Optimizing Treatment of Compulsive Hair Pulling in Children and Young People: A Case Series from a Pediatric Psychodermatology Service

This case series from a pediatric psychodermatology service at Guy’s and St. Thomas’ NHS Foundation Trust in London reviewed 11 patients with compulsive hair pulling, predominantly female with a mean age of 11.1 years. The study found that 45.4% of patients achieved complete resolution of hair pulling, while 36.4% had a substantial reduction, and 18.2% had stable disease after an average of three psychodermatology sessions. The sessions utilized cognitive behavioral therapy techniques, including habit reversal training and family therapy, tailored to individual needs. The study highlighted the effectiveness of a hybrid model of care, combining face-to-face and virtual sessions, which allowed patients to express themselves in a safe environment. It also emphasized the importance of a multidisciplinary approach and the need for thorough examination and psychosocial history, as some patients had a dual diagnosis of hair pulling and alopecia areata.