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Trichotillomania

William G. Elder, PhD and Rameeza Sheriff, MD Reviewed 06/2019
 


BASICS

  • 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 is currently concept...

DIAGNOSIS

  • TTM may be difficult to diagnose because individuals may deny it because of the social stigma and embarrassment.

  • Several TTM-specific assessment tools have been developed that further underst...

TREATMENT

  • Treatment of TTM involves both psychological methods that include specific psychotherapies, pharmacologic treatment, and combined approaches.

  • Psychological treatment of TTM may be the primary...

ONGOING CARE

DIET

No special diet required for TTM 

PATIENT EDUCATION

  • TTM is a multifactorial condition. Not only do medications aid in the treatment of TTM but also psychological therapies may have a si...

REFERENCES

1
Falkenstein MJ, Conelea CA, Garner LE, et al. Sensory over-responsivity in trichotillomania (hair-pulling disorder). Psychiatry Res.  2018;260:207–218. [View Abstract on OvidMedline]
2
...

ADDITIONAL READING

  • Chattopadhyay K. The genetic factors influencing the development of trichotillomania. J Genet.  2012;91(2):259–262. [View Abstract on OvidMedline]

  • Franklin ME, Zagrabbe K, Benav...

CODES

ICD10

F63.3 Trichotillomania 

ICD9

312.39 Other disorders of impulse control 

SNOMED

  • 17155009 trichotillomania (disorder)

  • 5125001 Habitual eating of own hair (finding)

CLINICAL PEARLS

  • Etiology of TTM is multifactorial and differs among individuals. It is important to distinguish between different etiologies.

  • TTM may occur in the presence of comorbid conditions.

  • Patien...

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