PEDIATRICS Vol. 91 No. 5 May 1993, pp. 993-995
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A Simplified Behavioral Treatment for Trichotillomania: Report of Two Cases

NATHAN J. BLUM MD1, VINCENT J. BARONE PHD2, and PATRICK C. FRIMAN PHD3

1 Children's Hospital of Philadelphia, Philadelphia, PA
2 University of Nebraska Medical School, Omaha, NE
3 Father Flanagan's Boys' Home, University of Nebraska Medical School, Omaha, NE

Trichotillomania is a behavioral disorder characterized by habitual hair pulling resulting in alopecia. Although once considered extremely rare, a recent survey study of college freshmen suggests a lifetime prevalence of more than 3% in females and more than 1% in males.1

The recent literature on trichotillomania has emphasized the pharmacologic treatment of adolescents and adults. Some studies have reported decreased hair pulling in response to treatment with the antiobsessional medications clomipramine and fluoxetine2,3 However, Christenson and colleagues4 failed to demonstrate benefit from fluoxetine, and in a preliminary report Rothbaum and Ninan5 found greater decreases in hair pulling with a behavioral intervention than with clomipramine.

Submitted on June 11, 1992
Accepted on February 3, 1993




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