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Trichotillomania
Open accessAbstract
Trichotillomania, characterized by the repetitive pulling out of one’s own hair leading to hair loss and functional impairment, has been documented in the medical literature since the 19(th) century, but has received scant research attention. Community prevalence studies suggest that trichotillomania is a common disorder with point prevalence estimate of 0.5% to 2.0%. Although recently grouped with OCD in the DSM-5, clinicians need to be aware that trichotillomania and OCD may have less in common than originally thought. In fact, approaches to treating trichotillomania, which include habit reversal therapy and medication (n-acetyl cysteine or olanzapine), are quite different from those used to treat OCD; and some first-line treatments used for OCD appear ineffective for trichotillomania. Based on our clinical experience and research findings, the article recommends several management approaches to trichotillomania.
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“The most common sites pulled include the scalp, eyebrows, and eyelashes; although, pulling from other areas of the body is common.[11]”
From Trichotillomania (hair pulling disorder) (2019) · cites this paper as [11]
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“Pulling from multiple sites is not uncommon and pulling episodes can last from a few minutes to several hours.[11]”
From Trichotillomania (hair pulling disorder) (2019) · cites this paper as [11]
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“The onset of hair pulling is generally in late childhood or early adolescence.[11]”
From Trichotillomania (hair pulling disorder) (2019) · cites this paper as [11]
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Metadata
- Authors
- Grant, J. E., & Chamberlain, S. R.
- Affiliations
- University of Cambridge (GB)
- Venue
- American Journal of Psychiatry
- Published
- 2016-09-01
- Volume
- 173
- Issue
- 9
- Pages
- 868-874
- ISSN
- 0002-953X (ISSN-L)
- 1535-7228
- PMC
- PMC5328413
- OpenAlex
- W4239452805
- Cited by
- 252
- References
- 57
- Citations by year
- 2026: 23 · 2025: 37 · 2024: 25 · 2023: 26 · 2022: 31 · 2021: 49 · 2020: 26 · 2019: 15 · 2018: 11 · 2017: 8 · 2016: 1
- FWCI
- 15.49
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- American Journal of Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- ePrints Soton (University of Southampton) (submittedVersion)
- Funders
- Wellcome Trust (110,049/Z/15/Z, 110049)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Obsessive-Compulsive Spectrum Disorders
- Health Sciences › Medicine › Dermatology › Hair Growth and Disorders
- Social Sciences › Psychology › Clinical Psychology › Body Image and Dysmorphia Studies
- Keywords
- trichotillomania, hair pulling, hair loss, obsessive-compulsive disorder, prevalence, habit reversal therapy, N-acetylcysteine, olanzapine, treatment options, DSM-5 classification
- MeSH terms
- Female, Humans, Psychotherapy, Trichotillomania, Young Adult
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