults and more frequently in females, including Victoria’s Secret model Sara Sampaio. She recently spoke about having trichotillomania with Dr. Daniel Amen in an episode of Scan My Brain. “I pull on my eyebrows,” says the 31-year-old model. “It started when I was, I think 15.” […] There are many signs and symptoms of trichotillomania, including: […] Making repeated efforts to stop the behavior but feeling compelled to do it anyway. […] Interferes with social functioning and at work, school, or home life.

• #26 Trichotillomania and Excoriation Disorder | Center for the Treatment and Study of Anxiety | Perelman School of Medicine at the University of Pennsylvania

  https://www.med.upenn.edu/ctsa/trich_excoriation.html

  Trichotillomania (or hair-pulling disorder) is characterized by the recurrent pulling out of ones own hair. […] Individuals with trichotillomania have made repeated attempts to decrease or stop hair pulling and the pulling often results in feeling a loss of control, embarrassment, and shame. […] Hair pulling may be accompanied by a range of behaviors or rituals involving hair, such as searching for a particular kind of hair to pull, pulling hair in a specific way, or examining or feeling the hair after it has been pulled.

• #27 Trichotillomania Hair-Pulling Disorder Treatment Facility in Fort Lauderdale, Florida

  https://sylviabrafman.com/mental-health-treatments/obsessive-compulsive-disorder/trichotillomania-disorder/

  Trichotillomania hair-pulling disorder is expressed by repetitive hair-pulling and multiple attempts to decrease or stop hair-pulling, leading to limitations in your everyday life. […] Trichotillomania is a common disorder diagnosed in roughly 0.5% to 2.0% of the population. […] Compulsive hair-pulling can occur on multiple sites of your body, and episodes can last from a few minutes to a few hours. […] Many engage in compulsive hair-pulling without meeting the full diagnostic criteria. […] Approximately 10% to 20% of people with trichotillomania engage in trichophagia, which involves eating the hair after pulling it. […] Signs and symptoms of obsessive hair-pulling behaviors typically begin in late childhood or early adolescence. […] If you or someone you love is exhibiting signs and symptoms of trichotillomania hair-pulling disorder, it’s essential to see professional care. Early intervention can make a significant difference in your or your loved one’s well-being.

• #28

  https://www.aacap.org/AACAP/Families_and_Youth/Facts_for_Families/FFF-Guide/Hair-Pulling-_Trichotillomania_-096.aspx

  It is common for children and adolescents to play with their hair. However, frequent or obsessive hair pulling can lead to serious problems. The medical term for severe hair pulling is trichotillomania. […] People with trichotillomania pull hair all over their bodies, including the head, face, arms, legs and pubic areas. They may not notice the effects of the hair pulling until they find a need to cover up bald patches with hair clips, a hat, wig or scarf. People with trichotillomania are not able stop pulling their hair without support. […] Most youth with trichotillomania feel shame, embarrassment or guilt about their hair loss. Younger children may not notice or be bothered by hair loss. Older children and adolescents may be teased, have low self-esteem, anxiety or depression. […] Punishing children for pulling hair is unlikely to decrease the behavior and can lead to problems with self-esteem. In order to avoid punishment or embarrassment, it is common for children to try to hide or deny they are pulling their hair.

• #29 Learn About Trichotillomania: The “Hair Pulling” Disorder :: The Baker Center For Children and Families

  https://www.bakercenter.org/resources/library/learn-about-trichotillomania-the-hair-pulling-disorder

  Individuals with trichotillomania have been found to experience social challenges, to have low self-esteem, and to be more likely to develop social anxiety. […] Those who have noticeable physical changes as a result of trichotillomania may experience anxiety about letting others see their hair loss, which can impact function in relationships, in school, or at work. […] If left untreated, studies have found that symptoms may change in intensity throughout the lifetime, but they will persist. […] When a child or teen has trichotillomania, the presence of hair-pulling may be distressing for caregivers as well as the individual. Understanding that an individual with trichotillomania feels a strong urge to pull their hair to relieve an internal feeling, and they are not doing it to intentionally cause challenges, is important. […] When caregivers and children work as a team to address the symptoms of trichotillomania, there is a strong likelihood that the child will benefit from an effective intervention that can target their challenges.

• #30 Hair Pulling | Trichotillomania | BFRB

  https://www.bfrb.org/hair-pulling

  Trichotillomania is currently classified under Obsessive-Compulsive and Related Disorders in the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition. […] Although the severity of hair pulling varies widely, many people with hair pulling disorder have noticeable hair loss, which they attempt to camouflage. […] Due to shame and embarrassment, individuals not only try to cover up the effects of hair pulling, but may avoid activities and social situations which may lead them to feel vulnerable to being discovered. […] For many, shame and embarrassment about hair pulling causes painful isolation and results in a great deal of emotional distress, placing them at risk for a co-occurring psychiatric disorder, such as a mood or anxiety disorder. […] The most successful management strategies make use of a variety of therapeutic techniques that address actionable emotional and behavioral components.

• #31 Hair Pulling | Trichotillomania | BFRB

  https://www.bfrb.org/hair-pulling

  Physical effects such as pruritus, tissue damage, infection, and repetitive motion injuries to the muscles or joints are not uncommon. […] Hair pulling can lead to great tension and strained relationships with family members and friends. […] Family members may need professional help in coping with this problem. […] Research into treatments for BFRBs, particularly hair pulling and skin picking, has grown steadily over the past decade.

• #32 Hair Pulling | Trichotillomania | BFRB

  https://www.bfrb.org/hair-pulling

  Trichotillomania is currently classified under Obsessive-Compulsive and Related Disorders in the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition. […] Although the severity of hair pulling varies widely, many people with hair pulling disorder have noticeable hair loss, which they attempt to camouflage. […] Due to shame and embarrassment, individuals not only try to cover up the effects of hair pulling, but may avoid activities and social situations which may lead them to feel vulnerable to being discovered. […] For many, shame and embarrassment about hair pulling causes painful isolation and results in a great deal of emotional distress, placing them at risk for a co-occurring psychiatric disorder, such as a mood or anxiety disorder. […] The most successful management strategies make use of a variety of therapeutic techniques that address actionable emotional and behavioral components.

• #33 Trichotillomania – StatPearls – NCBI Bookshelf

  https://www.ncbi.nlm.nih.gov/books/NBK493186/

  Trichotillomania (TTM) also known as hair-pulling disorder, was first described in ancient Greece, but its current name was coined in the later part of the 18th century. […] This activity describes the etiology, presentation, and management of trichotillomania and highlights the role of the interprofessional team in the care of patients with this condition. […] The treatment will likely include therapy techniques, and there may be the use of medications. The currently studied therapy techniques for the treatment of trichotillomania include cognitive behavioral therapy (CBT) and habit reversal training. […] Unfortunately, the disorder has no cure and all treatments have limitations. The disorder has relapses and remissions. In the long run, the patient has permanent loss of hair, scarring, and poor cosmesis.

• #34 Trichotillomania (hair-pulling disorder) – Symptoms and causes – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/trichotillomania/symptoms-causes/syc-20355188

  Trichotillomania is a long-term disorder. If not treated, symptoms may come and go for weeks, months or years at a time. Also, symptoms can vary in severity over time. […] Although it may not seem serious, trichotillomania can have harmful effects on your life. Complications may include emotional distress, problems in your social life and with work, skin and hair damage, and hairballs.

• #35 Learn About Trichotillomania: The “Hair Pulling” Disorder :: The Baker Center For Children and Families

  https://www.bakercenter.org/resources/library/learn-about-trichotillomania-the-hair-pulling-disorder

  Individuals with trichotillomania have been found to experience social challenges, to have low self-esteem, and to be more likely to develop social anxiety. […] Those who have noticeable physical changes as a result of trichotillomania may experience anxiety about letting others see their hair loss, which can impact function in relationships, in school, or at work. […] If left untreated, studies have found that symptoms may change in intensity throughout the lifetime, but they will persist. […] When a child or teen has trichotillomania, the presence of hair-pulling may be distressing for caregivers as well as the individual. Understanding that an individual with trichotillomania feels a strong urge to pull their hair to relieve an internal feeling, and they are not doing it to intentionally cause challenges, is important. […] When caregivers and children work as a team to address the symptoms of trichotillomania, there is a strong likelihood that the child will benefit from an effective intervention that can target their challenges.

• #36

  https://journals.lww.com/indianjpsychiatry/fulltext/2019/61001/trichotillomania__hair_pulling_disorder_.18.aspx

  Trichotillomania is characterized by the repetitive pulling out of one’s own hair leading to hair loss and possibly functional impairment. […] Trichotillomania (hair-pulling disorder) is an often debilitating psychiatric condition characterized by recurrent pulling out of one’s own hair, leading to hair loss, and marked functional impairment. […] The current diagnostic criteria for trichotillomania are as follows: pulling of hair which results in hair loss; attempts to either decrease or stop pulling; significant distress or impairment; and the pulling cannot be attributed to another medical or psychiatric condition. […] Control of the hair pulling appears to be critical for maintaining long-term health and quality of life. […] If untreated, trichotillomania is a chronic illness that often results in substantial psychosocial dysfunction, and that can, in rare cases, lead to life-threatening medical problems.

• #37 Therapeutic Aspects of Trichotillomania: A Review of Current Treatment Options

  https://www.psychiatrist.com/pcc/trichotillomania-therapy/

  Trichotillomania (TTM) is a disorder characterized by recurrent episodes of hair pulling that affects a growing and diverse patient population. […] Treatment of TTM with the least occurrence of relapse consists of a combination of pharmacologic and nonpharmacologic options and calls for the involvement of a multidisciplinary team along with family members and friends. […] TTM is characterized under the OCD spectrum of psychological disorders because of the obsessive, intrusive, persistent thoughts that induce stress and result in patients engaging in compulsive acts of hair pulling. […] Treatment should follow a multidisciplinary approach and consist of follow-up to prevent relapse, assistance in the management of potential comorbid conditions, and the improvement of quality of life.

• #38 Therapeutic Aspects of Trichotillomania: A Review of Current Treatment Options

  https://www.psychiatrist.com/pcc/trichotillomania-therapy/

  It is imperative to improve protocols for existing drugs while continuing to explore novel treatment options due to the lack of universally accepted and approved treatment options for TTM. […] To better assist the growing and diverse patient population presenting with TTM, it is essential to implement a multidisciplinary approach with dermatologists, psychiatrists, counselors, and even family members.

• #39 Trichotillomania(Hair Pulling Disorder) – Center for OCD and Related Disorders

  https://mghocd.org/trichotillomania/

  Trichotillomania (TTM) is characterized by repeated pulling of one’s hair for non-cosmetic reasons from any body area, most often the scalp, eyelashes, eyebrows, beard, or pubic area. […] The consensus amongst practitioners and existing treatment studies indicate that CBT is the first-line treatment intervention for Trichotillomania (Hair Pulling Disorder). […] In addition to CBT, stimulus control procedures targeted at reducing stimuli or situations that trigger hair pulling are also used to treat Trichotillomania; these procedures may cue the individual when they are engaged in the hair pulling, and/or provide substitutes for sensory reinforcement. […] Few controlled medication treatment trials exist for hair pulling disorder. […] Our center specializes in evidence-based treatment for Trichotillomania (Hair Pulling Disorder) with cognitive behavioral therapy (CBT) and medication.

• #40 Trichotillomania Hair Pulling Disorder – Causes, Symptoms & Prevention

  https://chaselodgehospital.com/blog/trichotillomania-hair-pulling-disorder/

  Since pulling hair out syndrome can significantly impact an individuals quality of life, an early and accurate trichotillomania hair pulling disorder diagnosis is crucial to ensure the most effective treatment. […] At Chase Lodge Hospital, we provide a holistic, evidence-based approach to treating Trichotillomania hair pulling disorder, with treatment plans tailored to each individuals specific needs. […] CBT is widely regarded as the gold standard treatment for hair pulling trichotillomania. It helps individuals: Identify and understand triggers that lead to hair-pulling. Develop alternative coping mechanisms to manage urges. Challenge negative thought patterns associated with hair-pulling. […] HRT is a specialised type of CBT designed specifically for compulsive behaviours like hair-pulling. It involves: Recognising warning signs before an urge to pull occurs. Replacing hair-pulling with a competing response (e.g., squeezing a stress ball or using fidget toys). Building awareness and control over the behaviour.

• #41 Trichotillomania Hair Pulling Disorder – Causes, Symptoms & Prevention

  https://chaselodgehospital.com/blog/trichotillomania-hair-pulling-disorder/

  Since pulling hair out syndrome can significantly impact an individuals quality of life, an early and accurate trichotillomania hair pulling disorder diagnosis is crucial to ensure the most effective treatment. […] At Chase Lodge Hospital, we provide a holistic, evidence-based approach to treating Trichotillomania hair pulling disorder, with treatment plans tailored to each individuals specific needs. […] CBT is widely regarded as the gold standard treatment for hair pulling trichotillomania. It helps individuals: Identify and understand triggers that lead to hair-pulling. Develop alternative coping mechanisms to manage urges. Challenge negative thought patterns associated with hair-pulling. […] HRT is a specialised type of CBT designed specifically for compulsive behaviours like hair-pulling. It involves: Recognising warning signs before an urge to pull occurs. Replacing hair-pulling with a competing response (e.g., squeezing a stress ball or using fidget toys). Building awareness and control over the behaviour.

