Trichotillomania is classified as an
impulse controldisorder. Trichotillomania may be present in infants, but
the peak age of onsetis 9 to 13. It may be triggered by depression or
stress. Common areas for hairto be pulled out are the scalp, eyelashes,
eyebrows, arms, hands, and pubichairs. Hair pulling can reduce stress
because the action of pulling hair andthe painful sensation it creates
distractions from other possible emotionaltraumas. The pain give the
sense of control of stress. The stress may be theresult of feeling
uncomfortable from worry, anxiety or depression.
Case Study:
10
year old healthy boy who has no physical or health problems. Mother
noticed the behavior of pulling eye lashes since two years ago. They
have tried therapy many times with different method but with no
improvement. In worst case, therapy made both of them become very tense,
anxious and depressed.
History:
Patient is quiet and
slightly nervous but understands why he is here to be treated with
acupuncture. In the beginning, Mother noticed he would pull the
eyelashes and line them up. After pointed out it was not a normal
behavior, he started to hide. But noticeable that eyelash is half
missing from one of the child’s eye. After history with both, I
understand that child pulling his eyelash most of the time when he is
doing his math home work. I recommended to him to use stress ball in
order to keep his hand off the eyelashes. I also notice child coughing
loudly with phlegm accumulation.
Treatment plan: Relieve the stress, open the channel, clearheat and expel the phlegm.
After
10 minutes of acupuncture, child started crying and became very
emotional. He started to tell mother his grief of his pet recently die. I
put ear seed in liver, heart and Shen men area and instructed him to
massage them when he felt anxious. Patient also needs to make a chart to
record his achievement if he did well.
Result:
After
the first treatment, patient came back reported with no eyelashes
pulling behavior. After two months 5 body and auricular acupuncture
treatments, patient has not pulliing eyelashes and is able to handle
anger and grief emotion well. He got his long beautiful eyelashes back.
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