21. Madison Institute Of Medicine: Your Mental Health Resource Mental health resources include continuing education programs, patient information guides on a variety of mental health topics like depression, OCD, trichotillomania, cognitive behavior therapy, and medications. http://www.miminc.org

@import "/js/mim_main.css"; Donate to the Madison Institute of Medicine Check out our 17 mental health guidebooks Lithium Treatments for Bipolar Disorder ... Obsessive Compulsive Disorder We provide information on many mental health topics, including Posttraumatic Stress Disorder Social Anxiety Disorder Trichotillomania Depression ... Join us for our November 12-13, 2004 CME Conference in Madison, WI How We Can Help About MIM Order Guidebooks Testimonials ... Contact Us

22. Trichotillomania Help BrenDakota's site. Articles, Books, Stories, Bulletin Board and support regarding trichotillomania. http://www.trichotillomaniahelp.com/

Last Updated What is Trichotillomania? The Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition (DSM-IV) (American Psychiatric Association, Washington, DC, 1994) defines Trichotillomania as: Recurrent pulling out of one's hair resulting in noticeable hair loss. Increasing sense of tension immediately before pulling out the hair. Pleasure, gratification, or relief when pulling out the hair. Not better accounted for by another mental disorder and not due to a general medical condition (e.g., a dermatological disorder). Results in substantial distress and/or interferes with functioning. Not all patients who pull out their hair meet these strict criteria. In fact, many do not experience a growing sense of tension before pulling. Nonetheless, they frequently have a distressing problem that might very well benefit from treatment. Visit My Message Board "NEW" View Guestbook Sign Guestbook You Can Find Her Behind the Door There once was a little girl with eyes full of rain. Tears she cried, of self-made pain. Alone she hunkered in shame, behind a door.

23. Trichotillomania FAQ - Hair Loss And Regrowth Permanent damage caused by trichotillomania. trichotillomania patientsmay develop patterns of avoidant behavior in response to hair loss. http://www.irishlace.net/trichlibrary/faq/keepyourhairon.html

When the pulling stops - hair loss and regrowth Compiled by Geoff Dean. Natural hair loss and regrowth. The process of hair growth and regrowth is a little clearer following a report on investigations into factors influencing baldness. (1) Healthy hair follicles spend about 18 months growing at about 0.4 mm per day, after which the hair producing cells die off and the follicle is dormant for around 6 months. After this period the hair is shed, a new hair sprouts, and a fresh growth phase begins. Age trends are important, and, when people go bald naturally, the fresh hairs become progressively finer and less coloured at which point the scalp looks bare. One theory is that each follicle has a limited number of cycles, after which it can only produce miniature hairs. When people go bald the follicles go though the same number of cycles, but do so much faster. The growth rate can vary from 0.3-0.5 mm per day, between people; and, although the normal cycle is around two years, some people have a cycle of 10 years. A combination of these factors allows some people to grow hair 1.8 m long. There are differences between men and women in control of natural hair loss, and such losses usually only occur if there is a steady supply of the male hormone dihydrotestosterone. Hippocrates (460-377 BC approx.) observed that eunuchs did not go bald, and scientists now believe that this is because their castration has removed the source of the critical male hormone.

24. Buy Xenical A group clinical practice dedicated to the treatment of neurobiological disorders including OCD, trichotillomania, body dysmorphic disorder, Tourette's syndrom, ADHD, panic disorder, and phobias. http://www.wspsdocs.com/

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25. Anxiety Treatment Resources A psychological clinic specializing in anxiety disorders such as trichotillomania and OCD. In the Nath Building. http://www.anxietytreatmentres.com/

26. Trichotillomania trichotillomania. trichotillomania is a term coined by a French dermatologist in 1889 to describe the compulsive or irresistible urge he saw in patients to pluck out their hair. The word trichotillomania is derived from the Greek thrix, hair, tillein, to http://www.centerforimage.com/trich.htm