• #42 Trichotillomania Hair Pulling Disorder – Causes, Symptoms & Prevention

  https://chaselodgehospital.com/blog/trichotillomania-hair-pulling-disorder/

  Since pulling hair out syndrome can significantly impact an individuals quality of life, an early and accurate trichotillomania hair pulling disorder diagnosis is crucial to ensure the most effective treatment. […] At Chase Lodge Hospital, we provide a holistic, evidence-based approach to treating Trichotillomania hair pulling disorder, with treatment plans tailored to each individuals specific needs. […] CBT is widely regarded as the gold standard treatment for hair pulling trichotillomania. It helps individuals: Identify and understand triggers that lead to hair-pulling. Develop alternative coping mechanisms to manage urges. Challenge negative thought patterns associated with hair-pulling. […] HRT is a specialised type of CBT designed specifically for compulsive behaviours like hair-pulling. It involves: Recognising warning signs before an urge to pull occurs. Replacing hair-pulling with a competing response (e.g., squeezing a stress ball or using fidget toys). Building awareness and control over the behaviour.

• #43 Trichotillomania (hair-pulling disorder) | Beacon Health System

  https://www.beaconhealthsystem.org/library/diseases-and-conditions/trichotillomania-hair-pulling-disorder?content_id=CON-20228105

  Some treatment options have helped many people reduce hair pulling or stop completely. These include therapy and sometimes medicine. […] Types of therapy that may be helpful for trichotillomania include: Habit reversal training. This behavior therapy is the main treatment for trichotillomania. You learn how to recognize situations where you’re likely to pull out your hair and how to substitute other behaviors instead. […] Therapies that help with other mental health conditions that often occur along with trichotillomania, such as depression, anxiety, or problems with alcohol or drug use, can be an important part of treatment. […] Although no medicines are approved by the U.S. Food and Drug Administration specifically for the treatment of trichotillomania, some medicines may help control certain symptoms, such as anxiety and depression.

• #44 Optimizing psychological interventions for trichotillomania (hair-pulling disorder): an update on current empirical status

  https://pmc.ncbi.nlm.nih.gov/articles/PMC4396507/

  Different cognitive-behavioral models of HPD have been developed with overall similar emphases. […] These models typically assume that hair-pulling is an operant behavior shaped by reinforcing (and punishing) consequences. […] In addition, it is often assumed that some biological vulnerability factors may render certain individuals susceptible to experiencing strong affective reactions to hair-pulling behaviors. […] The goal of awareness training in HRT is to increase a patients awareness of his/her hair-pulling behavior. […] The goal of social support training is to train a support person in the patients environment to reinforce and praise successful use of competing responses. […] Evidence suggests that HRT/SC is effective in the treatment of HPD. […] Self-help versions of HRT/SC may also be beneficial for patients with HPD.

• #45 Trichotillomania Hair Pulling Disorder – Causes, Symptoms & Prevention

  https://chaselodgehospital.com/blog/trichotillomania-hair-pulling-disorder/

  Since pulling hair out syndrome can significantly impact an individuals quality of life, an early and accurate trichotillomania hair pulling disorder diagnosis is crucial to ensure the most effective treatment. […] At Chase Lodge Hospital, we provide a holistic, evidence-based approach to treating Trichotillomania hair pulling disorder, with treatment plans tailored to each individuals specific needs. […] CBT is widely regarded as the gold standard treatment for hair pulling trichotillomania. It helps individuals: Identify and understand triggers that lead to hair-pulling. Develop alternative coping mechanisms to manage urges. Challenge negative thought patterns associated with hair-pulling. […] HRT is a specialised type of CBT designed specifically for compulsive behaviours like hair-pulling. It involves: Recognising warning signs before an urge to pull occurs. Replacing hair-pulling with a competing response (e.g., squeezing a stress ball or using fidget toys). Building awareness and control over the behaviour.

• #46 Trichotillomania Hair Pulling Disorder – Causes, Symptoms & Prevention

  https://chaselodgehospital.com/blog/trichotillomania-hair-pulling-disorder/

  Since pulling hair out syndrome can significantly impact an individuals quality of life, an early and accurate trichotillomania hair pulling disorder diagnosis is crucial to ensure the most effective treatment. […] At Chase Lodge Hospital, we provide a holistic, evidence-based approach to treating Trichotillomania hair pulling disorder, with treatment plans tailored to each individuals specific needs. […] CBT is widely regarded as the gold standard treatment for hair pulling trichotillomania. It helps individuals: Identify and understand triggers that lead to hair-pulling. Develop alternative coping mechanisms to manage urges. Challenge negative thought patterns associated with hair-pulling. […] HRT is a specialised type of CBT designed specifically for compulsive behaviours like hair-pulling. It involves: Recognising warning signs before an urge to pull occurs. Replacing hair-pulling with a competing response (e.g., squeezing a stress ball or using fidget toys). Building awareness and control over the behaviour.

• #47 Optimizing psychological interventions for trichotillomania (hair-pulling disorder): an update on current empirical status

  https://pmc.ncbi.nlm.nih.gov/articles/PMC4396507/

  Different cognitive-behavioral models of HPD have been developed with overall similar emphases. […] These models typically assume that hair-pulling is an operant behavior shaped by reinforcing (and punishing) consequences. […] In addition, it is often assumed that some biological vulnerability factors may render certain individuals susceptible to experiencing strong affective reactions to hair-pulling behaviors. […] The goal of awareness training in HRT is to increase a patients awareness of his/her hair-pulling behavior. […] The goal of social support training is to train a support person in the patients environment to reinforce and praise successful use of competing responses. […] Evidence suggests that HRT/SC is effective in the treatment of HPD. […] Self-help versions of HRT/SC may also be beneficial for patients with HPD.

• #48 Trichotillomania(Hair Pulling Disorder) – Center for OCD and Related Disorders

  https://mghocd.org/trichotillomania/

  Trichotillomania (TTM) is characterized by repeated pulling of one’s hair for non-cosmetic reasons from any body area, most often the scalp, eyelashes, eyebrows, beard, or pubic area. […] The consensus amongst practitioners and existing treatment studies indicate that CBT is the first-line treatment intervention for Trichotillomania (Hair Pulling Disorder). […] In addition to CBT, stimulus control procedures targeted at reducing stimuli or situations that trigger hair pulling are also used to treat Trichotillomania; these procedures may cue the individual when they are engaged in the hair pulling, and/or provide substitutes for sensory reinforcement. […] Few controlled medication treatment trials exist for hair pulling disorder. […] Our center specializes in evidence-based treatment for Trichotillomania (Hair Pulling Disorder) with cognitive behavioral therapy (CBT) and medication.

• #49 Trichotillomania – symptoms and treatment options | healthdirect

  https://www.healthdirect.gov.au/trichotillomania

  Trichotillomania is a condition where you feel a strong urge to pull out your hair typically from your head and eyelashes. […] Trichotillomania can be treated with cognitive behavioural therapy (CBT) and other behaviour change strategies. […] If you have trichotillomania, you can try: squeezing a stress ball when you have the urge to pull your hair, keeping your hair short, wearing a tight-fitting hat like a beanie, putting tape or band aids on your fingertips, exercise. […] There are different treatments that can help you manage and overcome trichotillomania. […] Your doctor can also refer you to a mental health professional for more support, such as a psychiatrist. […] If trichotillomania is left untreated, hair pulling can cause permanent damage to your skin and hair follicles.

• #50 Trichotillomania – symptoms and treatment options | healthdirect

  https://www.healthdirect.gov.au/trichotillomania

  Trichotillomania is a condition where you feel a strong urge to pull out your hair typically from your head and eyelashes. […] Trichotillomania can be treated with cognitive behavioural therapy (CBT) and other behaviour change strategies. […] If you have trichotillomania, you can try: squeezing a stress ball when you have the urge to pull your hair, keeping your hair short, wearing a tight-fitting hat like a beanie, putting tape or band aids on your fingertips, exercise. […] There are different treatments that can help you manage and overcome trichotillomania. […] Your doctor can also refer you to a mental health professional for more support, such as a psychiatrist. […] If trichotillomania is left untreated, hair pulling can cause permanent damage to your skin and hair follicles.

• #51 Trichotillomania – symptoms and treatment options | healthdirect

  https://www.healthdirect.gov.au/trichotillomania

  Trichotillomania is a condition where you feel a strong urge to pull out your hair typically from your head and eyelashes. […] Trichotillomania can be treated with cognitive behavioural therapy (CBT) and other behaviour change strategies. […] If you have trichotillomania, you can try: squeezing a stress ball when you have the urge to pull your hair, keeping your hair short, wearing a tight-fitting hat like a beanie, putting tape or band aids on your fingertips, exercise. […] There are different treatments that can help you manage and overcome trichotillomania. […] Your doctor can also refer you to a mental health professional for more support, such as a psychiatrist. […] If trichotillomania is left untreated, hair pulling can cause permanent damage to your skin and hair follicles.

• #52 Trichotillomania – symptoms and treatment options | healthdirect

  https://www.healthdirect.gov.au/trichotillomania

  Trichotillomania is a condition where you feel a strong urge to pull out your hair typically from your head and eyelashes. […] Trichotillomania can be treated with cognitive behavioural therapy (CBT) and other behaviour change strategies. […] If you have trichotillomania, you can try: squeezing a stress ball when you have the urge to pull your hair, keeping your hair short, wearing a tight-fitting hat like a beanie, putting tape or band aids on your fingertips, exercise. […] There are different treatments that can help you manage and overcome trichotillomania. […] Your doctor can also refer you to a mental health professional for more support, such as a psychiatrist. […] If trichotillomania is left untreated, hair pulling can cause permanent damage to your skin and hair follicles.

• #53 Trichotillomania – symptoms and treatment options | healthdirect

  https://www.healthdirect.gov.au/trichotillomania

  Trichotillomania is a condition where you feel a strong urge to pull out your hair typically from your head and eyelashes. […] Trichotillomania can be treated with cognitive behavioural therapy (CBT) and other behaviour change strategies. […] If you have trichotillomania, you can try: squeezing a stress ball when you have the urge to pull your hair, keeping your hair short, wearing a tight-fitting hat like a beanie, putting tape or band aids on your fingertips, exercise. […] There are different treatments that can help you manage and overcome trichotillomania. […] Your doctor can also refer you to a mental health professional for more support, such as a psychiatrist. […] If trichotillomania is left untreated, hair pulling can cause permanent damage to your skin and hair follicles.

• #54 Optimizing psychological interventions for trichotillomania (hair-pulling disorder): an update on current empirical status

  https://pmc.ncbi.nlm.nih.gov/articles/PMC4396507/

  Different cognitive-behavioral models of HPD have been developed with overall similar emphases. […] These models typically assume that hair-pulling is an operant behavior shaped by reinforcing (and punishing) consequences. […] In addition, it is often assumed that some biological vulnerability factors may render certain individuals susceptible to experiencing strong affective reactions to hair-pulling behaviors. […] The goal of awareness training in HRT is to increase a patients awareness of his/her hair-pulling behavior. […] The goal of social support training is to train a support person in the patients environment to reinforce and praise successful use of competing responses. […] Evidence suggests that HRT/SC is effective in the treatment of HPD. […] Self-help versions of HRT/SC may also be beneficial for patients with HPD.

• #55 Optimizing psychological interventions for trichotillomania (hair-pulling disorder): an update on current empirical status

  https://pmc.ncbi.nlm.nih.gov/articles/PMC4396507/

  Different cognitive-behavioral models of HPD have been developed with overall similar emphases. […] These models typically assume that hair-pulling is an operant behavior shaped by reinforcing (and punishing) consequences. […] In addition, it is often assumed that some biological vulnerability factors may render certain individuals susceptible to experiencing strong affective reactions to hair-pulling behaviors. […] The goal of awareness training in HRT is to increase a patients awareness of his/her hair-pulling behavior. […] The goal of social support training is to train a support person in the patients environment to reinforce and praise successful use of competing responses. […] Evidence suggests that HRT/SC is effective in the treatment of HPD. […] Self-help versions of HRT/SC may also be beneficial for patients with HPD.

• #56 International OCD Foundation | Comprehensive Behavioral (ComB) Treatment for Skin Picking and Hair Pulling Disorders

  https://iocdf.org/expert-opinions/comprehensive-behavioral-comb-treatment-for-skin-picking-and-hair-pulling-disorders/

  by Charles S. Mansueto, PhD & Ruth G. Golomb, LCPC […] Picking at one’s own skin and pulling out one’s own hair are two relatively common human behaviors. […] Skin picking (excoriation) disorder (SPD) and trichotillomania (hair pulling disorder) (HPD) are their official names. […] Luckily, BFRBs can be effectively treated. […] This article will focus on the therapy approach called Comprehensive Behavioral (ComB) treatment — an approach that is favored by many clinicians. […] ComB treatment encompasses a wide range of techniques drawn from standard behavioral, cognitive, and CBT practice. […] As ComB treatment is uniquely tailored to the individual needs of each patient, the treatment process is expected to be both creative and fluid rather than rigidly applied. […] The ComB approach addresses this complexity by providing a systematic framework that guides therapists as they design and implement a treatment plan that uniquely fits each patient. […] ComB treatment pays attention to the factors that foster and maintain BFRBs: behavioral, emotional, cognitive, and sensory variables identified in prior research on HPD. […] ComB treatment emphasizes the learning and practice of strategies to target problematic behaviors as well as the thoughts, feelings, and sensations that contribute to their persistence. […] In the final phase of formal treatment, the client is encouraged to continue with ongoing assessments of progress and to modify the use of interventions as needed. […] The ComB conceptual model comes from established behavioral principles and decades of laboratory and clinical research, and employs proven behavioral, cognitive, and CBT techniques. […] The last several decades have seen much progress toward understanding and treating BFRBs. […] It provides a unique and likely more effective alternative to existing CBT treatment approaches; […] It addresses the diverse nature of elements that foster hair pulling in each individual; […] It guides the assessment of relevant information and organizes that information into important domains of human experience; […] It generates a broad variety of possible therapeutic interventions; […] It guides the therapist through the process of clinical decision-making to ensure that therapeutic interventions fit well with the unique characteristics of each patient; […] At this time no other single treatment formulation provides these features within an integrated conceptual framework and treatment model.

