Nov 17, 2016
Trichotillomania, also known as hair-pulling, is an impulse control disorder. It could be caused by anxiety and stress. It can coexist with an anxiety disorder. However, psychiatrists consider it as a separate illness and not an anxiety disorder.
Trichotillomania (pronounced trik-o-till-o-MAY-nee-uh), also referred to as “hair-pulling disorder,” is a mental disorder classified under Obsessive-Compulsive and Related Disorders and involves recurrent, irresistible urges to pull hair from the scalp, eyebrows, eyelids, and other areas of the body, despite repeated ...
Common motor tics include eye blinking, shoulder shrugging, and facial grimacing. Vocal tics may include throat clearing, coughing, and sniffing. Trichotillomania is a body-focused repetitive behavior in which a person pulls out his or her hair, usually from the scalp, eyelashes, or eyebrows.
There is no one way to cure or prevent trichotillomania. However, treating the underlying negative emotions may help prevent the urge to pull your hair from coming back. Reducing or relieving stress and finding outlets for it may help reduce the urge to pull your hair. You may also want to consider therapy for stress.
Experts think the urge to pull hair happens because the brain's chemical signals (called neurotransmitters) don't work properly. This creates the irresistible urges that lead people to pull their hair. Pulling the hair gives the person a feeling of relief or satisfaction.
In cases of trichotillomania — a condition in which a person frequently pulls out hair from their scalp or elsewhere on their body and feels powerless to stop — the repeated damage to their hair follicle can slow hair growth. If a follicle has been damaged, it may take 2 to 4 years for new hair to grow back.
Beautiful co-star from the Transformers movies Megan Fox has been hospitalised three times because of compulsive hair pulling, while South African born Charlize Theron also admitted in 2012 during an Australian radio interview that she was diagnosed with the condition.
The results of the analysis, published in Brain Imaging and Behaviour in June, show that patients with trichotillomania have increased thickness in regions of the frontal cortex involved in suppression of motor responses: the right inferior frontal gyrus (rIFG) and other nearby brain regions.
It seems trichotillomania has a strong genetic component after a study confirmed a certain gene mutation predicted the disorder in families. Trichotillomania, the mental health condition that involves people pulling out hairs from various locations on the body, can add significant distress to a person's life.
Risk factors include: Age—The onset of trichotillomania is often in the pre-teen to early teen years between 10 and 13. This is a recognized major developmental period for many people. Gender—In childhood, an equal number of males and females seek treatment for the condition.
Most people aren't born with trichotillomania. It's something that can develop in childhood and adolescence, and it's usually in response to some sort of trigger of anxiety or stress.
Causes. There is no certain cause of trichotillomania, but the current way of looking at trichotillomania is as a medical illness. One theory on a biological level is that there is some disruption in the system involving one of the chemical messengers between the nerve cells in parts of the brain.
Trichotillomania was previously classified as an impulse control disorder but is now considered an obsessive-compulsive related disorder in the latest version of the Diagnostic and Statistical Manual of Mental Disorders Version 5 (DS-5, American Psychiatric Association).
Results. SSRIs and clomipramine are considered first-line in TTM. In addition, family members of TTM patients are often affected by obsessive-compulsive spectrum disorders. Other drugs used in the treatment of TTM are lamotrigine, olanzapine, N-Acetylcysteine, inositol, and naltrexone.
How is trichotillomania diagnosed? If symptoms are present, the doctor will begin an evaluation by performing a complete medical history and physical examination. There are no tests—such as X-rays or blood tests—to diagnose trichotillomania, although tests might be used to rule out any medical cause for the hair loss.
Much of the time the hair grows more slowly, more sparsely, or in a different way. For example, regrown hair is often coarser and kinkier than normal. Hair follicles damaged from trichotillomania often grow back as gray or white hair, even when it wasn't before.
About five to 10 million people in the United States, roughly 3.5 percent of the population, meet the clinical criteria for trichotillomania--they must have noticeable bald spots from pulling their hair. Though, according to Mouton-Odum, there are many people who suffer from a milder form of the disorder.