Diagnosis of Hair Pulling

Trichotillomania is a disorder characterized by the compulsive urge to pull out scalp, facial, and body hair, generally resulting in noticeable bald spots. Trichotillomania is also known as trich, the hair-pulling disorder, and pulling.

History

• French dermatologist Francois Henri Hallopeau coined the term trichotillomania in 1889. It is a combination of three Greek words meaning "hair," "to pull," and "frenzy."

Symptoms

• Symptoms of trichotillomania as outlined by the American Psychiatric Association include the repetitive, irresistible urge to pull out hair and feelings of relief associated with the action. Areas affected by pulling are typically marked by obvious bald patches and sparse, uneven hair growth.

Causes

• Trichotillomania is an impulse-control disorder. Its causes are not certain, though a combination of genetics and brain chemical abnormalities may influence the behavior.

Diagnosis

• In order to diagnose trichotillomania, all other causes of hair loss must be ruled out. Furthermore, patients must exhibit the hair-pulling symptoms defined by the American Psychiatric Association.

Treatment

• Treatment options for trichotillomania include antidepressants and behavioral therapy.