• #57 Trichotillomania (hair-pulling disorder) – Diagnosis and treatment – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/trichotillomania/diagnosis-treatment/drc-20355193

  To diagnose trichotillomania, you’ll likely start by having a physical exam. You may then be referred to a mental health professional with experience in treating trichotillomania. Diagnosing trichotillomania may include: […] Some treatment options have helped many people reduce hair pulling or stop completely. These include therapy and sometimes medicine. […] Types of therapy that may be helpful for trichotillomania include: […] Therapies that help with other mental health conditions that often occur along with trichotillomania, such as depression, anxiety, or problems with alcohol or drug use, can be an important part of treatment. […] Although no medicines are approved by the U.S. Food and Drug Administration specifically for the treatment of trichotillomania, some medicines may help control certain symptoms, such as anxiety and depression.

• #58 Trichotillomania (hair-pulling disorder) | Beacon Health System

  https://www.beaconhealthsystem.org/library/diseases-and-conditions/trichotillomania-hair-pulling-disorder?content_id=CON-20228105

  Some treatment options have helped many people reduce hair pulling or stop completely. These include therapy and sometimes medicine. […] Types of therapy that may be helpful for trichotillomania include: Habit reversal training. This behavior therapy is the main treatment for trichotillomania. You learn how to recognize situations where you’re likely to pull out your hair and how to substitute other behaviors instead. […] Therapies that help with other mental health conditions that often occur along with trichotillomania, such as depression, anxiety, or problems with alcohol or drug use, can be an important part of treatment. […] Although no medicines are approved by the U.S. Food and Drug Administration specifically for the treatment of trichotillomania, some medicines may help control certain symptoms, such as anxiety and depression.

• #59 Hair-Pulling Disorder (Trichotillomania) – Mental Health Disorders – Merck Manual Consumer Version

  https://www.merckmanuals.com/home/mental-health-disorders/obsessive-compulsive-and-related-disorders/hair-pulling-disorder-trichotillomania

  Sometimes doctors prescribe medications to help control symptoms. N-Acetylcysteine (NAC) and memantine act on the glutamatergic system and may reduce hair pulling. Selective serotonin reuptake inhibitors (SSRIs) or clomipramine (types of antidepressants) may help, particularly if the person also has symptoms of depression or anxiety.

• #60

  https://www.nuhs.edu.sg/patient-care/find-a-condition/trichotillomania-hair-pulling-disorder

  Trichotillomania is a mental health disorder where the affected individuals repeatedly pull out hair from any part of their body (e.g. scalp, eyebrow, eyelash) and are unable to stop themselves from doing so (uncontrollable). […] Difficulties in stopping the hair-pulling behaviours can result in irreversible hair loss, and likely to improve without adequate treatment. […] Treatment for Trichotillomania include: […] Medications such as Tricycline anti-depressants and Selective Serotonin Reuptake Inhibitors may be prescribed to help with anxiety or the negative emotions that may underlie the through hair-pulling behaviour. […] Learn and understand the emotional difficulties that may underlie the behaviour as well as helpful and relevant skills and strategies to cope with emotional difficulties and manage urges to pull out hair. […] Engage in relevant resources or support programmes to deal with practical and stressful situations in daily lives. Caregivers and loved ones can learn how to support affected individuals.

• #61 Hair-Pulling Disorder (Trichotillomania) – Mental Health Disorders – Merck Manual Consumer Version

  https://www.merckmanuals.com/home/mental-health-disorders/obsessive-compulsive-and-related-disorders/hair-pulling-disorder-trichotillomania

  Sometimes doctors prescribe medications to help control symptoms. N-Acetylcysteine (NAC) and memantine act on the glutamatergic system and may reduce hair pulling. Selective serotonin reuptake inhibitors (SSRIs) or clomipramine (types of antidepressants) may help, particularly if the person also has symptoms of depression or anxiety.

• #62 Hair-Pulling Disorder (Trichotillomania) – Mental Health Disorders – Merck Manual Consumer Version

  https://www.merckmanuals.com/home/mental-health-disorders/obsessive-compulsive-and-related-disorders/hair-pulling-disorder-trichotillomania

  Sometimes doctors prescribe medications to help control symptoms. N-Acetylcysteine (NAC) and memantine act on the glutamatergic system and may reduce hair pulling. Selective serotonin reuptake inhibitors (SSRIs) or clomipramine (types of antidepressants) may help, particularly if the person also has symptoms of depression or anxiety.

• #63 What is Trichotillomania (Hair Pulling Disorder)? | Anadolu Sağlık Merkezi

  https://www.anadolumedicalcenter.com/health-guide/what-is-trichotillomania-hair-pulling-disorder

  During the therapy process, the first step is to identify the root cause of the problem. Events that cause stress and anxiety for the individual are openly discussed. The patient and physician should collaborate to address the factors contributing to the disorder. Close observation is crucial during periods of heightened symptoms, allowing for the identification of behaviors and thoughts that may trigger the disorder. […] The following medications may be used in treatment: Antidepressant Medications: Known for treating depression, these medications can help reduce the urge to pull hair in some individuals. Antipsychotic Medications: Used in the treatment of psychological disorders, these medications help balance brain chemistry and are also utilized for treating trichotillomania. Anticonvulsant Medications: These medications are used for disorders affecting muscle movements and seizures and can also be prescribed for trichotillomania in some cases. Nutraceuticals: Dietary products such as amino acid supplements that can aid in the treatment of the disorder. […] If diagnosed and treated early, there is a high likelihood that hair will regrow after being pulled out in trichotillomania. However, if the disorder is left untreated and the individual begins to damage the underlying skin tissue, the chances of hair regrowth in that area become very low.

• #64 Trichotillomania (hair-pulling disorder) – Diagnosis and treatment – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/trichotillomania/diagnosis-treatment/drc-20355193

  Talk with your health care provider about any medicine recommended. The possible benefits of medicines should be balanced against possible side effects. […] You may find dealing with trichotillomania challenging. It may help to join a support group for people with trichotillomania so that you can meet others with similar experiences who can relate to your feelings and offer support. […] Seeking help is the first step in treating trichotillomania. At first you may see your primary care provider or a specialist in skin disorders called a dermatologist. Your provider may refer you to a mental health professional with experience in diagnosing and treating trichotillomania. […] Trichotillomania can cause both physical and mental health symptoms. Note what triggers your urges, how you’ve tried to deal with them, and what makes the urges better or worse. […] Be ready to answer questions so that you’ll have time to talk about what’s most important to you.

• #65 Trichotillomania – StatPearls – NCBI Bookshelf

  https://www.ncbi.nlm.nih.gov/books/NBK493186/

  Trichotillomania often presents to the primary care provider or mental health nurse. However, this is not a trivial disorder and should be managed by an interprofessional team that includes a psychiatrist, behavior therapist, psychologist, and a dermatologist. The treatment includes therapy techniques combined with anxiety-relieving medications.

• #66 Trichotillomania: MedlinePlus Medical EncyclopediaLock

  https://medlineplus.gov/ency/article/001517.htm

  Trichotillomania is hair loss from repeated urges to pull or twist the hair until it breaks off. People are unable to stop this behavior, even as their hair becomes thinner. […] Trichotillomania is a type of impulsive control disorder. Its causes are not clearly understood. […] Symptoms most often begin before age 17. The hair may come out in round patches or across the scalp. The effect is an uneven appearance. The person may pluck other hairy areas, such as the eyebrows, eyelashes, or body hair. […] Your health care provider will examine your skin, hair, and scalp. A piece of tissue may be removed (biopsy) to find other causes, such as a scalp infection, and to explain the hair loss. […] Experts don’t agree on the use of medicine for treatment. However, naltrexone and selective serotonin reuptake inhibitors (SSRIs) have been shown to be effective in reducing some symptoms. Behavioral therapy and habit reversal may also be effective.

• #67 Trichotillomania (hair-pulling disorder) – Diagnosis and treatment – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/trichotillomania/diagnosis-treatment/drc-20355193

  Talk with your health care provider about any medicine recommended. The possible benefits of medicines should be balanced against possible side effects. […] You may find dealing with trichotillomania challenging. It may help to join a support group for people with trichotillomania so that you can meet others with similar experiences who can relate to your feelings and offer support. […] Seeking help is the first step in treating trichotillomania. At first you may see your primary care provider or a specialist in skin disorders called a dermatologist. Your provider may refer you to a mental health professional with experience in diagnosing and treating trichotillomania. […] Trichotillomania can cause both physical and mental health symptoms. Note what triggers your urges, how you’ve tried to deal with them, and what makes the urges better or worse. […] Be ready to answer questions so that you’ll have time to talk about what’s most important to you.

• #68 Trichotillomania | 5-Minute Clinical Consult

  https://www.unboundmedicine.com/5minute/view/5-Minute-Clinical-Consult/117491/2.1/Trichotillomania

  Trichotillomania (TTM) is a hair-pulling disorder characterized by self-induced, repeated, and often noticeable hair loss. It can become severe and difficult to control. […] TTM usually presents in childhood or early adolescence. […] Denial and hiding of hair pulling is common. […] Recurrence or worsened hair pulling is associated with increased stress/anxiety, but TTM can also occur at times of relaxation and distraction, such as when reading. […] TTM has frequent comorbidity with other psychiatric diagnoses. […] Adults with TTM display sensory over responsivity and maladaptive emotional regulation, a pattern also seen in OCD. […] Genetics appears to contribute to the development of TTM as demonstrated by a higher rate of concordance in monozygotic twins (38.1%) versus dizygotic twins (0%). […] Other psychiatric disorders: depression, OCD, anxiety, posttraumatic stress disorder (PTSD), eating disorders, nail biting, skin picking. […] Commonly associated conditions include depression, anxiety, OCD, and eating disorders.

• #69 Trichotillomania: Symptoms, Treatment | StudySmarter

  https://www.studysmarter.co.uk/explanations/nursing/mental-health-nursing/trichotillomania/

  Trichotillomania, colloquially known as „hair-pulling disorder”, is an often misunderstood and under-diagnosed condition. This mental health disorder can be challenging for both the individual and their loved ones. Trichotillomania is defined as a compulsive urge to pull out one’s hair, resulting in noticeable hair loss and significant distress. Hair-pulling can occur from any area of the body, however, the most common areas are the scalp, eyebrows, and eyelashes. The onset of Trichotillomania typically manifests in puberty, but it can affect individuals of all ages. Both genders can be affected, but it’s more prevalent in females. The disorder is categorised under Obsessive-Compulsive and Related Disorders in the Diagnostic and Statistical Manual of Mental Disorders, fifth edition (DSM-5). Treatment for trichotillomania specifically targets the compulsion to pull hair and the associated psychological distress. It involutes a multi-dimensional approach, that can include medication, cognitive-behavioural therapy (CBT), and even alternative remedies. Typically, a mental healthcare professional creates an individualised treatment plan based on your specific needs. The best nursing interventions for Trichotillomania include cognitive behavioural therapy (CBT) to address underlying triggers, implementing a behaviour modification plan, providing patient education on the disorder, and empathetic support to minimise anxiety and promote self-esteem. A nurse can implement strategies such as behavioural therapy techniques, assisting the patient in identifying triggers and developing alternative coping mechanisms. They can also provide education about the condition and reinforce ongoing communication between the patient, family, and healthcare team. A mental health nurse should understand that Trichotillomania is often driven by feelings of anxiety, stress or negative emotions. It can be a coping mechanism for individuals experiencing emotional distress, linked to conditions such as O.C.D. or depressive disorders. Also, it can be triggered by certain environmental factors. A nurse can teach techniques such as habit reversal training, where the patient recognises the urge and substitutes a different behaviour. They can also encourage regular exercise, stress management techniques like deep breathing or meditation, and keeping the hands busy with activities like knitting or drawing.

