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Trichotillomania can go into remission-like states where the individual may not experience the urge to "pull" for days, weeks, months, or even years. [13] Individuals with trichotillomania exhibit hair of differing lengths; some are broken hairs with blunt ends, some new growth with tapered ends, some broken mid-shaft, or some uneven stubble.
The diagnosis of the syndrome is also done by endoscopy. A CT scan is recommended to determine the size and the extension of the trichobezoar. [ 5 ] Upper GI endoscopy is known as the gold standard for the diagnosis of a trichobezoar, however the endoscopy alone might not necessarily detect the co-existing Rapunzel syndrome.
Moreover, the discrepancy between rates in women and men could be explained by underreporting in men, either due to additional shame for men or the ease of shaving and hiding their underlying trichotillomania. [5] Trichophagia in men, while more rarely reported, is often more severe. [1]
Earlier this year, comedian Amy Schumer revealed a "big secret" she has been struggling with for years: trichotillomania.. The hair-pulling disorder causes irresistible, recurrent urges to pull ...
There have been many different theories regarding the causes of excoriation disorder, including biological and environmental factors. [10]A common hypothesis is that excoriation disorder is often a coping mechanism to deal with elevated levels of turmoil, boredom, anxiety, or stress within the individual, and that the individual has an impaired stress response.
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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 ...
Trichotillomania had for a time been lumped with profoundly different conditions such as pyromania and compulsive lying. With ICD-11, it is classified as Body-repetitive disorder. Cfr. article: Innovations and changes in the ICD‐11 classification of mental, behavioural and neurodevelopmental disorders, World Psychiatry. 2019 Feb; 18(1): 3–19.
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