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What is the history of Trichotillomania?

When was Trichotillomania discovered? What is the story of this discovery? Was it coincidence or not?

History of Trichotillomania

Trichotillomania, also known as hair-pulling disorder, is a complex psychological condition characterized by the irresistible urge to pull out one's hair. This disorder has a long and intriguing history, with documented cases dating back centuries.



Ancient Times:


The earliest known reference to hair-pulling behavior can be traced back to ancient Greek and Roman civilizations. Greek physician Hippocrates, often regarded as the father of medicine, described a condition called "trichotemnomania" in the 4th century BCE. He observed that some individuals had an uncontrollable urge to pluck out their hair, leading to bald patches.



19th Century:


During the 19th century, trichotillomania gained recognition as a distinct disorder. French dermatologist François Henri Hallopeau coined the term "trichotillomania" in 1889, combining the Greek words for hair (trich-) and pulling (tillein). Hallopeau's work helped establish hair-pulling as a psychiatric condition rather than a purely dermatological issue.



Early 20th Century:


In the early 20th century, Sigmund Freud, the renowned Austrian neurologist and founder of psychoanalysis, contributed to the understanding of trichotillomania. Freud believed that hair-pulling was a manifestation of unconscious conflicts and desires. He suggested that the act of pulling out hair provided a sense of relief or gratification, serving as a coping mechanism for unresolved psychological issues.



Modern Era:


Trichotillomania continued to be studied and classified within the field of psychiatry throughout the 20th century. In 1987, the Diagnostic and Statistical Manual of Mental Disorders (DSM-III-R) officially recognized trichotillomania as an impulse control disorder. It was later reclassified as an obsessive-compulsive and related disorder in the DSM-5, reflecting its similarities to other compulsive behaviors.



Research and Understanding:


Over the years, researchers have made significant strides in understanding trichotillomania. Studies have explored various factors contributing to the disorder, including genetic predisposition, neurochemical imbalances, and environmental influences. The development of neuroimaging techniques has allowed scientists to examine the brain activity of individuals with trichotillomania, providing insights into the underlying neural mechanisms.



Treatment Approaches:


While there is no definitive cure for trichotillomania, several treatment approaches have proven effective in managing the symptoms. Cognitive-behavioral therapy (CBT) has emerged as a widely used therapeutic intervention. CBT helps individuals identify and modify the thoughts and behaviors associated with hair-pulling, promoting healthier coping strategies.



Support and Awareness:


Trichotillomania has gained increased recognition in recent years, thanks to the efforts of advocacy groups and mental health organizations. These organizations aim to raise awareness, reduce stigma, and provide support for individuals affected by the disorder. Online communities and support groups have also emerged, offering a platform for individuals to share their experiences and seek guidance.



Conclusion:


Trichotillomania has a rich history that spans centuries, from ancient Greece to modern-day research and understanding. While the disorder remains complex and challenging, advancements in treatment approaches and increased awareness offer hope for individuals living with trichotillomania.


Diseasemaps
8 answers
Trichotillomania is a psychiatric condition in which an individual has an uncontrollable desire to pull out his own body hair. It is generally considered to be an impulse control disorder but is sometimes classified as either a subtype or variant of obsessive-compulsive disorder (OCD).

Posted Aug 10, 2017 by Lucyeleanor2601 2620
From Wikipedia: (https://en.wikipedia.org/wiki/Trichotillomania#History)

Hair pulling was first mentioned by Aristotle in the fourth century B.C., was first described in modern literature in 1885, and the term trichotillomania was coined by the French dermatologist François Henri Hallopeau in 1889.

In 1987, trichotillomania was recognized in the Diagnostic and Statistical Manual of the American Psychiatric Association, third edition-revised (DSM-III-R).

Posted Aug 10, 2017 by Shirley 2150
Trichotillomania was recognized in the Diagnostic and Statistical Manual of the American Psychiatric Association in 1987. However, mentions of hair pulling due to stress and anxiety go back much further.

