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Pediatr Dermatol. 2019 Nov;36(6):803-807. doi: 10.1111/pde.13954. Epub 2019 Oct 6.

Pediatric trichotillomania: Review of management.

Author information

1
Long School of Medicine, University of Texas Health Science Center at San Antonio, San Antonio, Texas.
2
Department of Psychiatry, Dell Medical School, University of Texas at Austin, Austin, Texas.
3
Texas Child Study Center, Austin, Texas.
4
Dell Children's Medical Center, Austin, Texas.
5
Division of Dermatology, Dell Medical School, University of Texas at Austin, Austin, Texas.
6
Department of Pediatrics, Dell Medical School, University of Texas at Austin, Austin, Texas.

Abstract

Trichotillomania can present in childhood, with many families seeking initial evaluation by a dermatologist for hair loss. Prompt and accurate diagnosis by dermatologists is crucial, as children can suffer from academic or social impairments as well as mental health sequelae. Children are especially vulnerable to lasting psychological distress from appearance-related bullying. This article reviews the psychosocial impacts of pediatric trichotillomania and the current interventions studied in this population. Included are studies evaluating behavioral therapies as well as pharmacologic options. This review highlights the importance of early and appropriate identification, intervention, and the need for more treatment studies in the pediatric population.

KEYWORDS:

body-focused repetitive behavior; habit reversal therapy; trichotillomania

PMID:
31588617
DOI:
10.1111/pde.13954

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