Sonanki DEB, Juhi GUPTA, Vidur MAKKAR
Medical Science and Discovery - 2026;13(2):27-29
Objective: Trichotillomania, classified under obsessive-compulsive and related disorders, is characterized by recurrent and irresistible urges to pull out hair, resulting in noticeable hair loss, functional impairment, and repeated unsuccessful attempts to stop the behavior. Childhood-onset trichotillomania is relatively uncommon and frequently under-recognized, which may lead to delayed diagnosis and treatment. Case: An 11-year-old male from a low socioeconomic background presented with compulsive hair pulling involving the scalp, eyelashes, and hands, accompanied by distractibility, irritability, and a decline in academic performance. Routine laboratory investigations were within normal limits. A diagnosis of trichotillomania was established based on ICD-10 criteria. Management included pharmacological treatment with selective serotonin reuptake inhibitors, antipsychotics, and benzodiazepines, in combination with psychological interventions such as psychoeducation, coping skills training, habit reversal therapy, and intelligence quotient assessment with appropriate management. Conclusion: Significant clinical improvement was observed, with family members reporting a 70-80% reduction in hair-pulling behavior and visible hair regrowth. Habit reversal therapy is ongoing. This case underscores the importance of early identification and comprehensive management of childhood trichotillomania and highlights the need for increased clinical awareness and academic discussion among clinicians and trainees.