Trichotillomania Trichotillomania is a term coined by a French dermatologist in 1889 to describe the compulsive or irresistible urge he saw in patients to pluck out their hair. The word Trichotillomania is derived from the Greek thrix, hair, tillein, to pull, and mania, madness or frenzy. This name is somewhat of a misnomer in that people with Trichotillomania are not "mad", "psychotic" or "crazy" as the name suggests. In psychiatry, trichotillomania, is classified as an Impulse Control Disorder as are conditions such as compulsive gambling, kleptomania (compulsive stealing) and pyromania (compulsive fire setting). Impulse control disorders are characterized by the inability to control or resist the temptation (or impulse) to do something harmful to oneself or someone else. A sufferer sometimes experiences a sense of increasing tension before performing the behavior and can feel a sense of relief or release of tension afterwards. Sometimes people even express a degree of pleasure after having performed the act. Features of trichotillomania that fit the description of an impulse control disorder include the inability to resist urges to pull out one's hair, mounting tension before pulling and feeling of relief afterward.

27. Trichotillomania PRACTICAL MANAGEMENT OF HAIR LOSS. trichotillomania A compulsion to repetitivelypull or pluck one’s hair is trichotillomania. trichotillomania http://www.dermatology.org/hairinfo/05.html

Bottom Derm Web Contents PRACTICAL MANAGEMENT OF HAIR LOSS Trichotillomania Trichotillomania: Mother and daughter. Involves compulsive pulling of one's hair. Top Derm Web Contents

28. Dr. Daniel Goeckner, PhD Information about the practice and certain psychological disorders and treatments. Includes information on biofeedback and trichotillomania. http://www.execpc.com/~djg/

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29. EVELYN'S WIGS SALES & SERVICE Twenty years of experience working with hair loss due to cancer, Alopecia Areata, Lupus, trichotillomania or thinning hair. Includes personal biography, contact details and online catalogue. http://www.evelynswigs.com/

30. MedlinePlus Medical Encyclopedia: Trichotillomania trichotillomania. Definition Return to top. trichotillomania is hair loss causedby compulsive pulling and or twisting of the hair until it breaks off. http://www.nlm.nih.gov/medlineplus/ency/article/001517.htm

@import url(http://www.nlm.nih.gov/medlineplus/images/advanced.css); Skip navigation Medical Encyclopedia Other encyclopedia topics: A-Ag Ah-Ap Aq-Az B-Bk ... Z Trichotillomania Contents of this page: Illustrations Alternative names Definition Causes, incidence, and risk factors ... Prevention Illustrations Trichotillomania - top of the head Alternative names Return to top Compulsive hair pulling Definition Return to top Trichotillomania is hair loss caused by compulsive pulling and or twisting of the hair until it breaks off. The hair may be lost in round patches or diffusely across the scalp. The effect is a moth-eaten appearance. Other hairy areas may be plucked, such as the eyebrows, eyelashes, or body hair. Causes, incidence, and risk factors Return to top Trichotillomania is a type of compulsive behavior and its causes are not clearly understood. Symptoms usually begin before the age of 17. It may affect as much as 4% of the population. People with this disorder will often seek the help of a dermatologist initially. Women are 4 times more likely to be affected than men. Symptoms Return to top These symptoms are usually seen in children: constant tugging, pulling, or twisting of hair

31. Hair Extension And Hair Solutions - Lucinda Ellery Hair extensions salon, specialist in synthetic hair and human hair extensions, for glamour or medical reasons. Information on women’s hair loss, trichotillomania and alopecia. http://www.lucindaellery.com

hair extensions and hair loss solutions home about us hair loss solutions hair extensions ... contact us Specialist hair loss solutions and hair extensions Welcome to Lucinda Ellery Lucinda Ellery and her team of dedicated staff have been providing specialist hair loss solutions and hair extensions since 1985 and our new luxurious custom designed studio has been featured in many hair magazines. Our aim is that every client that visits Lucinda Ellery, leaves with the head of hair they have always dreamed of. Hair Extensions At our hair extension studio in London we specialise in both human hair extensions and fibre hair extensions . Our expertise and attention to detail is highlighted by the numerous celebrities who entrust their hair extensions to us, these include Kylie Minogue, Michele (Liberty X), Sara (Girls Aloud), Mutya (Sugerbabes), Holly Valance and Lisa Scott Lee to name a few. Click here for the celebrity gallery Hair Loss Solutions The Volumiser system was pioneered by Lucinda Ellery hair solutions and is at the forefront of cosmetic hair loss treatment . We have three medical doctors on our board of advisors and recommendations from GP's nationwide resulting in a growing number of our clients receiving full NHS funding for their hair solutions.

