All of the following treatments are useful for this disorder except:
B. Cognitive Behavioural Therapy
C. Electroconvulsive Therapy
D. Shaving/Clipping Hair close to scalp
Ans:C. Electroconvulsive Therapy.
(A) Round patch of incomplete alopecia on the vertex demonstrating the “tonsure pattern” or “Friar Tuck sign”. No inflammation or scale was present on examination. (B) Detail of the alopecic area
The patient in question is suffering from Trichotillomania.
- Also known as hair pulling disorder, is an impulse control disorder characterized by a long-term urge that results in the pulling out of one’s hair.
- It occurs more commonly in those with obsessive-compulsive disorder.
- Episodes of pulling may be triggered by anxiety.
- Trichotillomania most commonly begins in childhood.
- Treatment is typical with cognitive behavioral therapy, shaving or clipping hair close to the scalp may be helpful both for stopping the behavior and for educating the parents regarding the nature of the alopecia.
- The primary agents used are selective serotonin reuptake inhibitors (SSRIs).
- The medication clomipramine may also be helpful.