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Trichotillomania is a DSM-5 (Diagnostic and Statistical Manual of Mental Disorders, 5th ed.) diagnosis assigned to individuals who recurrently pull out their own hair.
Diagnostic Criteria Trichotillomania (Hair Pulling Disorder) is listed in the Diagnostic and Statistical Manual of Mental Disorders – Fifth Edition (DSM-5; American Psychiatric Association [APA], 2013) under the new category of Obsessive-Compulsive and Related Disorders.
Diagnosis and Tests 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.
Trichotillomania was only first recognized in the DSM-III Revised edition (DSM-III-R) in 1987. Since then the diagnostic criteria have been revised to the current version found in the DSM-5. The DSM-5 clearly differentiates hair pulling as a disorder from other non-clinical hair pulling behaviours.
The American Psychiatric Association’s Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) places trichotillomania in the category of obsessive-compulsive and related disorders and notes that it is characterized by recurrent body-focused repetitive behavior (hair pulling) and repeated attempts …
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).
Trichotillomania, also known as trich, is when someone cannot resist the urge to pull out their hair. They may pull out the hair on their head or in other places, such as their eyebrows or eyelashes.
As of now, the Food and Drug Administration (FDA) has not approved any medication for the treatment of trichotillomania. Selective serotonin reuptake inhibitors (SSRIs) and a tricyclic antidepressant (TCA) called Clomipramine are considered the first line of pharmacotherapy for trichotillomania (Sani et al., 2019).
Trichotillomania is a neuropsychiatric disorder characterized by the repetitive pulling out of one’s own hair, leading to noticeable hair loss and significant functional impairment.
OCD-UK Note: In the current International Classification of Diseases (ICD-10) Trichotillomania is listed under the sub-category of ‘Habit and impulse disorders’ (code: F63), which is listed under the main category of ‘Disorders of adult personality and behaviour’ (code: 60) which fits under the broader category of ‘ …
Trichotillomania is diagnosed based on its symptoms. There’s no specific test for it. A doctor might refer someone who has symptoms of trichotillomania to a psychiatrist or psychologist, who can interview the person and see if they might have an impulse control disorder.
While people on the autistic spectrum often have comorbid trichotillomania and other BFRBs, the reverse correlation does not appear to hold true, and no scientific evidence could be found indicating that autism causes trichotillomania.
Obsessive-Compulsive Disorder DSM-5 300.3 (F42)
The Diagnostic and Statistical Manual of Mental Disorders, 5th Edition (DSM-5) defines Adjustment Disorder as “the presence of emotional or behavioral symptoms in response to an identifiable stressor/s, which occurred within three months of the beginning of the stressor/s.
According to an article in the American Journal of Psychiatry , researchers estimate that trichotillomania affects between 0.5% to 2% of the population. Trichotillomania appears to be equally prevalent among males and females during adolescence. However, adult females are more likely to report the condition than males.
Trichotillomania is classified in the most recent Diagnostic and Statistical Manual of Mental Disorders (DSM-5) as an obsessive-compulsive spectrum disorder.
Rapunzel syndrome is an extremely rare condition seen in adolescents or young females with psychiatric disorders consisting of a gastric trichobezoar with an extension within the small bowel. The delays in diagnosis are common since in its early stages, it is usually asymptomatic.
The two treatments of choice currently are pharmacotherapy and cognitive-behavioral therapy. The choice of assessment procedures includes self-monitoring, saving hairs, interview, observational rating, digital photograph and computer scoring, significant others’ report, and standardized measures.
Co-occurring Conditions. Trichotillomania is on the obsessive-compulsive spectrum, which means that it shares many symptoms of obsessive-compulsive disorder (OCD), such as compulsive counting, checking, or washing.
While there have been several forms of treatment that have been developed to aid a person suffering from hair pulling, there is currently no official trichotillomania cure on the books.
Although no medications are approved by the Food and Drug Administration specifically for the treatment of trichotillomania, some medications may help control certain symptoms. For example, your doctor may recommend an antidepressant, such as clomipramine (Anafranil).
Hair follicles damaged from trichotillomania often grow back as gray or white hair, even when it wasn’t before. … Some people experience little to no permanent hair loss or baldness after quitting hair pulling entirely. Their hair grows back as normal and in all the normal spots of the head.
Trichotillomania can be related to emotions: Negative emotions. For many people with trichotillomania, hair pulling is a way of dealing with negative or uncomfortable feelings, such as stress, anxiety, tension, boredom, loneliness, fatigue or frustration.
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.
F63. 3 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
- Don’t say “stop it” …
- Don’t stay in the dark! …
- Don’t blame your kiddo. …
- Don’t be preoccupied with pulling or picking. …
- Don’t praise the progress.
Primarily cognitive obsessive-compulsive disorder (also commonly called “primarily obsessional OCD”, purely obsessional OCD, Pure-O, OCD without overt compulsions or with covert compulsions) is a lesser-known form or manifestation of OCD. It is not a diagnosis in the DSM-5.
- Cleaning/contamination OCD. …
- Order/symmetry or counting compulsions OCD. …
- Harm OCD. …
- Hoarding OCD.
According to the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5), anxiety disorders include disorders that share features of excessive fear and anxiety and related behavioral disturbances.