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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 ...
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.
Patients usually also require psychiatric evaluation and treatment due to the association with impulse control disorders, especially trichotillomania. [9] Long-term follow up as well as psychiatric consultation is also recommended to prevent the event from repeating.
Its prevalence among patients with trichotillomania is estimated to be around 37.5%, with 33% developing trichobezoars. [15] Trichophagia can present at any age, with childhood cases typically being more common and of a more habitual nature, while in adulthood it is associated with underlying psychopathologies and more severe symptoms. [ 5 ]
Aversion therapy is a form of psychological treatment in which the patient is exposed to a stimulus while simultaneously being subjected to some form of discomfort. This conditioning is intended to cause the patient to associate the stimulus with unpleasant sensations with the intention of quelling the targeted (sometimes compulsive) behavior.
Trichotillomania is body-focused repetitive behavior disorder which causes an individual to pull out their hair from various parts of their body without a purpose. The cause for trichotillomania remains unknown. Like OCD, trichotillomania is not a nervous condition but stress can trigger this habit.
In some patients, excoriation disorder begins with the onset of acne in adolescence, but the compulsion continues even after the acne has gone away. Skin conditions such as keratosis pilaris, psoriasis, and eczema can also provoke the behavior. In patients with acne, the grooming of the skin is disproportionate to the severity of the acne. [3]
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