Case of Extreme Trichotillomania in a Child with Comorbidities

Abstract

Trichotillomania is an uncommon paediatric psycho-dermatological condition in children. Contrary to the prevalence reported in western literature, it is relatively uncommon in paediatric clinics of Indian subcontinent: mostly due to under reporting because of parental ignorance and associated social stigma. Here, authors report a 10-year-old girl who presented with extreme trichotillomania and other psychological comorbidities like intellectual disability, learning disorders and nocturnal enuresis leading to school absenteeism. She responded well to behavioural therapy without pharmacotherapy. In follow-up at two months, there were no relapses. This case emphasises the recognition of trichotillomania in children and importance of active family participation in successful therapy.

Keywords

• behavioural therapy
• children
• hair pulling
• psychotherapy