Anafranil

Nov 1 09:01 2010 Rakesh Mishra Print This Article

Treating trichotillomania can basically be done from two major angles; through medication, and through behavioral training. Reports of using medication, as a stand alone form of treating trichotillomania, show a very low success rate.

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Treating trichotillomania can basically be done from two major angles; through medication, and through behavioral training. Reports of using medication, as a stand alone form of treating trichotillomania, show a very low success rate. Antidepressants with serotonergic properties, such as those used for people with obsessive compulsive disorders, are among those most typically used for treating trichotillomania, Clomipramine (also known as Anafranil) being the most effective in these cases.

 

Clomipramine had been used experimentally to reduce relapses in cocaine addicts, and to repair neurotransmitter damage caused by cocaine; however, further studies are needed in this area. Clomipramine has also been used experimentally to treat dogs with severe anxiety disorders (separation anxiety, etc.), OCD, or cognitive dysfunction syndrome.[citation needed]

 

It may take 2 to 3 weeks before the full effects of this medication are noticed in most indications and two months or more in OCD.

 

Along with SSRIs, clomipramine is a frequently prescribed drug for the treatment of OCD. As is typical with the older tricyclic antidepressants (the tertiary amines), it has more side effects than SSRIs, so some authorities regard it as a second-line treatment to be used if treatment with SSRIs fails. However, disregarding side effects, it may be slightly more effective in combating the symptoms of OCD. It is not commonly used for treating depression, and usually another tricyclic (or drug from a different class) would be used. Clomipramine and the SSRIs (specifically paroxetine) have also been used to treat premature ejaculation.

 

Using behavioral training therapy in treating trichotillomania has reported results of a 90% and higher success rate, even as a stand alone treatment. As the hair pulling behavior that sufferers exhibit is a triggered response to negative emotional stimuli (such as stress, anger, anxiety, etc.), psychoanalysis can be an aid to gaining a better understanding of just which stimuli can trigger each individual's behavior.

This is mainly done by focusing on the person's childhood experiences and/or any unresolved issues or conflicts that had initially been experienced during the early developmental stages of the individual's life. Treating trichotillomania with behavioral therapy, such as with habit reversal training, teaches the individual to monitor their hair pulling behavior and begin to replace it with healthier habits. It is with this type of therapy that the most successes occur. Some alternative means of treating trichotillomania can include hypnosis and also biofeedback therapy.

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Rakesh Mishra
Rakesh Mishra

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