32. Cognitive-Behavioral Treatment Of Trichotillomania Article by Frederick Penzel, Ph.D. examining cognitive therapy treatments. http://www.homestead.com/westsuffolkpsych/trich_cbt.html

COGNITIVE/BEHAVIORAL TREATMENT OF TRICHOTILLOMANIA By Fred Penzel, Ph.D. Of all the disorders belonging to the OCD family, trichotillomania is probably one of the least understood by both sufferers and practitioners alike. It has also been, for many years, among the most frustrating and difficult to treat for all parties concerned. The name trichotillomania (TTM) coined in 1889 by Francois Henri Hallopeau, is in itself an unfortunate and misleading one. It seems to pigeonhole the disorder with other unrelated problems such as kleptomania, pyromania, etc. In addition, it seems to imply an enjoyment and attraction on the part of sufferers to pursue their hair pulling activities. Those who have the disorder understand that this obviously is not true. The term 'mania' itself seems to suggest a serious mental illness. The gap between what the drugs can and cannot do can be bridged by behavioral therapy. Over the years, many assorted techniques for treating TTM have been tried, with little or no success. These would include psychoanalysis, biofeedback, relaxation training, aversion therapy, etc. I have heard a few isolated reports of the successful use of hypnosis, but only a few small studies are available on its effectiveness. Although more formal scientific studies of the use of behavioral therapy for TTM remain to be done, it appears that it is the most effective treatment that we possess. TTM is an extremely complex disorder with many potential inputs. It is my own hypothesis, and that of others, that TTM is the result of a dysfunction of a mechanism that regulates levels of stimulation within the central nervous system. People seem to pull when they are either overstimulated (stressed, anxious, or excited) or when understimulated (bored or inactive). Obviously, there are many things that can influence a person's stimulation levels. This is why there does not appear to be one single technique, approach, or device that can relieve the problem. TTM appears to respond best to an approach made of a number of different components.

33. MedlinePlus Medical Encyclopedia: Trichotillomania - Top Of The Head Medical Encyclopedia. trichotillomania top of the head. trichotillomaniais repetitive twisting and twirling of the hair. The hair http://www.nlm.nih.gov/medlineplus/ency/imagepages/2365.htm

@import url(http://www.nlm.nih.gov/medlineplus/images/advanced.css); Skip navigation Medical Encyclopedia Trichotillomania - top of the head Trichotillomania is repetitive twisting and twirling of the hair. The hair loss is usually in a well-defined area with shortened, broken-off hairs and early regrowth of hair. The scalp is the most commonly involved site, but eyelashes and eyebrows may also be involved. The hair loss can also be patchy and poorly defined. Update Date: 1/17/2004 Updated by: Michael Lehrer, M.D., Department of Dermatology, University of Pennsylvania Medical Center, Philadelphia, PA. Review provided by VeriMed Healthcare Network. Health Topics Drug Information Encyclopedia Dictionary ... National Institutes of Health Page last updated: 11 May 2004

34. Anxiety And Agoraphobia Treatment Center, Ltd. Based in Illinois, the Anxiety Treatment Center helps people suffering from fear of flying as well as OCD, panic attacks, phobias, and trichotillomania. Its special program for fearful fliers emphasizes cognitive behavioral therapy and education about aviation. http://www.anxietytreatmentcenter.com

35. Anxiety Disorders Among Children trichotillomania. trichotillomania consists of repetitive, uncontrollablepulling of one’s body hair. Most commonly, scalp hair http://www.npi.ucla.edu/caap/Trichotillomania.htm

