Trichotillomania and excoriation disorder.

Document Type

Contribution to Book

Journal/Book Title/Conference

Principle-based stepped care and brief psychotherapy for integrated care settings.


Springer Publishing


New York, NY

Publication Date



Trichotillomania, or hair-pulling disorder, is characterized by the recurrent pulling out of one’s hair, leading to hair loss. The Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5; American Psychiatric Association, 2013), specifies additional diagnostic criteria for trichotillomania: (a) repeated attempts to reduce or stop hair pulling, (b) the hair pulling causes clinically significant distress or functional impairment, and (c) the hair pulling or hair loss is not due to a medical or other mental condition. Hair pulling can be observed in any region of the body, including the scalp, eyebrows, and axillary region.

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