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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.
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.
Trichotillomania is the compulsion to pull out one's own hair; if an individual consumes it after ripping it out as well, it is known as trichophagia. Pica comes from the Latin word for "magpie" and involves the craving of non-food items such as cloth, wool, hair, or even small metallic objects.
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]
Trichotillomania is classified as a compulsive picking of hair of the body. It can be from any place on the body that has hair. This picking results in bald spots. Most people who have mild trichotillomania can overcome it via concentration and more self-awareness. [13]
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.
Another shared, "I have trichotillomania and I deal with hair pulling all the time. Shout out to others who are struggling." In May, Siwa spoke to The View about her decision to cut off her hair.
Bicalutamide is another option for the treatment of female pattern hair loss. [37] [38] [39] It has a far lower risk of liver toxicity than flutamide and is said to have an excellent safety profile. [38] [39] [40] However, bicalutamide retains a small risk of liver toxicity and for this reason periodic liver monitoring is recommended during ...