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- W2892276206 abstract "Recommendations are provided for the assessment and treatment of trichotillomania (hair pulling disorder, or HPD) and excoriation disorder (skin picking disorder, or SPD), two body-focused repetitive behavior (BFRB) disorders, based on their severity, comorbidities, and behavioral style. Habit reversal training (HRT) and stimulus control are first-line behavioral treatments that can be used in cases of all severity levels and may be particularly helpful when pulling or picking is performed with lowered awareness/intention. Acceptance and commitment therapy (ACT) and dialectical behavior therapy (DBT) are behavioral treatments that can be employed to augment HRT/stimulus control, especially when negative emotions trigger the pulling or picking. There are currently no FDA-approved pharmacologic treatments for HPD or SPD, though certain medications/supplements have shown varying degrees of efficacy in trials. N-acetylcysteine (NAC) should be considered for all severity levels and styles given its moderate gain/low side effect profile. Other pharmacologic interventions, including selective serotonin reuptake inhibitors (SSRIs), should be considered in cases with significant comorbidities or previous behavioral/NAC treatment failure." @default.
- W2892276206 created "2018-09-27" @default.
- W2892276206 creator A5022941745 @default.
- W2892276206 creator A5040113713 @default.
- W2892276206 creator A5072152806 @default.
- W2892276206 date "2018-11-01" @default.
- W2892276206 modified "2023-10-18" @default.
- W2892276206 title "Assessment and treatment of trichotillomania (hair pulling disorder) and excoriation (skin picking) disorder" @default.
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- W2892276206 doi "https://doi.org/10.1016/j.clindermatol.2018.08.008" @default.
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