Update on the Treatment of Trichotillomania

Trichotillomania (TTM) is an obsessive-compulsive disorder characterized by recurrent hair-pulling, leading to hair loss or alopecia. Treating TTM is challenging and involves both pharmacological and non-pharmacological methods. Cognitive-behavioral therapy (CBT) has been effective, but not all patients adhere to it. Alternative support tools like electronic devices, internet therapies, and microneedling are suggested. N-acetylcysteine and memantine are recommended as first-line treatments due to their safety and efficacy. Other drugs such as fluoxetine, clomipramine, olanzapine, and naltrexone show limited and variable efficacy. This review discusses the current treatment options for managing TTM.