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Trichotillomania and Excoriation Disorder

  • E. B. LeeEmail author
  • C. W. Ong
  • M. P. Twohig
Chapter

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.

Keywords

Trichotillomania Hair-pulling disorder Excoriation disorder Skin-picking Dermatillomania Habit reversal training Cognitive behavioral therapy Acceptance and commitment therapy 

References

  1. American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders: DSM-5™ (5th ed.). Arlington, VA: American Psychiatric Publishing.CrossRefGoogle Scholar
  2. 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.CrossRefPubMedGoogle Scholar
  3. Bouwer, C., & Stein, D. J. (1998). Trichobezoars in trichotillomania: Case report and literature overview. Psychosomatic Medicine, 60(5), 658–660.CrossRefPubMedGoogle Scholar
  4. 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.CrossRefPubMedGoogle Scholar
  5. 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.CrossRefPubMedGoogle Scholar
  6. 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.CrossRefGoogle Scholar
  7. 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.CrossRefPubMedGoogle Scholar
  8. 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.CrossRefPubMedPubMedCentralGoogle Scholar
  9. 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.CrossRefPubMedGoogle Scholar
  10. 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 CrossRefGoogle Scholar
  11. 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.CrossRefPubMedGoogle Scholar
  12. 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 CrossRefPubMedGoogle Scholar
  13. 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 CrossRefPubMedGoogle Scholar
  14. Woods, D. W., & Twohig, M. P. (2008a). Trichotillomania an ACT-enhanced behavior therapy approach: Therapist guide. Oxford; New York: Oxford University Press.CrossRefGoogle Scholar
  15. Woods, D. W., & Twohig, M. P. (2008b). Trichotillomania: An ACT-enhanced behavior therapy approach: Workbook. New York: Oxford University Press.CrossRefGoogle Scholar

Copyright information

© Springer International Publishing AG 2018

Authors and Affiliations

  1. 1.Utah State UniversityLoganUSA

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