Despite the common prevalence of skin-picking disorder + trichotillomania, no FDA–approved treatments exist for either condition. SPD2022
or overflow incontinence because they can get a bezoar, which can rupture" and can be fatal.
Skin-picking disorder and trichotillomania co-occur in up to 20% of cases."When they do it tends to be a more difficult problem," he said. These patients often come for mental health care because of , and most, he added, say"I don't think I would be depressed if I wasn't covered with excoriations or missing most of my hair."According to Grant, the treatment of choice for skin-picking disorder and trichotillomania is a specific psychotherapy known as"habit reversal therapy," which involves helping the patient gain better self-control.
In his experience, the medical treatment of choice for skin-picking disorder and trichotillomania is N-acetylcysteine, an over-the-counter amino acid and antioxidant, which has been shown to be helpful at a dose of 2,400 mg per day."Patients report to me that some of the excoriations clear up a little quicker as they're taking it," Grant said.
There may also be a role for antipsychotic therapy, he said,"but because of the associated weight gain with most antipsychotics we prefer not to use them."has been shown to be effective in the subset of patients with skin-picking or hair-pulling disorders whose parents have a substance use disorder, Grant said."The thought is that there's something addictive about this behavior in some kids. These kids will look forward to picking and find it rewarding and exciting.
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