Cognitive behavioral therapy in an adolescent with trichotillomania partially responding to medical treatment

Yıl 2024, Cilt: 49 Sayı: 2, 506 – 508, 30.06.2024

Çağla Çelikkol Sadıç

https://doi.org/10.17826/cumj.1421483

Öz

Trikotillomani, saç dökülmesiyle sonuçlanan tekrarlayan saç çekme ile karakterize psikiyatrik bir bozukluktur. Trikotillomani tedavisinde farmakolojik ajanlar ve psikoterapi yöntemleri kullanılmıştır. Ancak bu yöntemlerin çocuk ve ergen popülasyonundaki etkinliğine ilişkin kontrollü çalışmalar oldukça sınırlıdır. Trikotillomani için altın standart bir tedavi olmadığından, hastalığın yönetimi zorlaşmaktadır. Bu makalede, trikotillomani tanısı konulan, medikal tedaviye kısmen yanıt veren ve tedavisine bilişsel davranışçı terapi (BDT) eklenen 13 yaşında bir kız çocuğu sunulmuştur. BDT’nin eklenmesinden sonra hastanın semptomlarında belirgin bir iyileşme olmuş ve bu iyileşme, hasta tedavi sürecinde aniden ilaç kullanmayı bırakmasına rağmen devam etmiştir. Bu vaka, ilaç tedavisine kısmen yanıt veren trikotillomani hastası bir ergenin, alışkanlıkların tersine çevrilmesi eğitiminin bileşenlerini içeren BDT ile semptomlarında önemli ölçüde iyileşme olabileceğini göstermektedir.

Anahtar Kelimeler

Bilişsel Davranışçı Terapi, Ergen, Trikotillomani, Tıbbi Tedavi, Sertralin

Etik Beyan

Ethics committee approval is not required for case report articles.

Destekleyen Kurum

none

Teşekkür

I thank the family for allowing me to publish this case report.

Kaynakça

• Henkel ED, Jaquez SD, Diaz LZ. Pediatric trichotillomania: Review of management. Pediatr Dermatol. 2019;36:803-7.
• Farhat LC, Olfson E, Levine JLS, Li F, Franklin ME, Lee HJ et al. Measuring treatment response in pediatric trichotillomania: a meta-analysis of clinical trials. J Child Adolesc Psychopharmacol. 2020;30:306-15.
• Rahman O, McGuire J, Storch EA, Lewin AB. Preliminary randomized controlled trial of habit reversal training for treatment of hair pulling in youth. J Child Adolesc Psychopharmacol. 2017;27:132–9.
• Tolin DF, Franklin ME, Diefenbach GJ, Anderson E, Meunier SA. Pediatric trichotillomania: Descriptive psychopathology and an open trial of cognitive behavioral therapy. Cogn Behav Ther. 2007;36:129‐44..
• Dougherty DD, Rebecca L, Michael AJ, Nancy JK. Single modality versus dual modality treatment for trichotillomania: sertraline, behavioral therapy, or both? J Clin Psychiatry. 2006;67:1086-92..
• Yasui-Furukori N, Sunao K. The efficacy of low-dose aripiprazole treatment for trichotillomania. Clin Neuropharmacol. 2011;34:258-59.
• Bruce TO, Barwick LW, Wright HH. Diagnosis and management of trichotillomania in children and adolescents. Paediatr Drugs. 2005;7:365-76

Cognitive behavioral therapy in an adolescent with trichotillomania partially responding to medical treatment

Yıl 2024, Cilt: 49 Sayı: 2, 506 – 508, 30.06.2024

Çağla Çelikkol Sadıç

https://doi.org/10.17826/cumj.1421483

Öz

Trichotillomania is a psychiatric disorder characterized by recurrent hair pulling resulting in hair loss. Pharmacological agents and psychotherapy methods have been used in the treatment of trichotillomania. However, controlled studies on the efficacy of these methods in the child and adolescent population are very limited. Since there is no gold standard treatment for trichotillomania, disease management becomes challenging. In this article, we present a 13-year-old girl diagnosed with trichotillomania, who partially responded to medical treatment and cognitive behavioral therapy (CBT) was added to her treatment. After the addition of CBT, there was a significant improvement in the patient’s symptoms, and this improvement continued even though the patient suddenly stopped using the medication during the treatment process. This case demonstrates that an adolescent with trichotillomania who responded partially to medication may have significant improvement in her symptoms with CBT that includes components of habit reversal training.

Anahtar Kelimeler

Cognitive Behavioral Therapy, Adolescent, Trichotillomani, Medical Treatment, Sertraline

Kaynakça

• Henkel ED, Jaquez SD, Diaz LZ. Pediatric trichotillomania: Review of management. Pediatr Dermatol. 2019;36:803-7.
• Farhat LC, Olfson E, Levine JLS, Li F, Franklin ME, Lee HJ et al. Measuring treatment response in pediatric trichotillomania: a meta-analysis of clinical trials. J Child Adolesc Psychopharmacol. 2020;30:306-15.
• Rahman O, McGuire J, Storch EA, Lewin AB. Preliminary randomized controlled trial of habit reversal training for treatment of hair pulling in youth. J Child Adolesc Psychopharmacol. 2017;27:132–9.
• Tolin DF, Franklin ME, Diefenbach GJ, Anderson E, Meunier SA. Pediatric trichotillomania: Descriptive psychopathology and an open trial of cognitive behavioral therapy. Cogn Behav Ther. 2007;36:129‐44..
• Dougherty DD, Rebecca L, Michael AJ, Nancy JK. Single modality versus dual modality treatment for trichotillomania: sertraline, behavioral therapy, or both? J Clin Psychiatry. 2006;67:1086-92..
• Yasui-Furukori N, Sunao K. The efficacy of low-dose aripiprazole treatment for trichotillomania. Clin Neuropharmacol. 2011;34:258-59.
• Bruce TO, Barwick LW, Wright HH. Diagnosis and management of trichotillomania in children and adolescents. Paediatr Drugs. 2005;7:365-76

Toplam 7 adet kaynakça vardır.

Ayrıntılar

Kaynak Göster

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