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Treatment is typically with cognitive behavioral therapy. [3] The medication clomipramine may also be helpful, as will keeping fingernails clipped. [3] Trichotillomania is estimated to affect one to four percent of people. [2] [3] Trichotillomania most commonly begins in childhood or adolescence. [2] Women are affected about 10 times more often ...
Decoupling [1] is a behavioral self-help intervention for body-focused and related behaviors such as trichotillomania, onychophagia (nail biting), skin picking and lip-cheek biting. The user is instructed to modify the original dysfunctional behavioral path by performing a counter-movement shortly before completing the self-injurious behavior ...
Trichophagia and trichobezoars have been documented by physicians for centuries, even long before a medical definition was established for trichotillomania. [26] For example, in the 18th century, French doctor M. Baudamant described the condition in a 16-year-old boy.
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Habit reversal training (HRT) is a "multicomponent behavioral treatment package originally developed to address a wide variety of repetitive behavior disorders". [1] Behavioral disorders treated with HRT include tics, trichotillomania, nail biting, thumb sucking, skin picking, temporomandibular disorder (TMJ), lip-cheek biting and stuttering.
Reviews of treatment of excoriation disorder have shown that the following medications may be effective in reducing picking behavior: doxepin, clomipramine, naltrexone, pimozide, and olanzapine. [8] Small studies of fluoxetine , an SSRI, in treating excoriation disorder showed that the drug reduced certain aspects of skin picking compared with ...
Cognitive behavioral therapy was cited as experimental evidence based therapy to treat trichotillomania and nail biting; [7] a systematic review found best evidence for habit reversal training and decoupling. [8] Another form of treatment that focuses on mindfulness, stimuli and rewards has proven effective in some people.
Treating Trichotillomania: Cognitive-Behavioral Therapy for Hairpulling and Related Problems is a book about trichotillomania, written primarily for medical providers. [13] Face Your Fears: A Proven Plan to Beat Anxiety, Panic, Phobias, and Obsessions helps the reader begin an exposure program. [14]
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