• #70 Trichotillomania: Symptoms, Treatment | StudySmarter

  https://www.studysmarter.co.uk/explanations/nursing/mental-health-nursing/trichotillomania/

  Trichotillomania, colloquially known as „hair-pulling disorder”, is an often misunderstood and under-diagnosed condition. This mental health disorder can be challenging for both the individual and their loved ones. Trichotillomania is defined as a compulsive urge to pull out one’s hair, resulting in noticeable hair loss and significant distress. Hair-pulling can occur from any area of the body, however, the most common areas are the scalp, eyebrows, and eyelashes. The onset of Trichotillomania typically manifests in puberty, but it can affect individuals of all ages. Both genders can be affected, but it’s more prevalent in females. The disorder is categorised under Obsessive-Compulsive and Related Disorders in the Diagnostic and Statistical Manual of Mental Disorders, fifth edition (DSM-5). Treatment for trichotillomania specifically targets the compulsion to pull hair and the associated psychological distress. It involutes a multi-dimensional approach, that can include medication, cognitive-behavioural therapy (CBT), and even alternative remedies. Typically, a mental healthcare professional creates an individualised treatment plan based on your specific needs. The best nursing interventions for Trichotillomania include cognitive behavioural therapy (CBT) to address underlying triggers, implementing a behaviour modification plan, providing patient education on the disorder, and empathetic support to minimise anxiety and promote self-esteem. A nurse can implement strategies such as behavioural therapy techniques, assisting the patient in identifying triggers and developing alternative coping mechanisms. They can also provide education about the condition and reinforce ongoing communication between the patient, family, and healthcare team. A mental health nurse should understand that Trichotillomania is often driven by feelings of anxiety, stress or negative emotions. It can be a coping mechanism for individuals experiencing emotional distress, linked to conditions such as O.C.D. or depressive disorders. Also, it can be triggered by certain environmental factors. A nurse can teach techniques such as habit reversal training, where the patient recognises the urge and substitutes a different behaviour. They can also encourage regular exercise, stress management techniques like deep breathing or meditation, and keeping the hands busy with activities like knitting or drawing.

• #71 Trichotillomania: Symptoms, Treatment | StudySmarter

  https://www.studysmarter.co.uk/explanations/nursing/mental-health-nursing/trichotillomania/

  Trichotillomania, colloquially known as „hair-pulling disorder”, is an often misunderstood and under-diagnosed condition. This mental health disorder can be challenging for both the individual and their loved ones. Trichotillomania is defined as a compulsive urge to pull out one’s hair, resulting in noticeable hair loss and significant distress. Hair-pulling can occur from any area of the body, however, the most common areas are the scalp, eyebrows, and eyelashes. The onset of Trichotillomania typically manifests in puberty, but it can affect individuals of all ages. Both genders can be affected, but it’s more prevalent in females. The disorder is categorised under Obsessive-Compulsive and Related Disorders in the Diagnostic and Statistical Manual of Mental Disorders, fifth edition (DSM-5). Treatment for trichotillomania specifically targets the compulsion to pull hair and the associated psychological distress. It involutes a multi-dimensional approach, that can include medication, cognitive-behavioural therapy (CBT), and even alternative remedies. Typically, a mental healthcare professional creates an individualised treatment plan based on your specific needs. The best nursing interventions for Trichotillomania include cognitive behavioural therapy (CBT) to address underlying triggers, implementing a behaviour modification plan, providing patient education on the disorder, and empathetic support to minimise anxiety and promote self-esteem. A nurse can implement strategies such as behavioural therapy techniques, assisting the patient in identifying triggers and developing alternative coping mechanisms. They can also provide education about the condition and reinforce ongoing communication between the patient, family, and healthcare team. A mental health nurse should understand that Trichotillomania is often driven by feelings of anxiety, stress or negative emotions. It can be a coping mechanism for individuals experiencing emotional distress, linked to conditions such as O.C.D. or depressive disorders. Also, it can be triggered by certain environmental factors. A nurse can teach techniques such as habit reversal training, where the patient recognises the urge and substitutes a different behaviour. They can also encourage regular exercise, stress management techniques like deep breathing or meditation, and keeping the hands busy with activities like knitting or drawing.

• #72 Trichotillomania: Symptoms, Treatment | StudySmarter

  https://www.studysmarter.co.uk/explanations/nursing/mental-health-nursing/trichotillomania/

  Trichotillomania, colloquially known as „hair-pulling disorder”, is an often misunderstood and under-diagnosed condition. This mental health disorder can be challenging for both the individual and their loved ones. Trichotillomania is defined as a compulsive urge to pull out one’s hair, resulting in noticeable hair loss and significant distress. Hair-pulling can occur from any area of the body, however, the most common areas are the scalp, eyebrows, and eyelashes. The onset of Trichotillomania typically manifests in puberty, but it can affect individuals of all ages. Both genders can be affected, but it’s more prevalent in females. The disorder is categorised under Obsessive-Compulsive and Related Disorders in the Diagnostic and Statistical Manual of Mental Disorders, fifth edition (DSM-5). Treatment for trichotillomania specifically targets the compulsion to pull hair and the associated psychological distress. It involutes a multi-dimensional approach, that can include medication, cognitive-behavioural therapy (CBT), and even alternative remedies. Typically, a mental healthcare professional creates an individualised treatment plan based on your specific needs. The best nursing interventions for Trichotillomania include cognitive behavioural therapy (CBT) to address underlying triggers, implementing a behaviour modification plan, providing patient education on the disorder, and empathetic support to minimise anxiety and promote self-esteem. A nurse can implement strategies such as behavioural therapy techniques, assisting the patient in identifying triggers and developing alternative coping mechanisms. They can also provide education about the condition and reinforce ongoing communication between the patient, family, and healthcare team. A mental health nurse should understand that Trichotillomania is often driven by feelings of anxiety, stress or negative emotions. It can be a coping mechanism for individuals experiencing emotional distress, linked to conditions such as O.C.D. or depressive disorders. Also, it can be triggered by certain environmental factors. A nurse can teach techniques such as habit reversal training, where the patient recognises the urge and substitutes a different behaviour. They can also encourage regular exercise, stress management techniques like deep breathing or meditation, and keeping the hands busy with activities like knitting or drawing.

• #73 Trichotillomania: Symptoms, Treatment | StudySmarter

  https://www.studysmarter.co.uk/explanations/nursing/mental-health-nursing/trichotillomania/

  Trichotillomania, colloquially known as „hair-pulling disorder”, is an often misunderstood and under-diagnosed condition. This mental health disorder can be challenging for both the individual and their loved ones. Trichotillomania is defined as a compulsive urge to pull out one’s hair, resulting in noticeable hair loss and significant distress. Hair-pulling can occur from any area of the body, however, the most common areas are the scalp, eyebrows, and eyelashes. The onset of Trichotillomania typically manifests in puberty, but it can affect individuals of all ages. Both genders can be affected, but it’s more prevalent in females. The disorder is categorised under Obsessive-Compulsive and Related Disorders in the Diagnostic and Statistical Manual of Mental Disorders, fifth edition (DSM-5). Treatment for trichotillomania specifically targets the compulsion to pull hair and the associated psychological distress. It involutes a multi-dimensional approach, that can include medication, cognitive-behavioural therapy (CBT), and even alternative remedies. Typically, a mental healthcare professional creates an individualised treatment plan based on your specific needs. The best nursing interventions for Trichotillomania include cognitive behavioural therapy (CBT) to address underlying triggers, implementing a behaviour modification plan, providing patient education on the disorder, and empathetic support to minimise anxiety and promote self-esteem. A nurse can implement strategies such as behavioural therapy techniques, assisting the patient in identifying triggers and developing alternative coping mechanisms. They can also provide education about the condition and reinforce ongoing communication between the patient, family, and healthcare team. A mental health nurse should understand that Trichotillomania is often driven by feelings of anxiety, stress or negative emotions. It can be a coping mechanism for individuals experiencing emotional distress, linked to conditions such as O.C.D. or depressive disorders. Also, it can be triggered by certain environmental factors. A nurse can teach techniques such as habit reversal training, where the patient recognises the urge and substitutes a different behaviour. They can also encourage regular exercise, stress management techniques like deep breathing or meditation, and keeping the hands busy with activities like knitting or drawing.

• #74 Trichotillomania: Symptoms, Treatment | StudySmarter

  https://www.studysmarter.co.uk/explanations/nursing/mental-health-nursing/trichotillomania/

  Trichotillomania, colloquially known as „hair-pulling disorder”, is an often misunderstood and under-diagnosed condition. This mental health disorder can be challenging for both the individual and their loved ones. Trichotillomania is defined as a compulsive urge to pull out one’s hair, resulting in noticeable hair loss and significant distress. Hair-pulling can occur from any area of the body, however, the most common areas are the scalp, eyebrows, and eyelashes. The onset of Trichotillomania typically manifests in puberty, but it can affect individuals of all ages. Both genders can be affected, but it’s more prevalent in females. The disorder is categorised under Obsessive-Compulsive and Related Disorders in the Diagnostic and Statistical Manual of Mental Disorders, fifth edition (DSM-5). Treatment for trichotillomania specifically targets the compulsion to pull hair and the associated psychological distress. It involutes a multi-dimensional approach, that can include medication, cognitive-behavioural therapy (CBT), and even alternative remedies. Typically, a mental healthcare professional creates an individualised treatment plan based on your specific needs. The best nursing interventions for Trichotillomania include cognitive behavioural therapy (CBT) to address underlying triggers, implementing a behaviour modification plan, providing patient education on the disorder, and empathetic support to minimise anxiety and promote self-esteem. A nurse can implement strategies such as behavioural therapy techniques, assisting the patient in identifying triggers and developing alternative coping mechanisms. They can also provide education about the condition and reinforce ongoing communication between the patient, family, and healthcare team. A mental health nurse should understand that Trichotillomania is often driven by feelings of anxiety, stress or negative emotions. It can be a coping mechanism for individuals experiencing emotional distress, linked to conditions such as O.C.D. or depressive disorders. Also, it can be triggered by certain environmental factors. A nurse can teach techniques such as habit reversal training, where the patient recognises the urge and substitutes a different behaviour. They can also encourage regular exercise, stress management techniques like deep breathing or meditation, and keeping the hands busy with activities like knitting or drawing.

• #75 Trichotillomania: Symptoms, Treatment | StudySmarter

  https://www.studysmarter.co.uk/explanations/nursing/mental-health-nursing/trichotillomania/

  Trichotillomania, colloquially known as „hair-pulling disorder”, is an often misunderstood and under-diagnosed condition. This mental health disorder can be challenging for both the individual and their loved ones. Trichotillomania is defined as a compulsive urge to pull out one’s hair, resulting in noticeable hair loss and significant distress. Hair-pulling can occur from any area of the body, however, the most common areas are the scalp, eyebrows, and eyelashes. The onset of Trichotillomania typically manifests in puberty, but it can affect individuals of all ages. Both genders can be affected, but it’s more prevalent in females. The disorder is categorised under Obsessive-Compulsive and Related Disorders in the Diagnostic and Statistical Manual of Mental Disorders, fifth edition (DSM-5). Treatment for trichotillomania specifically targets the compulsion to pull hair and the associated psychological distress. It involutes a multi-dimensional approach, that can include medication, cognitive-behavioural therapy (CBT), and even alternative remedies. Typically, a mental healthcare professional creates an individualised treatment plan based on your specific needs. The best nursing interventions for Trichotillomania include cognitive behavioural therapy (CBT) to address underlying triggers, implementing a behaviour modification plan, providing patient education on the disorder, and empathetic support to minimise anxiety and promote self-esteem. A nurse can implement strategies such as behavioural therapy techniques, assisting the patient in identifying triggers and developing alternative coping mechanisms. They can also provide education about the condition and reinforce ongoing communication between the patient, family, and healthcare team. A mental health nurse should understand that Trichotillomania is often driven by feelings of anxiety, stress or negative emotions. It can be a coping mechanism for individuals experiencing emotional distress, linked to conditions such as O.C.D. or depressive disorders. Also, it can be triggered by certain environmental factors. A nurse can teach techniques such as habit reversal training, where the patient recognises the urge and substitutes a different behaviour. They can also encourage regular exercise, stress management techniques like deep breathing or meditation, and keeping the hands busy with activities like knitting or drawing.

• #76 Trichotillomania: Symptoms, Treatment | StudySmarter

  https://www.studysmarter.co.uk/explanations/nursing/mental-health-nursing/trichotillomania/

  Trichotillomania, colloquially known as „hair-pulling disorder”, is an often misunderstood and under-diagnosed condition. This mental health disorder can be challenging for both the individual and their loved ones. Trichotillomania is defined as a compulsive urge to pull out one’s hair, resulting in noticeable hair loss and significant distress. Hair-pulling can occur from any area of the body, however, the most common areas are the scalp, eyebrows, and eyelashes. The onset of Trichotillomania typically manifests in puberty, but it can affect individuals of all ages. Both genders can be affected, but it’s more prevalent in females. The disorder is categorised under Obsessive-Compulsive and Related Disorders in the Diagnostic and Statistical Manual of Mental Disorders, fifth edition (DSM-5). Treatment for trichotillomania specifically targets the compulsion to pull hair and the associated psychological distress. It involutes a multi-dimensional approach, that can include medication, cognitive-behavioural therapy (CBT), and even alternative remedies. Typically, a mental healthcare professional creates an individualised treatment plan based on your specific needs. The best nursing interventions for Trichotillomania include cognitive behavioural therapy (CBT) to address underlying triggers, implementing a behaviour modification plan, providing patient education on the disorder, and empathetic support to minimise anxiety and promote self-esteem. A nurse can implement strategies such as behavioural therapy techniques, assisting the patient in identifying triggers and developing alternative coping mechanisms. They can also provide education about the condition and reinforce ongoing communication between the patient, family, and healthcare team. A mental health nurse should understand that Trichotillomania is often driven by feelings of anxiety, stress or negative emotions. It can be a coping mechanism for individuals experiencing emotional distress, linked to conditions such as O.C.D. or depressive disorders. Also, it can be triggered by certain environmental factors. A nurse can teach techniques such as habit reversal training, where the patient recognises the urge and substitutes a different behaviour. They can also encourage regular exercise, stress management techniques like deep breathing or meditation, and keeping the hands busy with activities like knitting or drawing.

