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Trichotillomania and hypothyroidism - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Very Good Posted in: Thyroid Problem and Hormonal Problems
Answered by

General & Family Physician
Practicing since : 2004
Answered : 40 Questions
Doctor :   hi
Doctor :   how can i help you?
User :   hi
User :   i have the habit of pulling hair from the past 8 yrs
User :   im not able to stop it
Doctor :   ok
User :   n now i wear a wig
Doctor :   it is called trichotillomania
Doctor :   it is a behaviour disorder
User :   i pull to see the roots
User :   the white roonts
User :   roots
Doctor :   For Administrative and health purposes, Please provide these -Age: Gender: Occupation: Location: Marital Status: Weight and Height: Dependents: Yes/ No.
User :   i had undergone byopsy test
User :   which resulted in trichotillomania
Doctor :   ok
User :   23/F/Working/bangalore/Single/56/5'4/yes
Doctor :   ok
User :   can u pls help me stop this
User :   my parents do not knw abt this
Doctor :   since when did you have this habit?
User :   they think its my skin problem
User :   i ve this habit since 8 yrs
Doctor :   ok
Doctor :   do you have any other health problems?
User :   i ve thyroidsm
User :   hypo
Doctor :   ok
Doctor :   are you taking any treatment for the hypothyroidism?
User :   ya thyronorm
User :   50 mcg
Doctor :   what skin problem do you have?
Doctor :   ok
User :   i do nt have any
Doctor :   ok
Doctor :   you mentioned a skin problem thats why i am asking
Doctor :   ok]
Doctor :   you mean the wig
User :   no thts wt my parents think
Doctor :   ok
User :   im nt on any tablest
Doctor :   now i get it
Doctor :   have you gone to a psychiatrist?
User :   ya few years back
Doctor :   ok
Doctor :   what was his advise?
User :   i was taking tablets for which side effects wr no sleep at all
Doctor :   ok
User :   he gave me a tabket called Fludon
User :   not sure of speeling
Doctor :   ok
User :   spelling
Doctor :   rather than drugs, at this stage you need behaviour therapy
Doctor :   there are some behavioural stragies that can be tried
User :   i get tempted so much tht i even pluck it with a eye brow plucker
Doctor :   at what time do you pluck your hair most?
User :   wat kind of therapy
User :   wen im alone,, no getting sleep, wen im tensed
Doctor :   do you have any other issues like anxiety, fear of public places or any unnatural fear?
User :   no fears as such
User :   im anxious
Doctor :   any anxieties, tensions?
Doctor :   ok
User :   get tensed a lot
Doctor :   what are you most anxious about?
Doctor :   usually?
User :   work
Doctor :   ok
User :   i tried my level best
User :   to stop
User :   but dint help
Doctor :   have you considered moving to a less stressful job?
User :   ya im planning to actually
User :   hello
Doctor :   ok
Doctor :   i suggest that you change your work place to a less stressful job
Doctor :   i also recommend relaxation techniques like yoga or meditation
User :   i do all ths for some days
User :   n let go it
Doctor :   even then if the anxiety doesnt subside you may need to consult a psychiatrist for medications
Doctor :   ok
User :   ok
Doctor :   Be aware of situations that typically lead to pulling
Doctor :   stay away from those situations
User :   ya sure
Doctor :   be with people always
Doctor :   take the support of your friends
Doctor :   or room mates
Doctor :   Engage in activities that keep your hands busy, such as crafts.
User :   yup will try it out
Doctor :   Wear gloves on your hands to discourage pulling
User :   i use socks
User :   but dint help
Doctor :   Frequently review the reasons you want to stop pulling.
User :   i even cut my fingers
Doctor :   gloves are more effective
Doctor :   dont try out cutting as they can lead to unnecessary complications
User :   ya i knw but i desperatrly want to stop it but not able to
Doctor :   consult a psychiatrist and ask for behaviour therapy
User :   ge irritated with my self
User :   sure
Doctor :   that is better than drugs
User :   thanks so much
Doctor :   Please fill the feedback form say done when done
please confirm your details
User :   confirmed
Doctor :   ok
User :   thanks
User :   bye
Doctor :   'Have you filled the feedback form which I have sent?
User :   yes i did
Doctor :   Thanks for consulting Health care magic. Bye for now. Please refer your friends to our service.
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