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….
 Cases presented to our clinic
Case Reason for Admitted Psychiatri Pattern notes
consultation c disorder
1 Infection at Yes ?depresson Occipital Very
site of hiding ashamed
plucking hair style
2 Something Yes, not Seems no All over ? Habbit
else botherd
3 Hair loss No ?? strange Frontal Not
personality ashamed
4 Hair loss Yes, with ?? Difficult Patchy, Not
difficulty personality occipito- ashamed
temporal
 Management
 Psychotherapy and help groups
 Pharmacological agents