Understanding Trichotillomania: An Impulse Control Disorder

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Trichotillomania (TTM) is classified as an impulse control disorder (Dia 2008). This disorder is characterized by the repetitive pulling of one’s own hair from any part of the body; the individual would have noticeable hair loss as well as personal distress (Flessner 2010). The features of this disorder also include the tension or uncomfortable feeling—for example, itch or urge—prior to pulling; and some might gain sense of pleasure, gratification, or relief after the pulling (Dia 2008). Trichotillomania severely affects the sufferers; Diefenbach found increased psychological distress and decreased self-esteem and quality of life among the patients who suffer from trichotillomania; mood, anxiety, depression, substance use, and personality disorders …show more content…

Normally, TTM des not have many serious physical consequences except for hair loss, however, a large number of individuals with TTM has reported that they might also bite, chew on, and sometimes, swallow their hair; this would cause trichophagia—resulted from hairballs in digestive system that may later become serious health issues and a lot of the time, require surgery to remove the hairballs (Flessner 2010). Also, children with TTM show two distinct styles of their hair-pulling behavior, which are referred to automatic and focused pulling; automatic pulling is described as pulling that occurs mainly not in a child’s awareness; conversely, focused pulling is described as pulling in response to unpleasant emotions such as stress, anger, and anxiety, or an intense thought or urge (Flessner 2010). Thus, different pulling styles might require different therapies (Flessner 2010). TTM might also lead to other mental disorders; about 38% of the children who suffer from TTM had been diagnosed with at least one other mental health disorder (Flessner 2010). In adults, depressive and anxiety disorders are the most commonly reported comorbidities (Lewin …show more content…

Relatives who suffer from TTM have shown higher rate of hair pulling behavior in other family members (Chatterjee 2012). Or, if the behavior is not hair-pulling, it is likely to be some similar behaviors such as nail biting, skin picking, and thumb sucking; these also show genetic association (Chatterjee 2012). And this might be a possible cause of the development of trichotillomania; however, it still need to be researched in the future (Chatterjee 2012). Also, childhood trauma might be another possible cause of developing trichotillomania; with the assistance of Childhood Trauma Questionnaire, which assesses physical, emotional, and sexual abuse as well as physical and emotional neglect, Lochner found out that data showed that childhood trauma was significantly higher in patients who suffer from OCD and/or TTM than in healthy people (Lochner 2002). Both OCD and TTM sufferers scored higher than healthy people on emotional neglect; and the data did show an association between anxiety disorders such as OCD and/or TTM and childhood trauma (Lochner 2002). However, this association may not be generalizable to males; variables such as age and socio-economic status may also influence the results; thus, further studies are needed (Lochner

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