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Word Count: 473
Trichotillomania Trichotillomania is a term coined by a French dermatologist in 1889 to describe the compulsive or irresistible urge that he saw in patients to pluck their hair out The word trichotillomania is a Greek work meaning hair to pull pluck mania frenzy and madness This is somewhat misleading as trichotillomania is referred to in psychiatry as an impulse disorder not a madness at all Impulse control disorders are characterized by the inability to control or resist the impulse to do something harmful to oneself or to someone else A sufferer sometimes experiences a sense of pressure or tension before performing the behavior and can feel a release of tension afterwards Sometimes people even express a feeling of pleasure after having performed the act Features of trich that fit the description of an impulse disorder include the inability to resist the urge to pull out ones hair and mounting tension before pulling and the feeling of relief afterward Trich is a neurological disorder not just a bad habit and can be managed with proper treatment In the US alone 2-4 of the population may suffer from chronic hair pulling thats 8 million people The average onset of trich is twelve 12 to thirteen 13 years old DSM-IV Definition More formally the fourth edition of the American Pyschiatric Diagnostic and Statistical Manual of Mental Disorders define trichotillomania as Recurrent pulling out of ones hair resulting in noticeable hair loss An increasing sense of tension immediately before or when attempting to resist the behavior Pleasure gratification or relief when pulling out ones hair The disturbance is not better accounted for another mental disorder and is not due to a general medical condition a dermatological condition The disturbance causes clinically significant distress or impairment in social occupational or other important areas of functioning Not all patients who pull out their hair meet these strict criteria Although frequently have a distressing problem that might very well benefit from
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