Management of trichotillomania

Kaur, Harprit; Chavan, BS; Raj, Lok

doi:10.4103/0019-5545.43063

Cited by 7 publications

(4 citation statements)

References 5 publications

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“…SSRIs such as fluoxetine have already been implicated in the management of trichotillomania, and this further elaborates their effectiveness in FTD as well. [ 4 6 12 ] The role of early identification of SIBs such as trichotillomania and skin excoriation can result in the early initiation of treatment as well as aid in the exploration of the use of N-acetyl cysteine and even potential use of habit reversal and behavioral therapies including yoga therapy, especially in the initial stage of this dementia.…”

Section: Discussionmentioning

confidence: 99%

Trichotillomania ranging from “ritual to illness” and as a rare clinical manifestation of frontotemporal dementia: Review of literature and case report

2018

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Frontotemporal dementia (FTD) is the most common form of dementia in the younger age group and often exists with comorbid obsessions and compulsions in up to 80% of the patients. Trichotillomania or compulsive “hair-pulling” disorder is a rare manifestation of FTD and is a poorly evaluated symptom in this condition. The release of “grooming functions” due to frontal disinhibition is often attributed to the evolutionary perspective; however, recent findings also implicate the role of neurotransmitter dysfunction. Trichotillomania is currently classified under obsessive and compulsive behavioral spectrum disorders and is often encountered in the younger population with research evidence of response to selective serotonin reuptake inhibitors (SSRIs), antipsychotics, and newer drugs such as N-acetyl cysteine. The role of behavioral therapy also has robust evidence in trichotillomania. We herewith report the case of a middle-aged male patient who presented with features of personality change and behavioral problems in terms of anger, agitation, and disinhibitory behavior who on detailed clinical evaluation and radiological assessment had features consistent with behavioral variant of FTD along with compulsive “hair plucking” behavior which responded minimally with SSRIs. FTD can have features of trichotillomania which is an often overlooked and relatively uncommon manifestation of dementias. Treatment options such as N-acetyl cysteine and behavioral therapy could have potential utility in this degenerative condition hitherto at an earlier stage.

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Section: Discussionmentioning

confidence: 99%

Trichotillomania ranging from “ritual to illness” and as a rare clinical manifestation of frontotemporal dementia: Review of literature and case report

2018

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“…Various other studies explored insight oriented psychotherapy, cognitive-behavioral therapy but documented three studies in this report showed very encouraging results in managing this disorder of impulse control. [ 35 ]…”

Section: Case Reportsmentioning

confidence: 99%

Research in child and adolescent psychiatry in India

Shastri

2010

Indian J Psychiatry

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“…In a more recent paper, Kaur et al . [ 33 ] reported three cases of trichotillomania treated with pharmacotherapy and BT consisting of JPMR, deep breathing exercise, distraction technique, response prevention, thought stopping and diary maintenance. Improvement occurred in all cases in three to four weeks.…”

Section: Introductionmentioning

confidence: 99%

Indian contribution to behavior therapy

Kuruvilla

2010

Indian J Psychiatry

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Publication of papers related to psycho-social interventions in general and Behavior Therapy, in particular, in Indian Journal of Psychiatry has been limited. Though the first paper related to Behavior Therapy was published in 1952, a manual search of all available issues of the journal from 1949 showed that only 42 papers related to Behavior Therapy have been published till 2009. Among them 10 are case reports. Methodological limitations abound even in the papers on larger groups of patients. Studies using operant conditioning have been very few. Aversion therapy and progressive muscle relaxation have been very frequently used. The published articles are reviewed under the various diagnostic categories. Publications in the recent years have been mostly on Cognitive Behavior Therapy. Even after 57 years of co-existence, the relationship between Behavior Therapy and Indian Psychiatry remains a tenuous one.

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Management of trichotillomania

Cited by 7 publications

References 5 publications

Trichotillomania ranging from “ritual to illness” and as a rare clinical manifestation of frontotemporal dementia: Review of literature and case report

Trichotillomania ranging from “ritual to illness” and as a rare clinical manifestation of frontotemporal dementia: Review of literature and case report

Research in child and adolescent psychiatry in India

Indian contribution to behavior therapy

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