Trichotillomania and its treatment: a review and recommendations

Trichotillomania (TTM) is characterized as an impulse control disorder in which individuals fail to resist urges to pull out their own hair, and is associated with significant functional impairment and psychiatric comorbidity across the developmental spectrum. Onset in childhood or adolescence appea...

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Published inExpert review of neurotherapeutics Vol. 11; no. 8; pp. 1165 - 1174
Main Authors Franklin, Martin E, Zagrabbe, Kathryn, Benavides, Kristin L
Format Journal Article
LanguageEnglish
Published England Taylor & Francis 01.08.2011
Expert Reviews Ltd
Informa Healthcare
Subjects
Cognitive Behavioral Therapy - methods
Cognitive therapy
cognitive-behavioral therapy
combined treatments
Disruptive, Impulse Control, and Conduct Disorders - drug therapy
Disruptive, Impulse Control, and Conduct Disorders - pathology
Disruptive, Impulse Control, and Conduct Disorders - psychology
Disruptive, Impulse Control, and Conduct Disorders - therapy
habit reversal training
Habits
Humans
impulse control disorders
pharmacotherapy
Reversal Learning
trichotillomania
Trichotillomania - drug therapy
Trichotillomania - pathology
Trichotillomania - psychology
Trichotillomania - therapy
TTM
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Summary:Trichotillomania (TTM) is characterized as an impulse control disorder in which individuals fail to resist urges to pull out their own hair, and is associated with significant functional impairment and psychiatric comorbidity across the developmental spectrum. Onset in childhood or adolescence appears to be the norm, yet the research literature involving pediatric samples is particularly sparse. Efficacious treatments have been developed, in particular cognitive-behavioral interventions involving procedures collectively known as habit reversal training, yet relapse in adults appears to be common. Recent developments in pharmacotherapies for TTM and in combining cognitive-behavioral therapy approaches with medication hold promise, and efforts to examine their relative and combined efficacy are needed. Dissemination of information about TTM and its treatment is a critical next step in the field, since many affected individuals and families cannot find local treatment providers with sufficient knowledge to deliver interventions known to reduce hair pulling behavior.
Bibliography:ObjectType-Article-2
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ISSN:1473-7175
1744-8360
DOI:10.1586/ern.11.93