Hair-Pulling and Multigenerational Trauma

2008 ◽  
Author(s):  
Jane Lewis
Keyword(s):  
Hair Pulling ◽  
Multigenerational Trauma

Biopsy May Be Needed for Hair Pulling

2008 ◽  
Vol 41 (4) ◽  
pp. 16
Author(s):  
SHERRY BOSCHERT
Keyword(s):  
Hair Pulling

The Assessment and Treatment of Trichotillomania

2012 ◽  
Author(s):  
Gary A.-H. Christenson
Keyword(s):  
Behavioral Treatment ◽  
Habit Reversal ◽  
Hair Pulling ◽  
Psychiatric Interview ◽  
Treatment Approaches ◽  
Time Treatment ◽  
Habit Reversal Therapy ◽  
Situational Characteristics ◽  
Assessment And Treatment ◽  
Additional Support

The successful treatment of trichotillomania necessitates an initial clinical evaluation of the cognitive, emotional, behavioral, and situational characteristics contributing to an individual’s hair pulling. Assessment also requires a comprehensive psychological/psychiatric interview to assess for comorbid illness, which may either contribute to hair pulling or require separate attention. Several instruments have been designed to assist in quantifying the core symptoms of trichotillomania and can be useful for monitoring treatment progress over time. Treatment approaches include medication, hypnosis, and behavioral therapies, especially modifications of habit reversal therapy. Controlled studies are few in number and are limited to only a few behavioral treatment approaches and medication classes. Research suggests that variations of habit reversal therapy have the greatest efficacy of the interventions investigated thus far. There is additional support for treatment with clomipramine, N-acetylcysteine, and olanzapine, in contrast to multiple other drugs that have been studied or suggested as useful for trichotillomania.

Phenomenology and Epidemiology of Trichotillomania

2012 ◽  
Author(s):  
Samuel R. Chamberlain
Keyword(s):  
Animal Models ◽  
Psychiatric Disorder ◽  
Hair Loss ◽  
Functional Impairment ◽  
Repetitive Behaviors ◽  
Hair Pulling ◽  
Affect Dysregulation ◽  
Obsessive Compulsive

Trichotillomania is a psychiatric disorder characterized by recurrent hair pulling, leading to hair loss and functional impairment. This chapter reviews the phenomenology and epidemiology of trichotillomania, and considers its relationship with putative obsessive-compulsive spectrum conditions and other body-focused repetitive behaviors. Salient animal models of the disorder, along with findings in human patients using neuroimaging and cognitive probes, are summarized. A brain-based model of trichotillomania is formulated, focusing on affect dysregulation, addiction, and impulse dyscontrol. Finally, the chapter flags cardinal questions for the attention of future clinical and research scrutiny.

scholarly journals Hair loss in an infant presenting with failure to thrive

2021 ◽  
Vol 9 ◽  
pp. 2050313X2110202
Author(s):  
Baninder Kaur Baidwan ◽  
Cara J Haberman
Keyword(s):  
Hair Loss ◽  
Caloric Intake ◽  
Failure To Thrive ◽  
Filling Defect ◽  
Parental Report ◽  
Hair Pulling ◽  
Food Material ◽  
Gastric Bezoar ◽  
Gastric Lumen ◽  
Upper Gastrointestinal

An 11-month-old male child with a complex past medical history presented for admission due to failure to thrive. He had hair loss throughout his scalp, and his abdomen was distended. There was parental report of hair pulling and hair in his stool. An upper gastrointestinal (GI) radiograph with fluoroscopy was performed and showed a filling defect in the gastric lumen. On endoscopy, he was found to have a gastric bezoar consisting of hair, nail, and food material. The trichobezoar was removed, and he began to tolerate feeds and showed consistent weight gain. There were no recurrence of symptoms 8 months following removal. While inadequate caloric intake is a common reason for failure to thrive, mechanical obstruction from a trichobezoar as a cause is rare and to our knowledge has not been reported in a child this young.

Affective and Sensory Correlates of Hair Pulling in Pediatric Trichotillomania

2009 ◽  
Vol 33 (3) ◽  
pp. 396-407 ◽  
Author(s):  
Suzanne A. Meunier ◽  
David F. Tolin ◽  
Martin Franklin
Keyword(s):  
Hair Pulling

Psychological treatment of trihotillomania: A case study

2017 ◽  
Vol 41 (S1) ◽  
pp. S417-S417
Author(s):  
T. Sarmiento Luque ◽  
J.M. Sanchez
Keyword(s):  
Public Health ◽  
Clinical Case ◽  
Psychological Treatment ◽  
Cognitive Behavioral ◽  
Clinical Aspects ◽  
Hair Pulling ◽  
Behavioral Techniques ◽  
Competing Interest ◽  
Treatment Procedures

This paper presents a clinical case of trichotillomania. Therefore, the aim of this study is to present in detail the procedure followed in a case of trichotillomania in a public health context, using cognitive-behavioral techniques, in order to deepen the knowledge of the efficacy of these treatment procedures and demonstrate the feasibility of implementation.The results obtained show significant improvements in different clinical aspects: first, the hair pulling behavior disappeared completely; moreover, anxiety diminished significantly and mood normalized. All these results allow us to conclude that the intervention was successful.Disclosure of interestThe authors have not supplied their declaration of competing interest.

Evaluating the function of hair pulling: A preliminary investigation

1998 ◽  
Vol 29 (2) ◽  
pp. 211-219 ◽  
Author(s):  
Raymond G. Miltenberger ◽  
Ethan S. Long ◽  
John T. Rapp ◽  
Vicki Lumley ◽  
Amy J. Elliott
Keyword(s):  
Preliminary Investigation ◽  
Hair Pulling

A Simplified Behavioral Treatment for Trichotillomania: Report of Two Cases

PEDIATRICS ◽  
1993 ◽  
Vol 91 (5) ◽  
pp. 993-995
Author(s):  
NATHAN J. BLUM ◽  
VINCENT J. BARONE ◽  
PATRICK C. FRIMAN
Keyword(s):  
Preliminary Report ◽  
Behavioral Treatment ◽  
College Freshmen ◽  
Recent Literature ◽  
Behavioral Disorder ◽  
Survey Study ◽  
Response To Treatment ◽  
Pharmacologic Treatment ◽  
Hair Pulling ◽  
Adolescents And Adults

Trichotillomania is a behavioral disorder characterized by habitual hair pulling resulting in alopecia. Although once considered extremely rare, a recent survey study of college freshmen suggests a lifetime prevalence of more than 3% in females and more than 1% in males.1 The recent literature on trichotillomania has emphasized the pharmacologic treatment of adolescents and adults. Some studies have reported decreased hair pulling in response to treatment with the antiobsessional medications clomipramine and fluoxetine2,3 However, Christenson and colleagues4 failed to demonstrate benefit from fluoxetine, and in a preliminary report Rothbaum and Ninan5 found greater decreases in hair pulling with a behavioral intervention than with clomipramine.

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