Abstract

A clinical decision report appraising Franklin ME, Edson AL, Ledley DA, Cahill SP. Behavior therapy for pediatric trichotillomania: a randomized controlled trial. J Am Acad Child Adolesc Psychiatry. 2011;50(8):763-771. https://doi.org/10.1016/j.jaac.2011.05.0091 for a patient with trichotillomania.

Highlights

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  • Evans [pseudonym] is a 13-year-old Caucasian female who presented to the child and adolescent psychiatry clinic with her mother with a complaint of hair pulling

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Summary

Clinical Context

Evans [pseudonym] is a 13-year-old Caucasian female who presented to the child and adolescent psychiatry clinic with her mother with a complaint of hair pulling. Miss Evans reports that the feeling of fur or hairs under her nails and on the tips of her fingers is “comforting”; she denies increased anxiety if she is unable to find a way to comfort herself (if, for example, the stuffed animal was not around or there were no eyebrow hairs to pull). She and her mother deny any other sites of hair pulling, including hair on the head, eyelashes, arm hairs, genital hairs, leg hairs, or axillary hairs. The mother stated she preferred less invasive therapies to be tried initially

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