Amber Lujan
Dr. Christine Curtis
Psych 100
September 3, 2015
Trichotillomania TTM
Diagnostic Criteria:
described as the constant pulling of one’s hair, resulting in hair loss. it can occur anywhere on the body where hair grows but the scalp is most common, followed by eyebrows and eyelashes.
Diagnostic criteria for 312.39 Trichotillomania
DSM IV - TR
A. Recurrent pulling out of one's hair resulting in noticeable hair loss.
B. An increasing sense of tension immediately before pulling out the hair or when attempting to resist the behavior.
C. Pleasure, gratification, or relief when pulling out the hair.
D. The disturbance is not better accounted for by another mental disorder and is not due to a general medical condition (e.g., a dermatological condition).
E. The disturbance causes clinically significant distress or impairment in social, occupational, or other important areas of functioning. (1)
Epidemiology:
A. Studies on the commonality of TTM are rare, estimates are that approximately 8 million people have TTM. Further studies are needed.
B. A study of college students, 1-2% had past/present symptoms. 1.5% being males and 3.4% for females. A survey at an African American college showed 6.3% have a history of pulling out their hair.
C. TTM is more common in
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Most use the ComB Model ( Sensory, Cognitive, Affective, Motor and Place or SCAMP) they use it differently. www.trich.org lists many different ways they use each section. Personally, my parents had a foster child when i was growing up and her name was Courtney. I never knew that pulling your eyelashes out was a disorder until this class. It opens my eyes up to so many more things that i saw with her that i never would have known. She could not resist pulling her eyelashes and when she would go to counseling they never had her use her fingertips for anything, always palm or a
The patient presents with hair loss that began 5 months ago. The problem is mild to moderate and has worsened. The initial location of hair loss was the diffuse scalp and temporal region that occurred gradually. Symptoms are associated with very low carbohydrate dieting and new medication within 3 - 6 months (Aleve). Symptoms are not associated with hair pulling, increased psychological stress, fever, recent illness, recent surgery or scalp rash. Relevant history positive for family history of hair thinning on both sides. Relevant history negative for anemia, hyperthyroidism, hypothyroidism,
b. Patients who are used to be competent are not longer competent did not express their wishes, but their values/ principles/
F. The disturbance is not due to the direct physiological effects of a substance (e.g., a drug of abuse, a medication) or a general medical condition (e.g., hyperthyroidism), and does not occur exclusively during a mood disorder, psychotic disorder, or a pervasive developmental disorder. (DSM-IV)
5. What is (are) the potential disease or disorder? Include (a) a justification for your decision, (b) the causal agent, and (c) the mode of transmission.
Read each case below and determine what psychological disorder each patient might have. In your own words, state your reasons why. Type your answer directly below each case.
As a whole, mental illness tends to be represented in one of two ways: a
12. Describe and give an example exemplifying the tension between explanations of mental illness based on the medical model and those based on the psychological model.
a. This isolation and anxiety results in a sharp deterioration of their physical and mental status.
Trichotillomania is an impulse desire to pull out ones hair. I will be talking about what it is, what causes trichotillomania, and the effects it has on the body.
B. I have a close friend, Ash, who was diagnosed with schizophrenia at an age of 23 earlier this year.
People are usually diagnosed with trichotillomania between the age of nine and thirteen years old. In most cases, trichotillomania is known to last a lifetime; however, the act of pulling hair out is not always consistent. People can go on irregular periods of pulling their hair out. The periods in which hair pulling occurs and the breaks in between the periods can last anywhere from a few days to a few years. Hair pulling is done in sessions or short periods of time. The sessions of hair pulling last up to a few minutes or hours and the places in which most people with trichotillomania pull from is the scalp, eyebrows, and eyelashes.
A large percentage of individuals experience stress and anxiety each day. It may be unavoidable, but managing your stress with medications, exercise, and breathing techniques is a possibility. Unfortunately, many individuals begin to lose their hair when living with emotional distress.
An early diagnosis of trichotillomania becomes important because trichotillomania can cause temporary and permanent damage to the human body. For example, uncontrolled hair pulling can lead to skin bleeding. In severe cases, infections can affect the bleeding areas, causing serious damage to the skin (Phillipson and Gibson). Patients may also swallow the hairs that are removed from the body, causing hair clusters to form inside the stomach. This condition, called trichophagia, can lead to stomach pain or even stomach bleeding (“Trichotillomania”). Other forms of damage caused by uncontrolled hair pulling may include “short and broken hairs,” damaged hair follicles, and increased existence of non-growing hairs. These are common harms of trichotillomania that may have the
3. The disturbance caused marked distress or significant impairments in social, occupational, or other important areas of functioning.
Early symptoms of Tourette syndrome occur in children at around 3 and 9 years and occur in equal percentages in all ethnic groups. However, TS occurs more often in males than females with over 200,000 Americans having severe TS. The reason for this is because the syndrome is a dominant trait genetically passed down on the X chromosome. Since males have only one X chromosome, they are more likely to have it than females, specifically three times more likely. Even though TS is chronic, most people who are diagnosed early can live a more improved lifestyle for the rest of their lives.