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Trichotillomania (TTM), also known as hair-pulling disorder or compulsive hair pulling, is a mental disorder characterized by a long-term urge that results in the pulling out of one's own hair. [2] [4] A brief positive feeling may occur as hair is removed. [5] Efforts to stop pulling hair typically fail.
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. [citation needed]
Stress can cause two main types of hair loss: telogen effluvium and trichotillomania. Telogen effluvium causes hair follicles to enter a resting phase due to your body’s stress hormone levels.
Trichophagia is most closely associated with trichotillomania, the pulling out of one's own hair, and thus any symptoms of trichotillomania could be predictive of trichophagia and must be ruled out. Rarely, persons with trichophagia do not exclusively have trichotillomania and instead will eat the hair of others. [9] [5]
Another type of stress-related hair loss is a hair-pulling disorder known as trichotillomania. It can also be triggered by anxiety and stress, causing some individuals to pull their hair out.
It occurs most commonly among children around 4 months of age, [1] though cases have been described in older children and adults. [2] Most cases occur accidentally. [1] Risk factors may include autism and trichotillomania. [1] The mechanism is believed to involve wet hair become wrapped around a body part and then tightening as it dries. [1]