Trichotillomania

2017 ◽  
Author(s):  
Christine Lochner ◽  
Dan Stein ◽  
Eileen Thomas
Keyword(s):  
Key Words ◽  
Obsessive Compulsive Disorder ◽  
Hair Loss ◽  
Hair Pulling ◽  
Obsessive Compulsive ◽  
Related Disorder ◽  
Compulsive Disorder ◽  
Common Disorder ◽  
Clinical Phenomenology ◽  
Hair Pulling Disorder

Trichotillomania (hair pulling disorder [HPD]) is a common disorder affecting mostly women that is often underreported and underrecognized. This condition involves repetitive hair pulling resulting in hair loss with repeated unsuccessful attempts to control or stop the pulling behavior. Individuals usually attempt to conceal or camouflage the hair loss. Clinical phenomenology, neurobiology, and genetic underpinning suggest associations between obsessive-compulsive disorder and HPD. This review contains 1 table, and 19 references. Key words: hair loss, hair pulling, obsessive-compulsive and related disorder, trichotillomania

Hoarding Disorder

2017 ◽  
Author(s):  
Christine Lochner ◽  
Dan Stein ◽  
Eileen Thomas
Keyword(s):  
Key Words ◽  
Obsessive Compulsive Disorder ◽  
Obsessive Compulsive ◽  
Related Disorder ◽  
Statistical Manual ◽  
Hoarding Disorder ◽  
Compulsive Disorder ◽  
Diagnostic And Statistical Manual

Hoarding disorder is characterized by an obsessive need to acquire, collect, or keep possessions and difficulty in organizing and discarding, resulting in accumulation of clutter, which elicits great concern from family and friends. Functioning is usually impaired in a variety of domains. Obsessive-compulsive disorder is the disorder most closely associated with hoarding. Overvalued ideation regarding the value or usefulness of possessions may make it impossible for individuals to discard items. This review contains 1 table, and 22 references. Key words: clutter, diagnostic and statistical manual, etiology, hoarding, obsessive-compulsive and related disorder

scholarly journals Trichotillomania associated with a 25-hydroxy vitamin D deficiency: A case report

2020 ◽  
Vol 10 (1) ◽  
pp. 38-43
Author(s):  
Erika Titus-Lay ◽  
Tony Joseph Eid ◽  
Tiffany-Jade Kreys ◽  
Bo Xuan Joshua Chu ◽  
Ashim Malhotra
Keyword(s):  
Vitamin D ◽  
Vitamin D Deficiency ◽  
General Hospital ◽  
Obsessive Compulsive Disorder ◽  
Hair Loss ◽  
Vitamin D3 ◽  
Massachusetts General Hospital ◽  
Hair Pulling ◽  
Obsessive Compulsive ◽  
Compulsive Disorder

Abstract Vitamin D deficiency has been correlated with non-scarring alopecia including alopecia areata or female pattern hair loss. It was theorized that hair loss secondary to vitamin D deficiency in patients susceptible to trichotillomania may exacerbate this obsessive-compulsive disorder. Though vitamin D deficiency is common, especially among patients suffering from neuropsychiatric disorders, its correlation with trichotillomania is not well reported. Two female patients suffering from trichotillomania defined by noticeable hair loss on the scalp through the Massachusetts General Hospital Hair Pulling Scale were treated to promote hair growth. Treatment included dietary supplementation with vitamin D3 1000 IU every day. It was found that in both patients treated with vitamin D3, marked improvements occurred over the span of 3 to 4 months. These included a reduction in obsessive compulsive disorder related hair loss as measured using the Massachusetts General Hospital Hair Pulling Scale, which correlated to their serum 25-hydroxyvitamin D levels. Experimental and clinical evidence is available to explain the underlying physiology and its probable relationship to trichotillomania's pathophysiology.

A Neurocognitive Comparison of Pediatric Obsessive-Compulsive Disorder and Trichotillomania (Hair Pulling Disorder)

2020 ◽  
Vol 48 (5) ◽  
pp. 733-744 ◽  
Author(s):  
Emily P. Wilton ◽  
Christopher A. Flessner ◽  
Elle Brennan ◽  
Yolanda Murphy ◽  
Michael Walther ◽  
...  
Keyword(s):  
Obsessive Compulsive Disorder ◽  
Hair Pulling ◽  
Obsessive Compulsive ◽  
Compulsive Disorder ◽  
Hair Pulling Disorder

Severe Obsessive-Compulsive Disorder With and Without Comorbid Hair Pulling

2005 ◽  
Vol 66 (07) ◽  
pp. 864-869 ◽  
Author(s):  
S. Evelyn Stewart ◽  
Michael A. Jenike ◽  
Nancy J. Keuthen
Keyword(s):  
Obsessive Compulsive Disorder ◽  
Hair Pulling ◽  
Obsessive Compulsive ◽  
Compulsive Disorder

