TLDR Cognitive-behavioral therapy with habit reversal training is the most effective treatment for trichotillomania.
Trichotillomania (TTM) is a mental disorder characterized by compulsive hair-pulling, affecting 0.5-3% of the population and often coexisting with anxiety and depression. The most effective treatment is cognitive-behavioral therapy (CBT) with habit reversal training (HRT), which helps patients identify triggers and replace hair-pulling with alternative behaviors. Other psychotherapies and pharmacological treatments, including SSRIs, clomipramine, and N-acetylcysteine, show promise but require further research. Despite its significant impact on quality of life, many patients do not seek specialist help, highlighting the need for accessible and comprehensive treatment options.
2 citations,
March 2022 in “Indian Journal of Psychiatry/Indian journal of psychiatry” The conclusion is that careful management of both psychiatric and skin conditions is crucial for HIV patients, using medication and interdisciplinary approaches.
4 citations,
January 2019 in “Clinical and Experimental Dermatology” The review found that individualized treatment and teamwork are important for trichotillomania, and patients who followed through with treatment often improved.
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38 citations,
April 2017 in “Journal of The American Academy of Dermatology” Many skin patients have mental health issues, but few dermatologists are well-versed in treating these conditions.
30 citations,
August 2018 in “Dermatology and Therapy” Better-designed, long-term studies are needed to optimize treatment for trichotillomania and trichophagia.
83 citations,
January 2001 in “American journal of clinical dermatology” Clomipramine may significantly reduce hair-pulling in Trichotillomania, but more research is needed on treatments and early onset cases.
