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Trichotillomania (2007). Dr.Amal Kokandi. Trichotillomania. Tricho: hair, tillo: plucking, mania: madness Prevelance: resulting in clinical hair loss (approximately 1%), with no clinical hair loss (15 %) Female> males Feeling of shame, guilt and frustration
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Trichotillomania (2007) Dr.Amal Kokandi
Trichotillomania • Tricho: hair, tillo: plucking, mania: madness • Prevelance: resulting in clinical hair loss (approximately 1%), with no clinical hair loss (15 %) • Female> males • Feeling of shame, guilt and frustration • Social impact (to conceal and social interactions)
Trichotillomania • Hetrogenous group of disorders!! • Types: focused and automatic • Assessment and how to measure hair loss (clinical, objective and hair count methods) • Different views: • Habit if started in children (nail biting, finger licking) • Psychiatric background if strated later • Obssessive compulsive disorder • Depression, pschizophrenia, borderline personality….
Trichotillomania • Childhood events !!more than 90% • Trichotillomania vs trichotieromania • Diagnosis • Bizarre shaped alopecia areata, frayed ends, different lengths of hairs, sites • Complications: • Infections, psychological impacts, shame and lowered self esteem, carpal tunnel syndrome, trichophagia and trichobizzoare….
Management • Psychotherapy and help groups • Pharmacological agents