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Re: Hair pulling :( Support please » no_rose_garden

Posted by SLS on February 19, 2009, at 6:39:17

In reply to Hair pulling :( Support please, posted by no_rose_garden on February 18, 2009, at 23:24:58

> Last time I tried to post about this, I didn't get many responses....some said maybe b/c I didn't post enough to other people.

That's silly!

:-)

Perhaps people had no idea what kind of feedback to give you. Trichotillomania is not a condition seen very often here. Whatever the reasons - if there were any reasons at all, it had absolutely nothing to do with prior your posting habits.

Do you pull only when you feel stressed in your life, or, rather, does the anxiety build up gradually as you think about pulling until you need to relieve the anxiety?

Trichotillomania is a neglected psychiatric disorder, and there is no hard evidence that any drug works to help ameliorate it. There are a few anecdotes that indicate the following drugs might be useful.

Lamictal
Seroquel
Depakote.
Luvox
Anafranil

I think Lexapro would be better than Celexa. It is a more pure and potent SSRI.

You can also head in the direction of taking an opioid receptor antagonist like naltrexone. These drugs prevent the "reward" sensation of pulling. This is my idea. Eventually the habit should extinguish at least partially if not completely. You are going to have to do some psychotherapeutic and behavioral work specific to trichotillomania, though.

Anyway, you do have people here who support you and hope you can find relief.


- Scott

 

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