Moretti Magdolna
Pszichiátriai magánrendelés, Eger.
Neuropsychopharmacol Hung. 2008 Oct;10(4):201-12.
Trichotillomania an impulse disorder that causes people to pull out the hair) is a relatively rare psychiatric illness, though the number of patients in need are definitely much higher than that we encounter in psychiatric practice. According to ICD-10 and DSM-IV-TR trichotillomania is an impulse disorder but latest researches in neurobiology and picture taking procedures seem to provide convincing evidence of it's being a relative of addictions. The article is a glimpse into the core of the newest literature also focusing on therapeutical solutions. The therapeutical effects of mode stabilizers as lamotrigine appear to gain on significance in the treatment of compulsive-impulsive illnesses such as trichotillomania. The article points out the especially high comorbidity with depression and dysthymia (OCD) and focuses on the psychopathologic impact of early traumas. In the case study many elements of the complex therapy of trichotillomania are also displayed.
拔毛癖（一种导致人们拔头发的冲动障碍）是一种相对罕见的精神疾病，尽管有需求的患者数量肯定比我们在精神科实践中遇到的要多得多。根据国际疾病分类第10版（ICD - 10）和《精神疾病诊断与统计手册》第四版修订版（DSM - IV - TR），拔毛癖是一种冲动障碍，但神经生物学和成像程序的最新研究似乎提供了令人信服的证据，表明它与成瘾性疾病相关。本文简要介绍了最新文献的核心内容，同时也关注治疗方案。诸如拉莫三嗪等心境稳定剂在治疗拔毛癖等强迫冲动性疾病中的治疗效果似乎越来越重要。文章指出拔毛癖与抑郁症和心境恶劣障碍（强迫症）的共病率特别高，并关注早期创伤的心理病理学影响。在案例研究中，还展示了拔毛癖综合治疗的许多要素。
