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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 ...
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]
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]
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.
Plates vi & vii of the Edwin Smith Papyrus (around the 17th century BC), among the earliest medical guidelines. A medical guideline (also called a clinical guideline, standard treatment guideline, or clinical practice guideline) is a document with the aim of guiding decisions and criteria regarding diagnosis, management, and treatment in specific areas of healthcare.
Treatment strategies should focus on identifying and correcting the root causes, where possible, resolving nutritional deficiencies, and administering antibiotics. This is especially important for patients with indigestion and malabsorption. [4] Although whether antibiotics should be a first line treatment is a matter of debate.
Trichotillomania (hair-pulling disorder) moved from "impulse-control disorders not elsewhere classified" in DSM-IV, to an obsessive-compulsive disorder in DSM-5. [ 11 ] A specifier was expanded (and added to body dysmorphic disorder and hoarding disorder) to allow for good or fair insight, poor insight, and "absent insight/delusional" (i.e ...
These products have shown some ability to reduce other problematic behaviors such as cocaine addiction and trichotillomania. [3] Some case studies and some small studies of NAC have shown a decrease in picking by treatment with NAC compared with placebo. [3] Excoriation disorder and trichotillomania have been treated with inositol. [25]