Behavioural intervention in the treatment of trichotillomania

Trichotillomania

“…A variety of therapeutic modalities have been recommended for the treatment of trichotillomania [3,4,[12][13][14][15][16][17][18][19][20][21][22]30]. However, during his short stay, the patient was trained to use competence response therapy by clinching his fist for three minutes when he developed or felt likely to develop the urge to pull out his hair.…”

“…In relation to this, punch biopsy of affected scalp is useful in confirming the clinical diagnosis of trichotillomania [1,4]. Numerous therapeutic modalities have been derived from the theoretical concepts of trichotillomania, and these range from behavioral techniques [16][17][18][19][20][21] to psychodynamic therapies [4,12,22] to psychotropic drugs [3,13]. Though a matter of individual preference, the best approach for the treatment of trichotillomania would be a combination of pharmacological drugs, especially clomipramine, and one of the behavioral techniques.…”