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    • "" In a similar manner, the DSM-IV (American Psychiatric Association, 1994) excludes the diagnosis of trichotillomania if the disturbance is better accounted for by another mental disorder or is due to a general medical condition. In other words, as described by O' Sullivan et al. (1997), chronic hair pulling can result from a variety of conditions, including psychosis, and it often occurs outside the person's awareness, whereas, in contrast, the hair pulling of trichotillomania appears mostly to arise de novo. In the index case, the description of hair pulling behaviour is similar to that reported by patients of trichotillomania . "
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    ABSTRACT: Background and Objective: Trichotillomania as a comorbid disorder with schizophrenia has been described rarely. Available data suggests that in some subjects the hair pulling behaviour is secondary to psychotic symptoms. We aim to present a case of trichotillomania in a young adult with schizophrenia to add to the scarce literature available on this comorbidity. Case Description: The hair pulling behaviour in the index case was due to a strong urge, which was re-lieved by the behaviour and was not secondary to any psychotic symptoms. The course of trichotillomania was independ-ent of the course of psychotic symptoms in the index case, i.e. the partial improvement in psychotic symptoms was not accompanied by improvement in hair pulling behaviour, whereas the latter responded partially to administration of fluoxetine in addition to an antipsychotic agent. Conclusion: The index case suggests a true comorbidity between schizophrenia and trichotillomania (German J Psychiatry 2010; 13 (3): 154–156).
    Full-text · Article · Jan 2010 · German Journal of Psychiatry
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    • "Although trichotillomania is increasingly recognized to be a prevalent disorder, there are relatively few resources available to those who suffer from this condition [4]. We were interested in the experience that people with trichotillomania (TTM) have of virtual TTM groups. "
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    ABSTRACT: A substantial number of patients suffering from psychological problems or psychiatric disorders have turned to internet support groups for help. This paper reports on the perceived effectiveness of trichotillomania (TTM) internet support groups for people suffering from hair-pulling. A questionnaire was sent via e-mail to all subscribers of two mailing lists devoted to TTM, each of which takes a somewhat different approach to the condition. The questionnaire addressed the possible benefits and problems associated with belonging to a TTM virtual support group. Subscribers had similar demographic features as clinical samples of trichotillomania patients. Subscribers to both internet lists found them helpful in terms of feeling supported and in obtaining information. The different approaches to TTM on the two lists were associated with differences in treatments attempted by participants. Internet support groups can potentially contribute to increasing awareness about and knowledge of psychiatric disorders such as TTM, as well as to their management. Nevertheless, additional effort is required to ensure that subscribers are able to make informed, evidence-based decisions.
    Full-text · Article · Feb 2005 · BMC Psychiatry
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    ABSTRACT: Self-mutilation (SM), the deliberate, nonsuicidal destruction of one's own body tissue, occurs in such culturally sanctioned practices as tattooing; body piercing; and healing, spiritual, and order-preserving rituals. As a symptom, it has typically been regarded as a manifestation of borderline behavior and misidentified as a suicide attempt. It has begun to attract mainstream media attention, and many more who suffer from it are expected to seek treatment. This review suggests that SM can best be understood as a morbid self-help effort providing rapid but temporary relief from feelings of depersonalization, guilt, rejection, and boredom as well as hallucinations, sexual preoccupations, and chaotic thoughts. Major SM includes infrequent acts such as eye enucleation and castration, commonly associated with psychosis and intoxication. Stereotypic SM includes such acts as head banging and self-biting most often accompanying Tourette's syndrome and severe mental retardation. Superficial/moderate SM includes compulsive acts such as trichotillomania and skin picking and such episodic acts as skin-cutting and burning, which evolve into an axis I syndrome of repetitive impulse dyscontrol with protean symptoms.
    No preview · Article · Jun 1998 · Journal of Nervous & Mental Disease
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