• #77 Trichotillomania (hair pulling disorder) – NHS

  https://www.nhs.uk/mental-health/conditions/trichotillomania/

  Trichotillomania, also known as trich or TTM, is when someone cannot resist the urge to pull out their hair. […] Trich is commonly treated using a type of CBT called habit reversal training. […] Your GP may examine areas where the hair is missing to check that nothing else is causing the hair to come out, such as a skin infection. […] Antidepressants are not usually prescribed to treat trich. […] It may also help to open up about your trich to people you trust, as hiding it can sometimes make your anxiety worse.

• #78 Trichotillomania (hair-pulling disorder) – Diagnosis and treatment – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/trichotillomania/diagnosis-treatment/drc-20355193

  Talk with your health care provider about any medicine recommended. The possible benefits of medicines should be balanced against possible side effects. […] You may find dealing with trichotillomania challenging. It may help to join a support group for people with trichotillomania so that you can meet others with similar experiences who can relate to your feelings and offer support. […] Seeking help is the first step in treating trichotillomania. At first you may see your primary care provider or a specialist in skin disorders called a dermatologist. Your provider may refer you to a mental health professional with experience in diagnosing and treating trichotillomania. […] Trichotillomania can cause both physical and mental health symptoms. Note what triggers your urges, how you’ve tried to deal with them, and what makes the urges better or worse. […] Be ready to answer questions so that you’ll have time to talk about what’s most important to you.

• #79 Trichotillomania – StatPearls – NCBI Bookshelf

  https://www.ncbi.nlm.nih.gov/books/NBK493186/

  Trichotillomania often presents to the primary care provider or mental health nurse. However, this is not a trivial disorder and should be managed by an interprofessional team that includes a psychiatrist, behavior therapist, psychologist, and a dermatologist. The treatment includes therapy techniques combined with anxiety-relieving medications.

• #80 Trichotillomania (hair-pulling disorder) – Diagnosis and treatment – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/trichotillomania/diagnosis-treatment/drc-20355193

  Talk with your health care provider about any medicine recommended. The possible benefits of medicines should be balanced against possible side effects. […] You may find dealing with trichotillomania challenging. It may help to join a support group for people with trichotillomania so that you can meet others with similar experiences who can relate to your feelings and offer support. […] Seeking help is the first step in treating trichotillomania. At first you may see your primary care provider or a specialist in skin disorders called a dermatologist. Your provider may refer you to a mental health professional with experience in diagnosing and treating trichotillomania. […] Trichotillomania can cause both physical and mental health symptoms. Note what triggers your urges, how you’ve tried to deal with them, and what makes the urges better or worse. […] Be ready to answer questions so that you’ll have time to talk about what’s most important to you.

• #81 Trichotillomania: Symptoms, Treatment | StudySmarter

  https://www.studysmarter.co.uk/explanations/nursing/mental-health-nursing/trichotillomania/

  Trichotillomania, colloquially known as „hair-pulling disorder”, is an often misunderstood and under-diagnosed condition. This mental health disorder can be challenging for both the individual and their loved ones. Trichotillomania is defined as a compulsive urge to pull out one’s hair, resulting in noticeable hair loss and significant distress. Hair-pulling can occur from any area of the body, however, the most common areas are the scalp, eyebrows, and eyelashes. The onset of Trichotillomania typically manifests in puberty, but it can affect individuals of all ages. Both genders can be affected, but it’s more prevalent in females. The disorder is categorised under Obsessive-Compulsive and Related Disorders in the Diagnostic and Statistical Manual of Mental Disorders, fifth edition (DSM-5). Treatment for trichotillomania specifically targets the compulsion to pull hair and the associated psychological distress. It involutes a multi-dimensional approach, that can include medication, cognitive-behavioural therapy (CBT), and even alternative remedies. Typically, a mental healthcare professional creates an individualised treatment plan based on your specific needs. The best nursing interventions for Trichotillomania include cognitive behavioural therapy (CBT) to address underlying triggers, implementing a behaviour modification plan, providing patient education on the disorder, and empathetic support to minimise anxiety and promote self-esteem. A nurse can implement strategies such as behavioural therapy techniques, assisting the patient in identifying triggers and developing alternative coping mechanisms. They can also provide education about the condition and reinforce ongoing communication between the patient, family, and healthcare team. A mental health nurse should understand that Trichotillomania is often driven by feelings of anxiety, stress or negative emotions. It can be a coping mechanism for individuals experiencing emotional distress, linked to conditions such as O.C.D. or depressive disorders. Also, it can be triggered by certain environmental factors. A nurse can teach techniques such as habit reversal training, where the patient recognises the urge and substitutes a different behaviour. They can also encourage regular exercise, stress management techniques like deep breathing or meditation, and keeping the hands busy with activities like knitting or drawing.

• #82 Trichotillomania | Treatment & Management | Point of Care

  https://www.statpearls.com/point-of-care/30593

  The prognosis is better when the disorder is diagnosed early, and treatment begins early. […] Long-term complications of the disease include permanent hair loss, and this is seen primarily in people who have been pulling the hair out into adulthood. […] Patients should be encouraged to avoid stressful situations and triggers for their hair-pulling behavior. […] There is a significant stigma surrounding self-inflicted pathological hair loss thus patients may be hesitant to discuss it. […] Trichotillomania often presents to the primary care provider or mental health nurse. However, this is not a trivial disorder and should be managed by an interprofessional team that includes a psychiatrist, behavior therapist, psychologist, and a dermatologist.

• #83 Trichotillomania (hair-pulling disorder) – Diagnosis and treatment – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/trichotillomania/diagnosis-treatment/drc-20355193

  Talk with your health care provider about any medicine recommended. The possible benefits of medicines should be balanced against possible side effects. […] You may find dealing with trichotillomania challenging. It may help to join a support group for people with trichotillomania so that you can meet others with similar experiences who can relate to your feelings and offer support. […] Seeking help is the first step in treating trichotillomania. At first you may see your primary care provider or a specialist in skin disorders called a dermatologist. Your provider may refer you to a mental health professional with experience in diagnosing and treating trichotillomania. […] Trichotillomania can cause both physical and mental health symptoms. Note what triggers your urges, how you’ve tried to deal with them, and what makes the urges better or worse. […] Be ready to answer questions so that you’ll have time to talk about what’s most important to you.

• #84 Trichotillomania (hair-pulling disorder) | UM Health-Sparrow

  https://www.uofmhealthsparrow.org/departments-conditions/conditions/trichotillomania-hair-pulling-disorder

  Some treatment options have helped many people reduce hair pulling or stop completely. These include therapy and sometimes medicine. […] Types of therapy that may be helpful for trichotillomania include: Habit reversal training. This behavior therapy is the main treatment for trichotillomania. […] Therapies that help with other mental health conditions that often occur along with trichotillomania, such as depression, anxiety, or problems with alcohol or drug use, can be an important part of treatment. […] Although no medicines are approved by the U.S. Food and Drug Administration specifically for the treatment of trichotillomania, some medicines may help control certain symptoms, such as anxiety and depression. […] You may find dealing with trichotillomania challenging. It may help to join a support group for people with trichotillomania so that you can meet others with similar experiences who can relate to your feelings and offer support. […] Seeking help is the first step in treating trichotillomania.

• #85 Trichotillomania: Symptoms, Causes, Effects, and Treatment

  https://laopcenter.com/mental-health/disorder/trichotillomania/

  Cognitive Behavioral Therapy (CBT) is one of the most effective treatments for trichotillomania. CBT helps individuals identify and change negative thought patterns and behaviors associated with hair-pulling. The therapy often includes Habit Reversal Training (HRT), which teaches alternative behaviors to replace hair-pulling. […] Trichotillomania support groups provide individuals with a sense of community and understanding, as they share experiences and coping strategies with others facing similar conditions. These groups can offer emotional support, reduce feelings of isolation, and provide practical advice for managing hair-pulling behaviors. […] Managing stress is essential in reducing the urge to pull hair, as stress is a common trigger for trichotillomania. Techniques like mindfulness, relaxation exercises, and time management can help individuals better cope with stress.

• #86 Trichotillomania (Hair Pulling Disorder) – The Complete Guide | TrichStop.com

  https://www.trichstop.com/info

  It may be difficult to find a provider with experience treating trich. […] Increase awareness of urges, triggers, and behaviors. […] Take care of your body internally by eating a healthy diet. […] Take care of your body externally by allowing damaged skin and hair follicles to heal properly. […] Manage urges, triggers, and behaviors. […] Engage in psychotherapy. Several therapeutic interventions show good results including cognitive behavioral therapy, habit reversal training, acceptance and commitment therapy, and comprehensive behavioral therapy. […] Surround yourself with people who care for and support you. […] Participate in a support group in person or online.

• #87 Trichotillomania: Symptoms, Causes, Effects, and Treatment

  https://laopcenter.com/mental-health/disorder/trichotillomania/

  Cognitive Behavioral Therapy (CBT) is one of the most effective treatments for trichotillomania. CBT helps individuals identify and change negative thought patterns and behaviors associated with hair-pulling. The therapy often includes Habit Reversal Training (HRT), which teaches alternative behaviors to replace hair-pulling. […] Trichotillomania support groups provide individuals with a sense of community and understanding, as they share experiences and coping strategies with others facing similar conditions. These groups can offer emotional support, reduce feelings of isolation, and provide practical advice for managing hair-pulling behaviors. […] Managing stress is essential in reducing the urge to pull hair, as stress is a common trigger for trichotillomania. Techniques like mindfulness, relaxation exercises, and time management can help individuals better cope with stress.

• #88 Learn About Trichotillomania: The “Hair Pulling” Disorder :: The Baker Center For Children and Families

  https://www.bakercenter.org/trich-2

  Trichotillomania is commonly known as the hair pulling disorder in which an individual consistently pulls out their own hair in connection to emotional dysregulation, which can lead to hair loss or functional impairment. […] When a child or teen has trichotillomania, the presence of hair-pulling may be distressing for caregivers as well as the individual. Understanding that an individual with trichotillomania feels a strong urge to pull their hair to relieve an internal feeling, and they are not doing it to intentionally cause challenges, is important. […] When caregivers and children work as a team to address the symptoms of trichotillomania, there is a strong likelihood that the child will benefit from an effective intervention that can target their challenges.

• #89 Trichotillomania (hair-pulling disorder) | Beacon Health System

  https://www.beaconhealthsystem.org/library/diseases-and-conditions/trichotillomania-hair-pulling-disorder?content_id=CON-20228105

  Some treatment options have helped many people reduce hair pulling or stop completely. These include therapy and sometimes medicine. […] Types of therapy that may be helpful for trichotillomania include: Habit reversal training. This behavior therapy is the main treatment for trichotillomania. You learn how to recognize situations where you’re likely to pull out your hair and how to substitute other behaviors instead. […] Therapies that help with other mental health conditions that often occur along with trichotillomania, such as depression, anxiety, or problems with alcohol or drug use, can be an important part of treatment. […] Although no medicines are approved by the U.S. Food and Drug Administration specifically for the treatment of trichotillomania, some medicines may help control certain symptoms, such as anxiety and depression.

• #90 Optimizing psychological interventions for trichotillomania (hair-pulling disorder): an update on current empirical status

  https://pmc.ncbi.nlm.nih.gov/articles/PMC4396507/

  Research has consistently shown that at least 50%60% of individuals with HPD derive clinically meaningful benefits from psychotherapy that involves HRT/SC. […] Despite strong evidence for the efficacy of HRT/SC, many patients show only limited improvement, and those who gain benefits often relapse after treatment. […] Studies have shown that augmenting HRT/SC with CT, DBT, or ACT may be beneficial to patients, and results have generally shown favorable maintenance of therapeutic gains over 36 months of follow-up. […] It is therefore likely that most individuals with HPD will benefit from augmented treatment protocols.

• #91

  https://www.aacap.org/AACAP/Families_and_Youth/Facts_for_Families/FFF-Guide/Hair-Pulling-_Trichotillomania_-096.aspx

  Frequently used treatments for trichotillomania include: Habit reversal therapy is a cognitive behavioral therapy (CBT) and specialized form of behavior therapy. It involves helping a child recognize thoughts, feelings and behaviors associated with hair pulling. The goal of this therapy is to increase the awareness of hair pulling and replace it with behaviors that compete with the urge to pull. […] Medication therapy is also used to decrease the anxiety, depression and obsessive compulsive symptoms that often accompany trichotillomania. […] Family therapies and support groups are also available. Children with trichotillomania should be evaluated by a trained and qualified mental health professional. Treatment is most effective when it is covers the symptoms unique to each person and individualized to the needs of the child and family.

• #92

  https://slam.nhs.uk/trichotillomania-hair-pulling

  Trichotillomania, also known as trich, is when someone cannot resist the urge to pull out their hair. […] Trich is commonly treated using a type of CBT called habit reversal training. […] Treatment usually involves: Keeping a diary of your hair pulling, Working out the triggers for your hair pulling and learning how to avoid them, Replacing hair pulling with another action, like squeezing a stress ball, Loved ones providing emotional support and encouragement. […] It may also help to open up about your trich to people you trust, as hiding it can sometimes make your anxiety worse. […] The charity Trichotillomania Support has information on treatments and self-help advice.

