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Pulling your hair out in geriatric psychiatry: a case report

Published online by Cambridge University Press:  01 February 2017

Mairead M. Bartley ,
Maria I. Lapid  and
Jon E. Grant
Mairead M. Bartley
Affiliation:
Department of Internal Medicine, Division of Primary Care Internal Medicine, Mayo Clinic, Rochester, Minnesota, USA
Maria I. Lapid*
Affiliation:
Department of Psychiatry and Psychology, Mayo Clinic, Rochester, Minnesota, USA
Jon E. Grant
Affiliation:
Department of Psychiatry & Behavioral Neuroscience, University of Chicago, Pritzker School of Medicine, Chicago, Illinois, USA
*
Correspondence should be addressed to: Dr. Maria Lapid, MD, Geriatric Psychiatry, Professor of Psychiatry, Mayo Clinic Department of Psychiatry and Psychology, 200 First St SW, Rochester, MN 55902, USA. Phone: 507-284-4159; Fax: 507-284-4158. Email: [email protected].
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Abstract

Trichotillomania is a relatively understudied psychiatric disorder. Even less is known about this disorder in the elderly. We describe an unusual case of an elderly woman presenting for the first time with trichotillomania at age 70 and highlight the treatment complexities we encountered.

Keywords

psychogeriatricsbehavioral therapy
Type
Case Reports
Information
International Psychogeriatrics , Volume 29 , Issue 4 , April 2017 , pp. 691 - 694
Copyright
Copyright © International Psychogeriatric Association 2017 

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References

American Psychiatric Association (2013). Diagnostic and Statistical Manual of Mental Disorders, 5th edn. Arlington, VA: American Psychiatric Association.Google Scholar
Azrin, N. H. and Nunn, R. G. (1973). Habit-reversal: a method of eliminating nervous habits and tics. Behaviour Research and Therapy, 11, 619–628.Google Scholar
Bloch, M. H. et al. (2007). Systematic review: pharmacological and behavioral treatment for trichotillomania. Biological Psychiatry, 62, 839–846.Google Scholar
De Sousa, A. and Mehta, J. (2013). Trichotillomania in a case of vascular dementia. International Journal of Trichology, 5, 38–39.Google Scholar
Flessner, C. A., Lochner, C., Stein, D. J., Woods, D. W., Franklin, M. E. and Keuthen, N. J. (2010). Age of onset of trichotillomania symptoms: investigating clinical correlates. The Journal of Nervous and Mental Disease, 198, 896–900.Google Scholar
Keuthen, N. J. et al. (2012). DBT-enhanced cognitive-behavioral treatment for trichotillomania: a randomized controlled trial. Journal of Behavioral Addictions, 1, 106–114.Google Scholar
Mcguire, J. F. et al. (2014). Treating trichotillomania: a meta-analysis of treatment effects and moderators for behavior therapy and serotonin reuptake inhibitors. Journal of Psychiatric Research, 58, 76–83.CrossRefGoogle ScholarPubMed
Mittal, D., O'jile, J., Kennedy, R. and Jimerson, N. (2001). Trichotillomania associated with dementia: a case report. General Hospital Psychiatry, 23, 163–165.Google Scholar
Oravecz, R. and Stuhec, M. (2014). Trichotillomania successfully treated with risperidone and naltrexone: a geriatric case report. Journal of the American Medical Directors Association, 15, 301–302.Google Scholar
Rothbart, R. et al. (2013). Pharmacotherapy for trichotillomania. The Cochrane Database of Systematic Reviews, 11, CD007662.Google Scholar
Spitzer, R. L., Kroenke, K. and Williams, J. B. (1999). Validation and utility of a self-report version of PRIME-MD: the PHQ primary care study. Primary Care Evaluation of Mental Disorders. Patient Health Questionnaire. Journal of the American Medical Association, 282, 1737–1744.Google Scholar
Spitzer, R. L., Kroenke, K., Williams, J. B. and Lowe, B. (2006). A brief measure for assessing generalized anxiety disorder: the GAD-7. Archives of Internal Medicine, 166, 1092–1097.Google Scholar
Streichenwein, S. M. and Thornby, J. I. (1995). A long-term, double-blind, placebo-controlled crossover trial of the efficacy of fluoxetine for trichotillomania. The American Journal of Psychiatry, 152, 1192–1196.Google Scholar
Woods, D. W., Wetterneck, C. T. and Flessner, C. A. (2006). A controlled evaluation of acceptance and commitment therapy plus habit reversal for trichotillomania. Behaviour Research and Therapy, 44, 639–656.Google Scholar