Posted Aug 10, 2017 by Ellen 2161
Trichotillomania(TTM)Awareness and other Facebook groups were created to help encourage others suffering the same.
Trichotillomania is The act of hair pulling has been observed for centuries and was accepted as meaningful and even encouraged at certain points in history in societies spanning the ancient Egyptians, early Greeks, and the Jains in India1; however, the term trichotillomania is now specifically reserved for the aberrant act of hair pulling or, more specifically, the compulsive urge to pull one’s hair in situations of stress and anxiety. It is a disease that is mysterious in nature and fascinating in its historical baggage.

WIKIPEDIA: Trichotillomania (TTM), also known as hair pulling disorder, is an impulse control disorder characterised by a long term urge that results in the pulling out of one's hair.[2] This occurs to such a degree that hair loss can be seen.[2] Efforts to stop pulling hair typically fail.[1] Hair removal may occur anywhere; however, the head and around the eyes are most common.[1] The hair pulling is to such a degree that it results in distress.[1]

The disorder may run in families.[1] It occurs more commonly in those with obsessive compulsive disorder.[1] Episodes of pulling may be triggered by anxiety.[1] People usually acknowledge that they pull their hair.[1] On examination broken hairs may be seen.[1] Other conditions that may present similarly include body dysmorphic disorder, however in that condition people remove hair to try to improve what they see as a problem in how they look.[1]

Treatment is typically with cognitive behavioral therapy.[3] The medication clomipramine may also be helpful.[3] Trichotillomania is estimated to affect one to four percent of people.[3][2] Trichotillomania most commonly begins in childhood.[2] Women are more commonly affected than men.[1] The name was created by François Henri Hallopeau in 1889, from the Greek θρίξ/τριχ; thrix (meaning "hair"), along with τίλλειν; tíllein (meaning "to pull"), and μανία; mania (meaning "madness").[4]

Posted Oct 19, 2017 by Felicia@Face2FaceSpa 2000
The term trichotillomania was coined by Francois Henri Hallopeau in the late 1800s. It's derived from the greek words thrix (hair), tillein (to pull), and mania (madness). Before this, it was mentioned as early as the 4th century B.C., by Aristotle. It was recognized by the American Psychiatric Association in 1987, in the DSM-III-R.

Posted Oct 20, 2017 by Sari 2050
Hippocrates mentioned hair pulling in the Hippocratic oath. This is not a new disorder, however the Diagnostic Manual IV listed it in 1987 for the first time.

Posted Oct 20, 2017 by bennersk 2190
Hair pulling was first mentioned by Aristotle in the fourth century B.C., was first described in modern literature in 1885, and the term trichotillomania was coined by the French dermatologist François Henri Hallopeau in 1889.

In 1987, trichotillomania was recognized in the Diagnostic and Statistical Manual of the American Psychiatric Association, third edition-revised (DSM-III-R).

Posted Jan 27, 2018 by Vee 2770

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Hi! I am Zsófi, Sophie, I live in Budapest, In Hungary...I have had trich since my age 12. I am(i try to be) a very active person, I love sports, music, playing on guitar, I am working as engeneer-informatics, but trich made my life very hard and ma...
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I developed symptoms of Trich when I was 11 after my mom was diagnosed with cancer. After she passed it got incredibly worse. I mainly pull my eyebrows and eyelashes, but also pull everywhere. It was very embarrassing growing up. I'd pencil in my eye...
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I was always an anxious kid. Even when I should have been too young to stress about anything, I was stressing about everything! When I was 6 years old, I pulled a bald patch at the top of my head and was diagnosed with Trich. It was a self conscious ...
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Scalp puller. Started at age 3. This is the worst it has been. Can't stop, no regrowth anymore.
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I'm not sure quite how long I've been pulling. It's been at least 20 years, but maybe more. It's been worse in the last four or five years, but thankfully these days fidget and stress toys are all the rage and I have fidget cubes to keep my hands bus...

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