• #93 Trichotillomania Hair Pulling Disorder – Causes, Symptoms & Prevention

  https://chaselodgehospital.com/blog/trichotillomania-hair-pulling-disorder/

  In some cases, medication may be recommended, particularly if TTM is accompanied by severe anxiety or depression. […] Techniques such as mindfulness meditation, relaxation exercises, and breathing techniques can be beneficial in reducing stress and increasing awareness of hair-pulling behaviours. […] At Chase Lodge Hospital, we understand that Trichotillomania TTM disease is more than just a habitit is a serious and distressing condition that requires expert care. Our approach focuses on: Comprehensive, evidence-based treatment tailored to each patients unique needs. A multidisciplinary team of specialists, including psychiatrists, psychologists, and therapists with expertise in OCD and compulsive behaviours. Personalised care in a supportive, confidential, and non-judgemental environment. […] If you or a loved one is struggling with Trichotillomania hair-pulling disorder, seeking professional help is the first step towards recovery.

• #94 trichotillomania – General Nursing Support

  https://allnurses.com/trichotillomania-t246777/

  i had a very interesting pt on saturday, she was in for a lap/ appy , i asked her medical history and she told me she has… trichotillomania.. she said ” i dig at my scalp when i get stressed ” she told me she dig her scalp at the crown until it bled sometimes.. ouch… she is on zoloft and xanax for anxiety and behavorial management … also a vitamin called inositol.. it is a B vitamin that she says helps… she has been doing this for years and she is 32 years old. […] i asked her what she did to counteract her wanting to dig her scalp.. she said ’ i keep my hands busy” she had only one small dime size area on her crown that had no hair… […] i’m just venting i guess because i have never heard of this before…thank you all very much […] Had a patient – 10 years old – when I worked at a community health center that suffered from it. Poor little girl, she was miserable but couldn’t stop. […] The best thing so far is behavior cognitive therapy which is provided by a therapist. […] I do know that we use alot of DBT (didatic behavioral therapy) to work thru the stressors and help the child plan other ways to deal with the stress.

• #95 Trichotillomania factsheet | The Sydney Children’s Hospitals Network

  https://www.schn.health.nsw.gov.au/trichotillomania-factsheet

  Treatment of trichotillomania will be different for every child and will depend on what is causing the behaviour to happen. […] Your child’s treatment team will discuss options with you based on what is most suitable for your child. […] Some children may pull or twist their hair to self-soothe. […] You can help your child by identifying high-risk times for hair-pulling, giving your child safe, soothing activities before hair-pulling happens, gently redirecting your child to safer soothing activities when hair-pulling is happening, talking to them about things that might be stressful or worrying them and seeking help. […] Speak to your child’s doctor or therapist about other strategies that may help, including haircuts, hair nets or caps, cotton gloves or mittens.

• #96 Trichotillomania: Symptoms, Causes, Effects, and Treatment

  https://laopcenter.com/mental-health/disorder/trichotillomania/

  Regular exercise is beneficial for managing trichotillomania as it helps reduce stress and anxiety, the main triggers of hair-pulling behaviors. […] Deep breathing exercises can help manage the constant urge to pull hair by providing relaxation and reducing anxiety. […] Using a mantra involves repeating a calming word or phrase to yourself to divert attention from the urge to pull hair and reduce stress. […] Medications like serotonin reuptake inhibitors (SSRIs) can be helpful to help manage trichotillomania, particularly if it happens due to depression or anxiety.

• #97 Trichotillomania (hair-pulling disorder) – Diagnosis and treatment – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/trichotillomania/diagnosis-treatment/drc-20355193

  Talk with your health care provider about any medicine recommended. The possible benefits of medicines should be balanced against possible side effects. […] You may find dealing with trichotillomania challenging. It may help to join a support group for people with trichotillomania so that you can meet others with similar experiences who can relate to your feelings and offer support. […] Seeking help is the first step in treating trichotillomania. At first you may see your primary care provider or a specialist in skin disorders called a dermatologist. Your provider may refer you to a mental health professional with experience in diagnosing and treating trichotillomania. […] Trichotillomania can cause both physical and mental health symptoms. Note what triggers your urges, how you’ve tried to deal with them, and what makes the urges better or worse. […] Be ready to answer questions so that you’ll have time to talk about what’s most important to you.

• #98 Trichotillomania (Hair Pulling Disorder) – The Complete Guide | TrichStop.com

  https://www.trichstop.com/info

  Trichotillomania, sometimes called trich or compulsive hair pulling, is a mental health disorder marked by the compulsive urge to pull out ones hair that results in physical injury and impairment in daily functioning. […] Trichotillomania is a disorder usually hid even from family and friends. […] Treatment involves learning to manage the urges and behaviors associated with trich. […] Recovery is a whole-person, whole-lifestyle effort not only dealing with behavior management, thought management and emotional regulation, but also dealing with the effects of shame, embarrassment, and stigma. […] Connecting with others who struggle with hair pulling provides a network of encouragement, education, information, and ideas. […] When you look for a therapist, find an expert in body-focused repetitive behaviors (BFRBs).

• #99 Trichotillomania (Hair Pulling): What It Is, Causes & Treatment

  https://my.clevelandclinic.org/health/diseases/9880-trichotillomania

  Trichotillomania is a mental health condition where you compulsively pull out your own hair. It often has severe negative effects on your mental health and well-being when it happens in your adolescent, teen and adult years. However, this condition is treatable. […] TTM falls under the overall category of obsessive-compulsive disorder, but it has some key differences from OCD itself. […] People with TTM commonly feel anxiety, embarrassment or shame about this condition. This can affect their work and social lives. Many people with this condition don’t seek treatment because they feel embarrassed or ashamed. […] Treating TTM often involves therapy, medication or a combination of both. Ongoing research shows some medications for other mental health conditions might help TTM, but more research is necessary before any specific medication becomes a part of the standard care.

• #100 Trichotillomania- Hair Pulling Disorder | Hair loss Forum – Hair Transplant forums

  https://www.hairlossexperiences.com/threads/trichotillomania-hair-pulling-disorder.13475/

  There is a distinct sense of tension or anxiety that precedes the act of hair pulling. […] After the hair-pulling episode, patients commonly experience a sense of relief or gratification. […] Those affected may engage in rituals connected to the hair-pulling, such as examining the pulled hair or playing with it. […] Trichotillomania has a genetic component, suggesting that patients with a family history of the disorder may be more predisposed to developing it. […] Imbalances in neurotransmitters, the chemical messengers in the brain, are associated with trichotillomania. […] Stressful situations and heightened anxiety levels are common triggers for trichotillomania symptoms. […] Trichotillomania can manifest as a form of self-harm, providing patients with a way to seek relief from emotional distress.

• #101 Trichotillomania | 5-Minute Clinical Consult

  https://www.unboundmedicine.com/5minute/view/5-Minute-Clinical-Consult/117491/2.1/Trichotillomania

  Trichotillomania (TTM) is a hair-pulling disorder characterized by self-induced, repeated, and often noticeable hair loss. It can become severe and difficult to control. […] TTM usually presents in childhood or early adolescence. […] Denial and hiding of hair pulling is common. […] Recurrence or worsened hair pulling is associated with increased stress/anxiety, but TTM can also occur at times of relaxation and distraction, such as when reading. […] TTM has frequent comorbidity with other psychiatric diagnoses. […] Adults with TTM display sensory over responsivity and maladaptive emotional regulation, a pattern also seen in OCD. […] Genetics appears to contribute to the development of TTM as demonstrated by a higher rate of concordance in monozygotic twins (38.1%) versus dizygotic twins (0%). […] Other psychiatric disorders: depression, OCD, anxiety, posttraumatic stress disorder (PTSD), eating disorders, nail biting, skin picking. […] Commonly associated conditions include depression, anxiety, OCD, and eating disorders.

• #102 Trichotillomania | 5-Minute Clinical Consult

  https://www.unboundmedicine.com/5minute/view/5-Minute-Clinical-Consult/117491/2.1/Trichotillomania

  Trichotillomania (TTM) is a hair-pulling disorder characterized by self-induced, repeated, and often noticeable hair loss. It can become severe and difficult to control. […] TTM usually presents in childhood or early adolescence. […] Denial and hiding of hair pulling is common. […] Recurrence or worsened hair pulling is associated with increased stress/anxiety, but TTM can also occur at times of relaxation and distraction, such as when reading. […] TTM has frequent comorbidity with other psychiatric diagnoses. […] Adults with TTM display sensory over responsivity and maladaptive emotional regulation, a pattern also seen in OCD. […] Genetics appears to contribute to the development of TTM as demonstrated by a higher rate of concordance in monozygotic twins (38.1%) versus dizygotic twins (0%). […] Other psychiatric disorders: depression, OCD, anxiety, posttraumatic stress disorder (PTSD), eating disorders, nail biting, skin picking. […] Commonly associated conditions include depression, anxiety, OCD, and eating disorders.

• #103 Trichotillomania | 5-Minute Clinical Consult

  https://www.unboundmedicine.com/5minute/view/5-Minute-Clinical-Consult/117491/2.1/Trichotillomania

  Trichotillomania (TTM) is a hair-pulling disorder characterized by self-induced, repeated, and often noticeable hair loss. It can become severe and difficult to control. […] TTM usually presents in childhood or early adolescence. […] Denial and hiding of hair pulling is common. […] Recurrence or worsened hair pulling is associated with increased stress/anxiety, but TTM can also occur at times of relaxation and distraction, such as when reading. […] TTM has frequent comorbidity with other psychiatric diagnoses. […] Adults with TTM display sensory over responsivity and maladaptive emotional regulation, a pattern also seen in OCD. […] Genetics appears to contribute to the development of TTM as demonstrated by a higher rate of concordance in monozygotic twins (38.1%) versus dizygotic twins (0%). […] Other psychiatric disorders: depression, OCD, anxiety, posttraumatic stress disorder (PTSD), eating disorders, nail biting, skin picking. […] Commonly associated conditions include depression, anxiety, OCD, and eating disorders.

• #104 Trichotillomania | 5-Minute Clinical Consult

  https://www.unboundmedicine.com/5minute/view/5-Minute-Clinical-Consult/117491/2.1/Trichotillomania

  Trichotillomania (TTM) is a hair-pulling disorder characterized by self-induced, repeated, and often noticeable hair loss. It can become severe and difficult to control. […] TTM usually presents in childhood or early adolescence. […] Denial and hiding of hair pulling is common. […] Recurrence or worsened hair pulling is associated with increased stress/anxiety, but TTM can also occur at times of relaxation and distraction, such as when reading. […] TTM has frequent comorbidity with other psychiatric diagnoses. […] Adults with TTM display sensory over responsivity and maladaptive emotional regulation, a pattern also seen in OCD. […] Genetics appears to contribute to the development of TTM as demonstrated by a higher rate of concordance in monozygotic twins (38.1%) versus dizygotic twins (0%). […] Other psychiatric disorders: depression, OCD, anxiety, posttraumatic stress disorder (PTSD), eating disorders, nail biting, skin picking. […] Commonly associated conditions include depression, anxiety, OCD, and eating disorders.

• #105 Trichotillomania: Definition, Symptoms, Causes, Effect, And Treatment

  https://valleyspringrecovery.com/mental-health/trichotillomania/

  Trichotillomania is a complex disorder where individuals experience a cycle of stress and anxiety that leads to hair pulling. This behavior provides a temporary sense of relief, but as bald spots start to appear, the visible signs of hair loss often intensify feelings of distress. […] Trichotillomania and skin-picking disorder are related body-focused repetitive behaviors (BFRBs), characterized by repetitive hair-pulling and skin-picking, respectively, despite attempts to stop. […] Trichotillomania is classified as an obsessive-compulsive and related disorder in the American Psychiatric Associations Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) and not a behavioral addiction, although it is related in nature. […] Signs and symptoms of Trichotillomania include repeatedly pulling out hair, whether its automatic or on purpose, often resulting in bald patches.

• #106 Trichotillomania (hair-pulling disorder) – Symptoms and causes – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/trichotillomania/symptoms-causes/syc-20355188

  Trichotillomania is a long-term disorder. If not treated, symptoms may come and go for weeks, months or years at a time. Also, symptoms can vary in severity over time. […] Although it may not seem serious, trichotillomania can have harmful effects on your life. Complications may include emotional distress, problems in your social life and with work, skin and hair damage, and hairballs.

• #107 Trichotillomania | 5-Minute Clinical Consult

  https://www.unboundmedicine.com/5minute/view/5-Minute-Clinical-Consult/117491/2.1/Trichotillomania

  Trichotillomania (TTM) is a hair-pulling disorder characterized by self-induced, repeated, and often noticeable hair loss. It can become severe and difficult to control. […] TTM usually presents in childhood or early adolescence. […] Denial and hiding of hair pulling is common. […] Recurrence or worsened hair pulling is associated with increased stress/anxiety, but TTM can also occur at times of relaxation and distraction, such as when reading. […] TTM has frequent comorbidity with other psychiatric diagnoses. […] Adults with TTM display sensory over responsivity and maladaptive emotional regulation, a pattern also seen in OCD. […] Genetics appears to contribute to the development of TTM as demonstrated by a higher rate of concordance in monozygotic twins (38.1%) versus dizygotic twins (0%). […] Other psychiatric disorders: depression, OCD, anxiety, posttraumatic stress disorder (PTSD), eating disorders, nail biting, skin picking. […] Commonly associated conditions include depression, anxiety, OCD, and eating disorders.

