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Trichotillomania is a chronic psychiatric illness that is cognitively debilitating with the potential to be life threatening. Classified as an obsessive-compulsive related disorder, it is more prevalent among younger and female patients. Clinicians must complete a thorough psychiatric evaluation to screen for co-occurring psychiatric disorders. Gastrointestinal blockages must also be screened for in patients who present with abdominal symptoms. Trichotillomania is best treated via behavioural therapy with a focus on habit reversal therapy, with limited agreement on pharmacotherapy options.
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Sheikh et al. (2024) studied this question.
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