Document Detail


Trichotillomania: a case of response to valproic acid.
MedLine Citation:
PMID:  18928419     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Trichotillomania (TTM) is a commonly undiagnosed psychiatric illness with known medical complications whose symptoms interfere markedly with daily functioning. Studies regarding the pharmacological treatment of TTM in the adult or pediatric population are sparse, and there is a lack of consensus on drug treatment for TTM. The current trend is to use selective serotonin reuptake inhibitors (SSRIs) on the basis of the current hypothesis that TTM may be a part of the obsessive compulsive spectrum of disorders. However, attempts to substantiate the efficacy of SSRI use in TTM has produced conflicting results. There is increasing evidence that mood stabilizers decrease symptoms of TTM. We present the case of a 10-year-old girl whose lifelong hair-plucking symptoms showed remarkable sustained improvement in response to increased levels of valproic acid. This report, the first with valproic acid, indicates that this drug is potentially effective in significantly reducing symptoms of TTM in a sustained manner. This single case report calls for further investigation regarding the utility of valproic acid in the treatment of TTM.
Authors:
Edore C Adewuya; William Zinser; Christopher Thomas
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Publication Detail:
Type:  Case Reports; Letter    
Journal Detail:
Title:  Journal of child and adolescent psychopharmacology     Volume:  18     ISSN:  1557-8992     ISO Abbreviation:  J Child Adolesc Psychopharmacol     Publication Date:  2008 Oct 
Date Detail:
Created Date:  2008-10-20     Completed Date:  2009-02-02     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9105358     Medline TA:  J Child Adolesc Psychopharmacol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  533-6     Citation Subset:  IM    
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MeSH Terms
Descriptor/Qualifier:
Anticonvulsants / administration & dosage,  therapeutic use*
Antimanic Agents / administration & dosage,  therapeutic use
Child
Dose-Response Relationship, Drug
Female
Follow-Up Studies
Humans
Trichotillomania / drug therapy*,  physiopathology
Valproic Acid / administration & dosage,  therapeutic use*
Chemical
Reg. No./Substance:
0/Anticonvulsants; 0/Antimanic Agents; 99-66-1/Valproic Acid

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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