• #108 Trichotillomania (Hair Pulling Disorder) – trichology

  https://trichology.com/trichotillomania-hair-pulling-disorder/

  While pharmacotherapy is not considered a first-line treatment for trichotillomania, certain medications may be prescribed to help manage symptoms. […] Trichotillomania can be a chronic condition, and individuals may experience periods of remission and relapse. Long-term management is crucial to prevent relapses and promote overall well-being. […] Evidence exhibits behavioral therapy to be the preferred form of psychotherapy to tackle trichotillomania. Generally, habit reversal therapy and its components of acceptance and commitment therapy and dialectical behavior therapy show improved outcomes in such patients. […] Adult-onset trichotillomania may often be associated with other psychiatric disorders, and benefits from the treatment carried out for the co-existing condition. […] The treatment of trichotillomania may involve various approaches, including behavioral therapies, such as habit reversal training, and pharmacotherapy using medications specifically prescribed for impulse control disorders like trichotillomania.

• #109 Trichotillomania (Hair Pulling) (for Teens) | Nemours KidsHealth

  https://kidshealth.org/en/teens/trichotillomania.html

  Trichotillomania (pronounced: trik-eh-til-eh-MAY-nee-uh) is a strong habit that causes people to pull out their own hair. […] If you are dealing with hair pulling, youre not alone. And theres treatment that can help. It takes time, patience, and practice. But when they learn the right skills, people can overcome hair pulling. […] Therapy can help people overcome trichotillomania. The most widely used type of therapy is called habit-reversal training (HRT). It’s a type of cognitive behavioral therapy (CBT). In this therapy, people meet with a therapist to learn skills to help them reverse the hair pulling habit. […] It takes time, patience, and practice. But with the right guidance and support, people can overcome hair pulling. […] Talk to an adult. If you’re pulling your hair, talk about it with a parent, doctor, mental health counselor, or an adult you trust. It can be hard to talk about. But its best to be open and honest so that you can get the help you need. […] Go to visits with a therapist. Therapy can take many visits. It takes time and practice to get good at the skills youll need. But youll notice progress along the way. […] Support from loved ones helps a lot when youre going through something like hair pulling.

• #110 Optimizing psychological interventions for trichotillomania (hair-pulling disorder): an update on current empirical status

  https://pmc.ncbi.nlm.nih.gov/articles/PMC4396507/

  Research has consistently shown that at least 50%60% of individuals with HPD derive clinically meaningful benefits from psychotherapy that involves HRT/SC. […] Despite strong evidence for the efficacy of HRT/SC, many patients show only limited improvement, and those who gain benefits often relapse after treatment. […] Studies have shown that augmenting HRT/SC with CT, DBT, or ACT may be beneficial to patients, and results have generally shown favorable maintenance of therapeutic gains over 36 months of follow-up. […] It is therefore likely that most individuals with HPD will benefit from augmented treatment protocols.

• #111 Trichotillomania (Hair Pulling Disorder) – The Complete Guide | TrichStop.com

  https://www.trichstop.com/info

  It may be difficult to find a provider with experience treating trich. […] Increase awareness of urges, triggers, and behaviors. […] Take care of your body internally by eating a healthy diet. […] Take care of your body externally by allowing damaged skin and hair follicles to heal properly. […] Manage urges, triggers, and behaviors. […] Engage in psychotherapy. Several therapeutic interventions show good results including cognitive behavioral therapy, habit reversal training, acceptance and commitment therapy, and comprehensive behavioral therapy. […] Surround yourself with people who care for and support you. […] Participate in a support group in person or online.

• #112 Hair Pulling | Trichotillomania | BFRB

  https://www.bfrb.org/hair-pulling

  Physical effects such as pruritus, tissue damage, infection, and repetitive motion injuries to the muscles or joints are not uncommon. […] Hair pulling can lead to great tension and strained relationships with family members and friends. […] Family members may need professional help in coping with this problem. […] Research into treatments for BFRBs, particularly hair pulling and skin picking, has grown steadily over the past decade.

• #113 ACT Researchers Offer Remote Therapy for Decluttering and Trichotillomania Disorders

  https://www.usu.edu/today/story/act-researchers-offer-remote-therapy-for-decluttering-and-trichotillomania-disorders

  ACT Guide for Trichotillomania is aimed at individuals experiencing trichotillomania, a disorder that causes recurrent urges to pull out scalp or body hair. […] Trichotillomania is a disorder that involves repetitive hair pulling that leads to visible hair loss. […] ACT Guide for Trichotillomania provides two types of interventions, habit reversal training and acceptance and commitment therapy, to help manage urges to pull. […] ACT Guide for trichotillomania provides specific skills to help with pulling and the different emotions that go along with pulling (both habit reversal training skills, and acceptance and commitment therapy skills).

• #114 ACT Researchers Offer Remote Therapy for Decluttering and Trichotillomania Disorders

  https://www.usu.edu/today/story/act-researchers-offer-remote-therapy-for-decluttering-and-trichotillomania-disorders

  ACT Guide for Trichotillomania is aimed at individuals experiencing trichotillomania, a disorder that causes recurrent urges to pull out scalp or body hair. […] Trichotillomania is a disorder that involves repetitive hair pulling that leads to visible hair loss. […] ACT Guide for Trichotillomania provides two types of interventions, habit reversal training and acceptance and commitment therapy, to help manage urges to pull. […] ACT Guide for trichotillomania provides specific skills to help with pulling and the different emotions that go along with pulling (both habit reversal training skills, and acceptance and commitment therapy skills).

• #115 Trichotillomania (Hair Pulling) | Symptoms & Treatments | Zencare — Zencare

  https://zencare.co/mental-health/hair-pulling

  Trichotillomania is a mental health condition where a person repeatedly pulls out their hair, resulting in noticeable hair loss. […] A behavioral therapy called Habit Reversal Therapy, however, can help people reduce their trichotillomania symptoms. […] Therapy can help people to better manage and reduce their trichotillomania symptoms, leading to an improved quality of life. […] Research suggests that Behavioral Therapy is the most efficacious modality for the treatment of trichotillomania. […] Habit Reversal Therapy helps reduce symptoms of trichotillomania by increasing awareness of how and when hair-pulling urges develop. […] It’s particularly important to look for a therapist who has experience and specialized training in behavioral therapies, and Habit Reversal Therapy in particular, as this has a strong evidence-base for the treatment of trichotillomania. […] The trusting relationship between you and your therapist, known as the “therapeutic alliance” can have a huge impact on the efficacy of therapy.

• #116 Omaha Trichotillomania Treatment | Hair-Pulling Disorder Therapy

  https://brainhealthne.com/trichotillomania/

  At Brain Health Nebraska in Omaha, we understand the profound impact that trichotillomania, or hair-pulling disorder, can have on an individuals life. […] Our team of compassionate hair-pulling disorder therapy professionals in Omaha is dedicated to providing comprehensive care to those struggling with this challenging condition. […] Trichotillomania is more than just a habitits a complex disorder that involves irresistible urges to pull out hair from the scalp, eyebrows, eyelashes, or other areas of the body. […] At Brain Health Nebraska, we offer specialized trichotillomania treatment in Omaha tailored to meet the unique needs of each patient. […] One of the primary treatment modalities we offer is transcranial magnetic stimulation (TMS). […] This innovative treatment has shown promising results in reducing the compulsive urges associated with trichotillomania.

• #117 Trichotillomania Hair Pulling Disorder – Causes, Symptoms & Prevention

  https://chaselodgehospital.com/blog/trichotillomania-hair-pulling-disorder/

  In some cases, medication may be recommended, particularly if TTM is accompanied by severe anxiety or depression. […] Techniques such as mindfulness meditation, relaxation exercises, and breathing techniques can be beneficial in reducing stress and increasing awareness of hair-pulling behaviours. […] At Chase Lodge Hospital, we understand that Trichotillomania TTM disease is more than just a habitit is a serious and distressing condition that requires expert care. Our approach focuses on: Comprehensive, evidence-based treatment tailored to each patients unique needs. A multidisciplinary team of specialists, including psychiatrists, psychologists, and therapists with expertise in OCD and compulsive behaviours. Personalised care in a supportive, confidential, and non-judgemental environment. […] If you or a loved one is struggling with Trichotillomania hair-pulling disorder, seeking professional help is the first step towards recovery.

• #118 International OCD Foundation | Comprehensive Behavioral (ComB) Treatment for Skin Picking and Hair Pulling Disorders

  https://iocdf.org/expert-opinions/comprehensive-behavioral-comb-treatment-for-skin-picking-and-hair-pulling-disorders/

  by Charles S. Mansueto, PhD & Ruth G. Golomb, LCPC […] Picking at one’s own skin and pulling out one’s own hair are two relatively common human behaviors. […] Skin picking (excoriation) disorder (SPD) and trichotillomania (hair pulling disorder) (HPD) are their official names. […] Luckily, BFRBs can be effectively treated. […] This article will focus on the therapy approach called Comprehensive Behavioral (ComB) treatment — an approach that is favored by many clinicians. […] ComB treatment encompasses a wide range of techniques drawn from standard behavioral, cognitive, and CBT practice. […] As ComB treatment is uniquely tailored to the individual needs of each patient, the treatment process is expected to be both creative and fluid rather than rigidly applied. […] The ComB approach addresses this complexity by providing a systematic framework that guides therapists as they design and implement a treatment plan that uniquely fits each patient. […] ComB treatment pays attention to the factors that foster and maintain BFRBs: behavioral, emotional, cognitive, and sensory variables identified in prior research on HPD. […] ComB treatment emphasizes the learning and practice of strategies to target problematic behaviors as well as the thoughts, feelings, and sensations that contribute to their persistence. […] In the final phase of formal treatment, the client is encouraged to continue with ongoing assessments of progress and to modify the use of interventions as needed. […] The ComB conceptual model comes from established behavioral principles and decades of laboratory and clinical research, and employs proven behavioral, cognitive, and CBT techniques. […] The last several decades have seen much progress toward understanding and treating BFRBs. […] It provides a unique and likely more effective alternative to existing CBT treatment approaches; […] It addresses the diverse nature of elements that foster hair pulling in each individual; […] It guides the assessment of relevant information and organizes that information into important domains of human experience; […] It generates a broad variety of possible therapeutic interventions; […] It guides the therapist through the process of clinical decision-making to ensure that therapeutic interventions fit well with the unique characteristics of each patient; […] At this time no other single treatment formulation provides these features within an integrated conceptual framework and treatment model.

• #119 Omaha Trichotillomania Treatment | Hair-Pulling Disorder Therapy

  https://brainhealthne.com/trichotillomania/

  Our team works closely with each patient to develop a personalized trichotillomania treatment plan in Omaha that may include TMS therapy, cognitive behavioral therapy (CBT), and other supportive interventions. […] If you or a loved one is struggling with trichotillomania, Brain Health Nebraska is here to help. […] Our clinic is committed to providing effective, compassionate care to help you regain control and improve your quality of life.

• #120 International OCD Foundation | Comprehensive Behavioral (ComB) Treatment for Skin Picking and Hair Pulling Disorders

  https://iocdf.org/expert-opinions/comprehensive-behavioral-comb-treatment-for-skin-picking-and-hair-pulling-disorders/

  by Charles S. Mansueto, PhD & Ruth G. Golomb, LCPC […] Picking at one’s own skin and pulling out one’s own hair are two relatively common human behaviors. […] Skin picking (excoriation) disorder (SPD) and trichotillomania (hair pulling disorder) (HPD) are their official names. […] Luckily, BFRBs can be effectively treated. […] This article will focus on the therapy approach called Comprehensive Behavioral (ComB) treatment — an approach that is favored by many clinicians. […] ComB treatment encompasses a wide range of techniques drawn from standard behavioral, cognitive, and CBT practice. […] As ComB treatment is uniquely tailored to the individual needs of each patient, the treatment process is expected to be both creative and fluid rather than rigidly applied. […] The ComB approach addresses this complexity by providing a systematic framework that guides therapists as they design and implement a treatment plan that uniquely fits each patient. […] ComB treatment pays attention to the factors that foster and maintain BFRBs: behavioral, emotional, cognitive, and sensory variables identified in prior research on HPD. […] ComB treatment emphasizes the learning and practice of strategies to target problematic behaviors as well as the thoughts, feelings, and sensations that contribute to their persistence. […] In the final phase of formal treatment, the client is encouraged to continue with ongoing assessments of progress and to modify the use of interventions as needed. […] The ComB conceptual model comes from established behavioral principles and decades of laboratory and clinical research, and employs proven behavioral, cognitive, and CBT techniques. […] The last several decades have seen much progress toward understanding and treating BFRBs. […] It provides a unique and likely more effective alternative to existing CBT treatment approaches; […] It addresses the diverse nature of elements that foster hair pulling in each individual; […] It guides the assessment of relevant information and organizes that information into important domains of human experience; […] It generates a broad variety of possible therapeutic interventions; […] It guides the therapist through the process of clinical decision-making to ensure that therapeutic interventions fit well with the unique characteristics of each patient; […] At this time no other single treatment formulation provides these features within an integrated conceptual framework and treatment model.

• #121 Rare Cases of Trichotillomania in Toddlers

  https://www.psychiatrist.com/pcc/rare-cases-trichotillomania-toddlers/

  Pharmacotherapy is recommended only when a patient presents with comorbidities, poor or partial response to psychological intervention, and poor insight. […] In addition, other comorbid psychiatric conditions like ADHD, depression, anxiety disorders, obsessive-compulsive disorder, and autistic spectrum disorder should be promptly managed.

