Problems of trichotillomania in childhood

Abstract

Trichotillomania involves hair-pulling episodes that result in noticeable hair loss. Individuals repetitively pull out their own hair, the most common areas are the scalp, followed by eyelashes, eyebrows, and the pubic region. Trichotillomania is an obsessive-compulsive disorder and it can occur at any age but most commonly in childhood, typically in two age groups - preschool age and early puberty age. The objektive of a dermatologist is primarily to establish the correct diagnosis. Psychoterapy led by a psychologist and psychiatrist, in some cases in combination with antidepressants and antipsychotics, is considered best. Long-term therapy is necessary since relapses are unfortunately frequent, especially when the patient is in stressful situations.