Trichotillomania Treatment The primary treatment approach for Trichotillomania is habit reversal training combined with stress management and behavioral contracting. Treatment begins with self-monitoring of hair-pulling episodes as well as the feelings and situations that are most likely to lead to hair pulling. Youngsters are then systematically taught a new behavior, for example, squeezing a ball or tightening their fist, that they are to do whenever they feel the urge to pull. Relaxation training and other stress management techniques are used to diminish hair-pulling urges, while reward charts help children track their progress and earn small rewards for treatment gains. home anxiety problems studies treatment ... contact us

36. International Trichotillomania Day International TTM day is June 22. Ways to celebrate or events happening in various locations. http://www.geocities.com/HotSprings/Sauna/8887/

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37. Psychiatric Times - Trichotillomania Out Of The Closet Article by Arline Kaplan describing this mental disorder. http://www.mhsource.com/pt/p971150.html

38. OCD CENTER OF LOS ANGELES - Trichotillomania trichotillomania The defining characteristic of trichotillomania is the recurrent,compulsive pulling out of one s own hair, resulting in observable hair loss. http://www.ocdla.com/trichotillomania.html

Contact Us: click here to email us TRICHOTILLOMANIA The defining characteristic of Trichotillomania is the recurrent, compulsive pulling out of one's own hair, resulting in observable hair loss. Usually, but not always, the scalp and/or face are the primary locations for hair pulling. However Trichotillomania may involve any part of the body with hair. The most common hair pulling sites are the scalp, eyebrows, and eyelashes. Less common locations for hair pulling include the pubic area, perirectal region, or any other body region. An individual with Trichotillomania may use his or her fingernails, as well as tweezers, pins or other mechanical devices. This hair pulling can result in permanent skin damage. Usually, but not always, hair pulling is preceded by a high level of tension and a strong "urge". Likewise, hair pulling is usually, but not always, followed by a sensation of relief or pleasure. Hair pulling is usually done alone, often while watching TV, reading, talking on the phone, driving or while grooming in the bathroom. An episode may be triggered by a negative mood state or occur in response to stress, but may also occur while an individual is calm and relaxed. Sometimes hair pulling is done as a conscious behavior, but it is frequently done as an unconscious habit. Individuals with Trichotillomania often attempt to camouflage the hair loss that accompanies the disorder. Common camouflaging techniques include the use of hats, scarves, and false eyelashes. Some may even resort to having false eyebrows permanently tattooed. In extreme cases, individuals with Trichotillomania may avoid social situations in an effort to prevent others from seeing the hair loss that results from hair pulling.

39. Brenda C's Trichotillomania Site Up to date information on TTM. Message board, inspiration and pictures. http://communities.msn.com/BrendaCsTrichPage

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40. Psych Central - Compulsive Hair Pulling: Understanding And Treating Trichotillom Some people actually do with serious consequences. It s called trichotillomania. CompulsiveHair Pulling Understanding and Treating trichotillomania. http://psychcentral.com/library/hair_pulling.htm

home resource directory disorders quizzes ... support forums Compulsive Hair Pulling: Understanding and Treating Trichotillomania Holly VanScoy, Ph.D. 27 Jul 2001 Barry can feel the tension building, sometimes for hours, before he yields to his impulse. Although he knows he's affecting his dark good looks, the anxious feeling doesn't fade until he's yanked out another fistful of his own curly black hair. He immediately vows he'll never do it again, but will readily admit he probably won't be able to keep that promise. For Belinda, the tension reliever is pulling out her now-stubby eyelashes. One at a time, slowly, ritualistically she removes the remaining hairs that line her upper and lower lids. She began removing them this way as a child, although she can't recall exactly why or when. Despite numerous medical exams first by her pediatrician and later by her internist and a dermatologist no physical problems have been found. Her upper and lower eyelids are the only sign of this persistent habit. They have scarcely any hairs at all. Louisa also tugs at her hair, pulling out a single strand at a time, dozens of times each day. Then she places the strands she's removed from her scalp into her mouth. She's seldom seen without a scarf that covers the bald spots this practice has created, but she denies that the patchy appearance of her hair is the result of her own behavior.

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