Skip to main content
  • 1596 Accesses

Abstract

Trichotillomania, or hair-pulling disorder, is characterized by the recurrent pulling out of one’s hair, leading to hair loss. The Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5; American Psychiatric Association, 2013), specifies additional diagnostic criteria for trichotillomania: (a) repeated attempts to reduce or stop hair pulling, (b) the hair pulling causes clinically significant distress or functional impairment, and (c) the hair pulling or hair loss is not due to a medical or other mental condition. Hair pulling can be observed in any region of the body, including the scalp, eyebrows, and axillary region.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 99.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 129.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 199.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  • American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders: DSM-5™ (5th ed.). Arlington, VA: American Psychiatric Publishing.

    Book  Google Scholar 

  • Arnold, L. M., Mutasim, D. F., Dwight, M. M., Lamerson, C. L., Morris, E. M., & McElroy, S. L. (1999). An open clinical trial of fluvoxamine treatment of psychogenic excoriation. Journal of Clinical Psychopharmacology, 19(1), 15–18.

    Article  PubMed  Google Scholar 

  • Bouwer, C., & Stein, D. J. (1998). Trichobezoars in trichotillomania: Case report and literature overview. Psychosomatic Medicine, 60(5), 658–660.

    Article  PubMed  Google Scholar 

  • Keuthen, N. J., O’Sullivan, R. L., Ricciardi, J. N., & Shera, D. (1995). The Massachusetts General Hospital (MGH) hairpulling scale: I. Development and factor analyses. Psychotherapy and Psychosomatics, 64(3–4), 141–145.

    Article  PubMed  Google Scholar 

  • Keuthen, N. J., Rothbaum, B. O., Fama, J., Altenburger, E., Falkenstein, M. J., Sprich, S. E., … Welch, S. S. (2012). DBT-enhanced cognitive-behavioral treatment for trichotillomania: A randomized controlled trial. Journal of Behavioral Addictions, 1(3), 106–114.

    Article  PubMed  Google Scholar 

  • Keuthen, N. J., & Sprich, S. E. (2012). Utilizing DBT skills to augment traditional CBT for trichotillomania: An adult case study. Cognitive and Behavioral Practice, 19(2), 372–380.

    Article  Google Scholar 

  • Keuthen, N. J., Wilhelm, S., Deckersbach, T., Engelhard, I. M., Forker, A. E., Baer, L., & Jenike, M. A. (2001). The skin picking scale: Scale construction and psychometric analyses. Journal of Psychosomatic Research, 50(6), 337–341.

    Article  PubMed  Google Scholar 

  • Nelson, S. O., Rogers, K., Rusch, N., McDonough, L., Malloy, E. J., Falkenstein, M. J., … Haaga, D. A. (2014). Validating indicators of treatment response: Application to trichotillomania. Psychological Assessment, 26(3), 857.

    Article  PubMed  PubMed Central  Google Scholar 

  • Ninan, P. T., Rothbaum, B. O., Marsteller, F. A., Knight, B. T., & Eccard, M. B. (2000). A placebo-controlled trial of cognitive-behavioral therapy and clomipramine in trichotillomania. The Journal of Clinical Psychiatry, 61(1), 47–50.

    Article  PubMed  Google Scholar 

  • Singh, S., Wetterneck, C. T., Williams, M. T., & Knott, L. E. (2016). The role of shame and symptom severity on quality of life in obsessive-compulsive and related disorders. Journal of Obsessive-Compulsive and Related Disorders, 11, 49–55. https://doi.org/10.1016/j.jocrd.2016.08.004

    Article  Google Scholar 

  • Swedo, S. E., Leonard, H. L., Rapoport, J. L., Lenane, M. C., Goldberger, E. L., & Cheslow, D. L. (1989). A double-blind comparison of clomipramine and desipramine in the treatment of trichotillomania (hair pulling). New England Journal of Medicine, 321(8), 497–501.

    Article  PubMed  Google Scholar 

  • Tolin, D. F., Diefenbach, G. J., Flessner, C. A., Franklin, M. E., Keuthen, N. J., Moore, P., … Trichotillomania Learning Center Scientific Advisory Board. (2008). The trichotillomania scale for children: Development and validation. Child Psychiatry and Human Development, 39(3), 331–349. https://doi.org/10.1007/s10578-007-0092-3

    Article  PubMed  Google Scholar 

  • Walther, M. R., Flessner, C. A., Conelea, C. A., & Woods, D. W. (2009). The Milwaukee Inventory for the Dimensions of Adult Skin Picking (MIDAS): Initial development and psychometric properties. Journal of Behavior Therapy and Experimental Psychiatry, 40(1), 127–135. https://doi.org/10.1016/j.jbtep.2008.07.002

    Article  PubMed  Google Scholar 

  • Woods, D. W., & Twohig, M. P. (2008a). Trichotillomania an ACT-enhanced behavior therapy approach: Therapist guide. Oxford; New York: Oxford University Press.

    Book  Google Scholar 

  • Woods, D. W., & Twohig, M. P. (2008b). Trichotillomania: An ACT-enhanced behavior therapy approach: Workbook. New York: Oxford University Press.

    Book  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to E. B. Lee .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2018 Springer International Publishing AG

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Lee, E.B., Ong, C.W., Twohig, M.P. (2018). Trichotillomania and Excoriation Disorder. In: Maragakis, A., O'Donohue, W. (eds) Principle-Based Stepped Care and Brief Psychotherapy for Integrated Care Settings. Springer, Cham. https://doi.org/10.1007/978-3-319-70539-2_41

Download citation

Publish with us

Policies and ethics