Obsessive–Compulsive Disorder

2018 ◽  
pp. 311-328
Author(s):  
Shannon M. Blakey ◽  
Jonathan S. Abramowitz
Keyword(s):  
Obsessive Compulsive Disorder ◽  
Monitoring And Evaluation ◽  
Work Relationships ◽  
Assessment Instruments ◽  
Case Conceptualization ◽  
Subjective Distress ◽  
Obsessive Compulsive ◽  
Related Disorder ◽  
Compulsive Disorder ◽  
Scientific Support

Abstract: Obsessive–compulsive disorder is classified as an obsessive–compulsive and related disorder characterized by obsessions or compulsions. Obsessions are persistent intrusive thoughts, ideas, images, or doubts that are experienced as unacceptable, senseless, or bizarre. The intrusions also evoke subjective distress (e.g., anxiety, fear, and doubt) and are not simply everyday worries about work, relationships, or finances. This chapter focuses on the assessment of obsessive–compulsive disorder in adults. It begins with a review of the nature of the disorder, which is followed by a review of clinical assessment instruments designed for the assessment purposes of (a) diagnosis, (b) case conceptualization and treatment planning, and (c) treatment monitoring and evaluation. Recommendations are included for instruments with the greatest scientific support and for assessing obsessive–compulsive disorder in a clinically sensitive manner.

Abuse and self-inflicted disease

2020 ◽  
pp. 359-374
Keyword(s):  
Sexual Abuse ◽  
Child Abuse ◽  
Systemic Diseases ◽  
Hair Pulling ◽  
Obsessive Compulsive ◽  
Clinical Images ◽  
Dermatitis Artefacta ◽  
Compulsive Disorder ◽  
Hair Pulling Disorder ◽  
Habit Disorders

This chapter contains clinical images of artefactual/factitious disease noting that abuse may be accidental, perpetrated by others, or self-inflicted (dermatitis artefacta/factitia). A list of cutaneous signs suspicious of possible child abuse followed by pointers in the examination and history is provided. Suspicious bruising and purpura are covered with a list of conditions mimicking or causing bruising, including serious systemic diseases such as leukaemia, infections, and clotting disorders. An explanation is given of how to proceed in cases of suspected sexual abuse and highlights some diseases that might be mistaken for abuse. The different of types of factitious disease, including psychiatric disorders such as obsessive-compulsive disorder and dysmorphophobia, are described. Normal habit disorders are outlined including infant hair pulling, which should be differentiated from hair-pulling disorder (previously known as trichotillomania).

Pharmacological, experimental therapeutic, and transcranial magnetic stimulation treatments for compulsivity and impulsivity

CNS Spectrums ◽  
2013 ◽  
Vol 19 (1) ◽  
pp. 50-61 ◽  
Author(s):  
Stefano Pallanti ◽  
Eric Hollander
Keyword(s):  
Transcranial Magnetic Stimulation ◽  
Magnetic Stimulation ◽  
Selective Serotonin Reuptake Inhibitors ◽  
Repetitive Transcranial Magnetic Stimulation ◽  
Behavioral Therapy ◽  
Hair Pulling ◽  
Obsessive Compulsive ◽  
Compulsive Disorder ◽  
Diagnostic And Statistical Manual ◽  
Hair Pulling Disorder

Obsessive-compulsive disorder (OCD) has been recently drawn apart from anxiety disorder by the Diagnostic and Statistical Manual of Mental Disorders, 5th edition (DSM-5) and clustered together with related disorders (eg, hoarding, hair pulling disorder, skin picking), which with it seems to share clinical and neurophysiological similarities. Recent literature has mainly explored brain circuitries (eg, orbitofrontal cortex, striatum), molecular pathways, and genes (eg, Hoxb8, Slitrk5, Sapap3) that represent the new target of the treatments; they also lead the development of new probes and compounds. In the therapeutic field, monotherapy with cognitive behavioral therapy (CBT) or selective serotonin reuptake inhibitors (SSRIs) is recommendable, but combination or augmentation with a dopaminergic or glutamatergic agent is often adopted. A promising therapy for OCD is represented by repetitive transcranial magnetic stimulation (rTMS), which is suitable to treat compulsivity and impulsivity depending on the protocol of stimulation and the brain circuitries targeted.

Depression in youth with obsessive-compulsive disorder: Clinical phenomenology and correlates

2012 ◽  
Vol 196 (1) ◽  
pp. 83-89 ◽  
Author(s):  
Eric A. Storch ◽  
Adam B. Lewin ◽  
Michael J. Larson ◽  
Gary R. Geffken ◽  
Tanya K. Murphy ◽  
...  
Keyword(s):  
Obsessive Compulsive Disorder ◽  
Obsessive Compulsive ◽  
Compulsive Disorder ◽  
Clinical Phenomenology
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