30세 남자가 두피와 수염 부위의 모발을 반복적으로 뽑는다. 스트레스 시 악화된다. 진단은?

심화 해설

임상 시나리오

핵심 개념

• Trichotillomania — A psychiatric disorder characterized by recurrent compulsive pulling out of one's hair, leading to noticeable hair loss and significant distress or functional impairment.
• Impulse Control Disorder — A category of psychiatric conditions involving failure to resist urges or impulses that may harm oneself or others, with trichotillomania being a representative example.
• Cognitive Behavioral Therapy — A psychotherapeutic approach that addresses dysfunctional emotions and behaviors through cognitive restructuring and behavioral modification techniques, effectively used in trichotillomania treatment.
• Trichophagy — The compulsive behavior of eating pulled-out hair, which can lead to gastrointestinal complications such as trichobezoars (hair balls) in the stomach.
• Alopecia — The general medical term for hair loss, which can manifest in various patterns and have multiple etiologies including autoimmune, traumatic, or psychological causes like trichotillomania.