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Clinical Pediatrics
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What's this?

Behavioral Treatment of Trichotillomania and Trichophagia in a 29-Month-Old Girl

Omar Rahman, PhD

Department of Pediatrics, University of South Florida, St Petersburg, Florida, orahman{at}health.usf.edu

Megan Toufexis, DO

Department of Psychiatry, University of South Florida, St Petersburg, Florida

Tanya K. Murphy, MD

Department of Pediatrics of Psychiatry, University of South Florida, St Petersburg, Florida

Eric A. Storch, PhD

Department of Pediatrics and Psychiatry, University of South Florida, St Petersburg, Florida, Department of Psychiatry University of South Florida, St Petersburg, Florida

Early childhood trichotillomania (TTM) has often been considered to be benign. However, untreated early childhood TTM can have significant negative physical and psychological consequences. This report describes the behavioral treatment of a 29-month-old girl with TTM. Treatment consisted of 14 daily sessions of behavioral intervention, followed by 3 consecutive days of follow-up treatment conducted 7 weeks after the end of initial treatment. The hair pulling was addressed by using reinforcers for not pulling, provided at intervals of increasing length. At the end of initial treatment, the hair pulling improved significantly. At follow-up, although some of the initial treatment gains were reduced, the patient maintained significant improvement compared with baseline.

Key Words: trichotillomania • trichophagia • hair pulling • behavioral intervention

This version was published on November 1, 2009

Clinical Pediatrics, Vol. 48, No. 9, 951-953 (2009)
DOI: 10.1177/0009922809337533
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