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A 17-year-old girl presented with bilious vomiting and abdominal pain to the surgery department. The history was positive for trichotillomania and trichophagia. A CT scan showed a mass in the stomach, which was highly suspicious for a gastric bezoar. Drooping parts of the bezoar caused a duodenal obstruction with secondary acute pancreatitis. The bezoar was removed via a laparoscopically perfor...

An 18-year-old girl with no psychiatric history presented with abdominal pain. Four months previously she had given birth to a healthy baby. On palpation, a painful abdominal mass was identified in the epigastric region, and gastrotomy was performed. A J-shaped hair-wool ball and two large pieces of sheep's wool were removed. No history of trichotillomania was reported.

Trichotillomania is an irresistible urge to pull out one's hair and this indulgence into actual pulling leading to baldness frequently. It is not yet established as a disease entity separately and usually considered as a manifestation of emotional disturbance (Monroe and Abse 1963) and disturbed interpersonal relationships (Tiling 1975). Some investigators have also observed that this morbid ur...

The author proposed a hypothetical model of change, the adaptive change model (ACM), to advance the current conceptualization and operationalization of the transtheoretical model of change (TTM; D. Grimley, J. Prochaska, W. Velicer, M. Blais, & C. DiClemente, 1994; J. Prochaska, 1979; J. Prochaska & C. DiClemente, 1984). He used exploratory factor analysis to identify items contributing to 2 se...

In study 1, 46 children and adolescents with trichotillomania who sought treatment at 2 specialty outpatient clinics were assessed. Most children reported pulling hair from multiple sites on the body, presented with readily visible alopecia, reported spending 30-60 minutes per day pulling or thinking about pulling, and reported experiencing significant distress about their symptoms. Most were d...

Hair loss is a common complain of women receiving renal replacement therapy. Apart from its emotional impact on the patient, hair loss might allude to several underlying diseases. Differential diagnoses include malnutrition, adverse effects of drugs, endocrine, inflammatory or autoimmune disorders, abnormal behaviour (trichotillomania) or tinea capitis [1]. Therefore, a thorough exploration of ...

“Dr. D,” a 32-year-old female general practitioner, presented to a psychiatric referral clinic with a history of repetitive hair pulling since age 14. Recently the hair pulling had escalated, and it now occupied 2–3 hours per day, usually during the evening when Dr. D was relaxing. Despite imaginative efforts to conceal her missing hair and eyebrows, Dr. D felt that she was “fighting a losing b...