期刊名称:Journal of Indian Association for Child and Adolescent Mental Health
电子版ISSN:0973-1342
出版年度:2012
卷号:8
期号:4
页码:105-112
出版社:Indian Association for Child and Adolescent Mental Health
摘要:Trichotillomania is an impulse control disorder not so commonly encountered inpsychiatric clinical practice. Usually patients visit to dermatologists for hair loss andsubsequently being referred to psychiatrists. It is characterized by impulsive hair pullingleading to hair loss. It may follow biting the hairs and even swallowing of hairs leading toadverse sequel like trichobezoars. In the treatment of trichotillomania, selectiveserotonin reuptake inhibitors (SSRI), behaviour therapy and cognitive behaviour therapyare found to be effective. Among the behavioural techniques, Habit Reversal Therapy(HRT) is being proved to be highly effective. HRT is commonly tried in adultpopulations in comparison to paediatric population. Among the SSRIs, fluoxetine andparoxetine are commonly used. In this case report, unique combination of habit reversaltherapy with Escitalopram was tried in an adolescent girl with trichotillomania which wasfound to be highly effective