Cases That Test Your Skills

Trichotillomania: A heads-up on severe cases

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References

I have had excellent results with other trichotillomania patients—especially children and adolescents. Simply naming their condition and demystifying the problem can be therapeutic. Many patients have responded to SSRIs combined with CBT.

Not long ago, trichotillomania patients were met with ignorance and disbelief within the medical community as the disorder was poorly understood. We need to break this cycle of shame and continue investigating treatment strategies.

Related resources

  • StopPulling.com, an interactive behavioral program for persons with trichotillomania. www.stoppulling.com.
  • Penzel F. The hair pulling problem: a complete guide to trichotillomania. New York: Oxford University Press, 2003.
  • Keuthen NJ, Stein DJ, Christenson GA. Help for hair pullers: understanding and coping with trichotillomania. Oakland, CA: New Harbinger Publications, 2001.

Drug brand names

  • Amitriptyline • Elavil
  • Buspirone • BuSpar
  • Clomipramine • Anafranil
  • Fluoxetine • Prozac
  • Fluvoxamine • Luvox
  • Haloperidol • Haldol
  • Lithium • Eskalith, others
  • Methylphenidate • Concerta, Ritalin
  • Naltrexone • ReVia
  • Olanzapine • Zyprexa
  • Paroxetine • Paxil
  • Pimozide • Orap
  • Quetiapine • Seroquel
  • Risperidone • Risperdal
  • Sertraline • Zoloft
  • Tramadol • Ultram
  • Ziprasidone • Geodon

Disclosure

Dr. Lundt receives research grants from and/or is a speaker for Eli Lilly and Co., Pfizer Inc., GlaxoSmithKline, and Bristol-Myers Squibb Co.

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