Kluglein Kimberly A, Lo David F, Shamilov Don, White Christian P
College of Osteopathic Medicine, Nova Southeastern University Dr. Kiran C. Patel College of Osteopathic Medicine, Clearwater, USA.
Medicine, American Preventative Screening& Education Association, Stratford, USA.
Cureus. 2024 Sep 25;16(9):e70163. doi: 10.7759/cureus.70163. eCollection 2024 Sep.
Trichotillomania, a psycho-dermatologic disorder defined by self-inflicted often noticeable hair loss through hair-pulling, is difficult to manage and treat. Its etiology is multifactorial and frequently is complicated by comorbid conditions like anxiety and depression. Evidence-based treatment is limited but options involve a combination of pharmacotherapy and cognitive-behavioral therapy (CBT), habit reversal training (HRT), and acceptance and commitment therapy (ACT). Many individuals still struggle with the condition despite therapy efforts. This is the case of a 24-year-old female who has a diagnosis of treatment-resistant trichotillomania and found remission of hair-pulling and subsequent hair regrowth by a combination of mindset reframing, physical barriers, and community support. Through these mechanisms, she has managed to stay pull-free for 9 months, the longest period she has experienced without hair-pulling episodes in 10 years. This case demonstrates that novel approaches using enhanced mindsets and shared experiences can provide positive results for people affected by trichotillomania. The implications of this case may help other individuals suffering from this diagnosis achieve remission of hair-pulling. Additionally, this case serves as a catalyst for future research to be done into the long-term effects of community empowerment and mentality-based interventions as treatments for trichotillomania.
拔毛癖是一种精神皮肤病，其定义为通过拔毛导致自我造成的、通常较为明显的脱发，难以管理和治疗。其病因是多因素的，并且常常因焦虑和抑郁等共病而复杂化。循证治疗有限，但治疗选择包括药物治疗与认知行为疗法（CBT）、习惯逆转训练（HRT）以及接纳与承诺疗法（ACT）的联合使用。尽管进行了治疗，许多患者仍然与这种疾病作斗争。这是一位24岁女性的案例，她被诊断为难治性拔毛癖，通过重新构建思维模式、设置身体障碍和社区支持相结合的方式，实现了停止拔毛并随后头发再生。通过这些机制，她成功保持了9个月没有拔毛，这是她10年来经历的最长无拔毛期。该案例表明，采用强化思维模式和共享经验的新方法可以为拔毛癖患者带来积极效果。该案例的启示可能有助于其他患有这种疾病的人实现停止拔毛。此外，该案例促使未来开展关于社区赋权和基于心态的干预措施作为拔毛癖治疗方法的长期效果的研究。
