Associated Factors and Psychological Management of Trichotillomania

Abstract

Trichotillomania, also known as hair pulling disorder, is a chronic and debilitating psychiatric condition characterized by repetitive pulling out of one’s hair resulting in noticeable hair loss and distress. This review article aimed to provide an overview of the associated factors and psychological management of trichotillomania. The findings suggest that trichotillomania is often co-morbid with other psychiatric disorders, such as anxiety and mood disorders, and it is associated with childhood trauma, family dysfunction, and personality traits such as perfectionism and impulsivity. Psychological treatments such as Cognitive-Behavioral Therapy (CBT), Habit Reversal Training (HRT), Acceptance and Commitment Therapy (ACT) and Dialectical Behavior Therapy (DBT) have shown promise in reducing hair pulling behavior and improving quality of life in individuals with trichotillomania. Other interventions, including medication and alternative therapies, have also been explored but have limited evidence to support their efficacy. In conclusion, trichotillomania is a complex disorder with multiple associated factors that require a multidisciplinary approach for effective management. Psychological interventions such as CBT and HRT are the most well-established treatments for trichotillomania.