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Trichotillomania or Trich is a Desire to pull out Hair from the Scalp
Trichotillomania is composed of several types of impulse control disorders that involve self–injury and Trich is one of the more common varieties. This disorder which is sometimes known as TTM or Trich is characterized by a desire to repeatedly pull out hair from the scalp, nose, eyebrows, pubic hair or any other body hair.
The result of this practice is usually patches on the affected areas of the afflicted person. This condition is clinically described by the Diagnostic and Statistical Manual of Mental Disorders as an impulse control disorder. However, there is still plenty of debate about how Trich should be classified because the ailment could easily fit the description of a habit, addiction, tic disorder or even a compulsive obsessive disorder.
The onset of Trich is usually experienced in the teenage years and could be as a result of stress or depression. The disease has many social implications and consequently many cases go unreported because the sufferers fear social stigmatization. It is for this reason that there is no accurate figure of the people suffering from the disorder. Approximate figures show that millions of people especially in the western world could be suffering from the disorder in addition to a prevalence rate of one percent.
People with trich normally have ordinary lives only that they often exhibit bald spots on the areas where hair has been pulled out. This has a psychological effect because the sufferer may experience low self esteem caused by stigmatization from peers and others in the community. Most individuals who have the disorder normally put on wigs or hats, use fake eyelashes or use other disguises to hide the areas with missing hair.
There are other conditions, which have been linked to TTM some of which are similar including nail biting and compulsive skin picking. It is difficult to make a definite assessment on whether these trich related disorders are mental disorders or physical disorders because of their repetitive nature.
Some Trichotillomania sufferers claim that eruption of pimples on the affected areas is what causes them to pull out hair. Others say that it is soreness on the skin that intensifies the urge to pull out hair and the more the sore in the area, the greater the urge to pull out hair. Some individuals actually chew or eat their hair after pulling it. Trichotillomania sufferers are known to also exhibit signs of obsessive compulsive disorder depression and anxiety.
The main treatment for Trichotillomania is Habit Reversal Training sometimes known as HRT. This mode of treatment has been known to yield more positive results than prescription medicine. HRT involves training an individual to identify the impulse that gives the urge to pull and thereafter redirect this urge. Click Here! to get help and find the solution.
Patients are advised to keep a diary of pulling episodes in order to help in analysis for treatment. Behavior records are an important aspect of Habit Rehearsal Training and allow the patient and medical therapist to know the extent of the condition. The symptoms may also be treated with drugs as a Tricylic anti-depressed, known as clomipramine. Trichotillomania should be diagnosed by a trained medical practitioner and follow-up treatment followed through to completion.
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