Trichotillomania (hair-pulling disorder)

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Alternative medicine

By Mayo Clinic staff

A handful of small studies and a number of anecdotal reports suggest that hypnotherapy may be a successful initial treatment for trichotillomania as well as effective in preventing relapses.

Biofeedback, a technique that teaches you how to control or change certain physical responses, also may help. For instance, biofeedback can teach you how to reduce muscle tension in your face, forehead and neck without resorting to pulling. It can also help reduce anxiety and draw attention away from unwanted behaviors.

References
  1. Woods DW, et al. Trichotillomania: An ACT-enhanced Behavior Therapy Approach Therapist Guide. New York, N.Y.: Oxford University Press; 2008.
  2. Fact sheet: Trichotillomania. Mental Health America. http://www.nmha.org/index.cfm?objectid=C7DF9926-1372-4D20-C88C1DDD5A71D709. Accessed Dec. 1, 2008.
  3. About trichotillomania. Trichotillomania Learning Center. http://www.trich.org/about_trich. Accessed Dec. 1, 2008.
  4. Trichotillomania in childhood: Case series and review. Pediatrics. 2004;113:3494.
  5. Trichotillomania. In: Diagnostic and Statistical Manual of Mental Disorders DSM-IV-TR. 4th ed. Arlington, Va.: American Psychiatric Association; 2000. http://www.psychiatryonline.com. Accessed Dec. 1, 2008.
  6. Alternative treatments. Trichotillomania Learning Center. http://www.trich.org/treatment_resources/Alternative.asp. Accessed Dec. 1, 2008.
  7. Chamberlain SR, et al. Lifting the veil on trichotillomania. American Journal of Psychiatry. 2007;164:568.
  8. Walsh KH, et al. Trichotillomania. Presentation, etiology, diagnosis and therapy. American Journal of Clinical Dermatology. 2001;2:327.
  9. Zuchner S et al. SLITRK1 mutations in Tricholtillomania. Molecular Psychiatry. 2006;11:888. http://www.nature.com/mp/journal/v11/n10/full/4001865a.html. Accessed Dec. 29, 2008.
  10. Woods DW et al. Understanding and Treating Trichotillomania: What We Know and What We Don't Know. Psychiatric Clinics of North America. 2006;29:487. http://www.mdconsult.com/das/article/body/114970872-3/jorg=journal&source=MI&sp=16170821&sid=786898514/N/532552/1.html?issn=0193-953X. Accessed Dec. 29, 2008.

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Jan. 24, 2009

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