• #122 Trichotillomania: Symptoms, Treatment | StudySmarter

  https://www.studysmarter.co.uk/explanations/nursing/mental-health-nursing/trichotillomania/

  Trichotillomania, colloquially known as „hair-pulling disorder”, is an often misunderstood and under-diagnosed condition. This mental health disorder can be challenging for both the individual and their loved ones. Trichotillomania is defined as a compulsive urge to pull out one’s hair, resulting in noticeable hair loss and significant distress. Hair-pulling can occur from any area of the body, however, the most common areas are the scalp, eyebrows, and eyelashes. The onset of Trichotillomania typically manifests in puberty, but it can affect individuals of all ages. Both genders can be affected, but it’s more prevalent in females. The disorder is categorised under Obsessive-Compulsive and Related Disorders in the Diagnostic and Statistical Manual of Mental Disorders, fifth edition (DSM-5). Treatment for trichotillomania specifically targets the compulsion to pull hair and the associated psychological distress. It involutes a multi-dimensional approach, that can include medication, cognitive-behavioural therapy (CBT), and even alternative remedies. Typically, a mental healthcare professional creates an individualised treatment plan based on your specific needs. The best nursing interventions for Trichotillomania include cognitive behavioural therapy (CBT) to address underlying triggers, implementing a behaviour modification plan, providing patient education on the disorder, and empathetic support to minimise anxiety and promote self-esteem. A nurse can implement strategies such as behavioural therapy techniques, assisting the patient in identifying triggers and developing alternative coping mechanisms. They can also provide education about the condition and reinforce ongoing communication between the patient, family, and healthcare team. A mental health nurse should understand that Trichotillomania is often driven by feelings of anxiety, stress or negative emotions. It can be a coping mechanism for individuals experiencing emotional distress, linked to conditions such as O.C.D. or depressive disorders. Also, it can be triggered by certain environmental factors. A nurse can teach techniques such as habit reversal training, where the patient recognises the urge and substitutes a different behaviour. They can also encourage regular exercise, stress management techniques like deep breathing or meditation, and keeping the hands busy with activities like knitting or drawing.

• #123 Trichotillomania (hair-pulling disorder) – Diagnosis and treatment – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/trichotillomania/diagnosis-treatment/drc-20355193

  To diagnose trichotillomania, you’ll likely start by having a physical exam. You may then be referred to a mental health professional with experience in treating trichotillomania. Diagnosing trichotillomania may include: […] Some treatment options have helped many people reduce hair pulling or stop completely. These include therapy and sometimes medicine. […] Types of therapy that may be helpful for trichotillomania include: […] Therapies that help with other mental health conditions that often occur along with trichotillomania, such as depression, anxiety, or problems with alcohol or drug use, can be an important part of treatment. […] Although no medicines are approved by the U.S. Food and Drug Administration specifically for the treatment of trichotillomania, some medicines may help control certain symptoms, such as anxiety and depression.

• #124 Trichotillomania: Symptoms, Treatment | StudySmarter

  https://www.studysmarter.co.uk/explanations/nursing/mental-health-nursing/trichotillomania/

  Trichotillomania, colloquially known as „hair-pulling disorder”, is an often misunderstood and under-diagnosed condition. This mental health disorder can be challenging for both the individual and their loved ones. Trichotillomania is defined as a compulsive urge to pull out one’s hair, resulting in noticeable hair loss and significant distress. Hair-pulling can occur from any area of the body, however, the most common areas are the scalp, eyebrows, and eyelashes. The onset of Trichotillomania typically manifests in puberty, but it can affect individuals of all ages. Both genders can be affected, but it’s more prevalent in females. The disorder is categorised under Obsessive-Compulsive and Related Disorders in the Diagnostic and Statistical Manual of Mental Disorders, fifth edition (DSM-5). Treatment for trichotillomania specifically targets the compulsion to pull hair and the associated psychological distress. It involutes a multi-dimensional approach, that can include medication, cognitive-behavioural therapy (CBT), and even alternative remedies. Typically, a mental healthcare professional creates an individualised treatment plan based on your specific needs. The best nursing interventions for Trichotillomania include cognitive behavioural therapy (CBT) to address underlying triggers, implementing a behaviour modification plan, providing patient education on the disorder, and empathetic support to minimise anxiety and promote self-esteem. A nurse can implement strategies such as behavioural therapy techniques, assisting the patient in identifying triggers and developing alternative coping mechanisms. They can also provide education about the condition and reinforce ongoing communication between the patient, family, and healthcare team. A mental health nurse should understand that Trichotillomania is often driven by feelings of anxiety, stress or negative emotions. It can be a coping mechanism for individuals experiencing emotional distress, linked to conditions such as O.C.D. or depressive disorders. Also, it can be triggered by certain environmental factors. A nurse can teach techniques such as habit reversal training, where the patient recognises the urge and substitutes a different behaviour. They can also encourage regular exercise, stress management techniques like deep breathing or meditation, and keeping the hands busy with activities like knitting or drawing.

• #125 Trichotillomania: Symptoms, Treatment | StudySmarter

  https://www.studysmarter.co.uk/explanations/nursing/mental-health-nursing/trichotillomania/

  Trichotillomania, colloquially known as „hair-pulling disorder”, is an often misunderstood and under-diagnosed condition. This mental health disorder can be challenging for both the individual and their loved ones. Trichotillomania is defined as a compulsive urge to pull out one’s hair, resulting in noticeable hair loss and significant distress. Hair-pulling can occur from any area of the body, however, the most common areas are the scalp, eyebrows, and eyelashes. The onset of Trichotillomania typically manifests in puberty, but it can affect individuals of all ages. Both genders can be affected, but it’s more prevalent in females. The disorder is categorised under Obsessive-Compulsive and Related Disorders in the Diagnostic and Statistical Manual of Mental Disorders, fifth edition (DSM-5). Treatment for trichotillomania specifically targets the compulsion to pull hair and the associated psychological distress. It involutes a multi-dimensional approach, that can include medication, cognitive-behavioural therapy (CBT), and even alternative remedies. Typically, a mental healthcare professional creates an individualised treatment plan based on your specific needs. The best nursing interventions for Trichotillomania include cognitive behavioural therapy (CBT) to address underlying triggers, implementing a behaviour modification plan, providing patient education on the disorder, and empathetic support to minimise anxiety and promote self-esteem. A nurse can implement strategies such as behavioural therapy techniques, assisting the patient in identifying triggers and developing alternative coping mechanisms. They can also provide education about the condition and reinforce ongoing communication between the patient, family, and healthcare team. A mental health nurse should understand that Trichotillomania is often driven by feelings of anxiety, stress or negative emotions. It can be a coping mechanism for individuals experiencing emotional distress, linked to conditions such as O.C.D. or depressive disorders. Also, it can be triggered by certain environmental factors. A nurse can teach techniques such as habit reversal training, where the patient recognises the urge and substitutes a different behaviour. They can also encourage regular exercise, stress management techniques like deep breathing or meditation, and keeping the hands busy with activities like knitting or drawing.

• #126 Trichotillomania: Symptoms, Treatment | StudySmarter

  https://www.studysmarter.co.uk/explanations/nursing/mental-health-nursing/trichotillomania/

  Trichotillomania, colloquially known as „hair-pulling disorder”, is an often misunderstood and under-diagnosed condition. This mental health disorder can be challenging for both the individual and their loved ones. Trichotillomania is defined as a compulsive urge to pull out one’s hair, resulting in noticeable hair loss and significant distress. Hair-pulling can occur from any area of the body, however, the most common areas are the scalp, eyebrows, and eyelashes. The onset of Trichotillomania typically manifests in puberty, but it can affect individuals of all ages. Both genders can be affected, but it’s more prevalent in females. The disorder is categorised under Obsessive-Compulsive and Related Disorders in the Diagnostic and Statistical Manual of Mental Disorders, fifth edition (DSM-5). Treatment for trichotillomania specifically targets the compulsion to pull hair and the associated psychological distress. It involutes a multi-dimensional approach, that can include medication, cognitive-behavioural therapy (CBT), and even alternative remedies. Typically, a mental healthcare professional creates an individualised treatment plan based on your specific needs. The best nursing interventions for Trichotillomania include cognitive behavioural therapy (CBT) to address underlying triggers, implementing a behaviour modification plan, providing patient education on the disorder, and empathetic support to minimise anxiety and promote self-esteem. A nurse can implement strategies such as behavioural therapy techniques, assisting the patient in identifying triggers and developing alternative coping mechanisms. They can also provide education about the condition and reinforce ongoing communication between the patient, family, and healthcare team. A mental health nurse should understand that Trichotillomania is often driven by feelings of anxiety, stress or negative emotions. It can be a coping mechanism for individuals experiencing emotional distress, linked to conditions such as O.C.D. or depressive disorders. Also, it can be triggered by certain environmental factors. A nurse can teach techniques such as habit reversal training, where the patient recognises the urge and substitutes a different behaviour. They can also encourage regular exercise, stress management techniques like deep breathing or meditation, and keeping the hands busy with activities like knitting or drawing.

• #127 Omaha Trichotillomania Treatment | Hair-Pulling Disorder Therapy

  https://brainhealthne.com/trichotillomania/

  Our team works closely with each patient to develop a personalized trichotillomania treatment plan in Omaha that may include TMS therapy, cognitive behavioral therapy (CBT), and other supportive interventions. […] If you or a loved one is struggling with trichotillomania, Brain Health Nebraska is here to help. […] Our clinic is committed to providing effective, compassionate care to help you regain control and improve your quality of life.

• #128 Trichotillomania – StatPearls – NCBI Bookshelf

  https://www.ncbi.nlm.nih.gov/books/NBK493186/

  Trichotillomania often presents to the primary care provider or mental health nurse. However, this is not a trivial disorder and should be managed by an interprofessional team that includes a psychiatrist, behavior therapist, psychologist, and a dermatologist. The treatment includes therapy techniques combined with anxiety-relieving medications.

• #129 Trichotillomania (hair-pulling disorder) – Symptoms and causes – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/trichotillomania/symptoms-causes/syc-20355188

  Trichotillomania (trik-o-til-o-MAY-nee-uh), also called hair-pulling disorder, is a mental health condition. It involves frequent, repeated and irresistible urges to pull out hair from your scalp, eyebrows or other areas of your body. You may try to resist the urges, but you can’t stop. Trichotillomania is part of a group of conditions known as body-focused repetitive behaviors. […] For some people, trichotillomania may be mild and can be managed. For others, the automatic or deliberate urge to pull out hair is too much to handle emotionally. Some treatment options may help reduce hair pulling or stop it entirely. […] If you can’t stop pulling out your hair or you feel embarrassed or ashamed by your appearance as a result, talk to your health care provider. Trichotillomania is not just a bad habit, it’s a mental health condition. It’s not likely to get better without treatment.

• #130 Learn About Trichotillomania: The “Hair Pulling” Disorder :: The Baker Center For Children and Families

  https://www.bakercenter.org/trich-2

  Trichotillomania is commonly known as the hair pulling disorder in which an individual consistently pulls out their own hair in connection to emotional dysregulation, which can lead to hair loss or functional impairment. […] When a child or teen has trichotillomania, the presence of hair-pulling may be distressing for caregivers as well as the individual. Understanding that an individual with trichotillomania feels a strong urge to pull their hair to relieve an internal feeling, and they are not doing it to intentionally cause challenges, is important. […] When caregivers and children work as a team to address the symptoms of trichotillomania, there is a strong likelihood that the child will benefit from an effective intervention that can target their challenges.

• #131 Trichotillomania (Hair Pulling): What It Is, Causes & Treatment

  https://my.clevelandclinic.org/health/diseases/9880-trichotillomania

  Trichotillomania is a mental health condition where you compulsively pull out your own hair. It often has severe negative effects on your mental health and well-being when it happens in your adolescent, teen and adult years. However, this condition is treatable. […] TTM falls under the overall category of obsessive-compulsive disorder, but it has some key differences from OCD itself. […] People with TTM commonly feel anxiety, embarrassment or shame about this condition. This can affect their work and social lives. Many people with this condition don’t seek treatment because they feel embarrassed or ashamed. […] Treating TTM often involves therapy, medication or a combination of both. Ongoing research shows some medications for other mental health conditions might help TTM, but more research is necessary before any specific medication becomes a part of the standard care.

• #132 Trichotillomania Hair Pulling Disorder – Causes, Symptoms & Prevention

  https://chaselodgehospital.com/blog/trichotillomania-hair-pulling-disorder/

  In some cases, medication may be recommended, particularly if TTM is accompanied by severe anxiety or depression. […] Techniques such as mindfulness meditation, relaxation exercises, and breathing techniques can be beneficial in reducing stress and increasing awareness of hair-pulling behaviours. […] At Chase Lodge Hospital, we understand that Trichotillomania TTM disease is more than just a habitit is a serious and distressing condition that requires expert care. Our approach focuses on: Comprehensive, evidence-based treatment tailored to each patients unique needs. A multidisciplinary team of specialists, including psychiatrists, psychologists, and therapists with expertise in OCD and compulsive behaviours. Personalised care in a supportive, confidential, and non-judgemental environment. […] If you or a loved one is struggling with Trichotillomania hair-pulling disorder, seeking professional help is the first step towards recovery.

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