Electroconvulsive therapy for trichotillomania in a bipolar patient.

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Electroconvulsive therapy for trichotillomania in a bipolar patient.

Bull Menninger Clin. 2019;83(1):97-104

Authors: Fontenelle LF, Dos Santos-Ribeiro S, Kalaf J, Yücel M

Abstract
A recent review on the use of electroconvulsive therapy (ECT) in obsessive-compulsive-related disorders (OCRDs) identified reports of trichotillomania (TTM) in only three patients, but it did not describe the specific effect of ECT on hair-pulling behaviors. The authors present a case report of Mrs. A, a 77-year-old widowed housewife with a lifelong history of episodic TTM and bipolar disorder who was effectively treated with ECT. However, on each attempt to withdraw ECT, her condition deteriorated. Eventually, a decision was made to maintain ECT (one session every week), which resulted in no further relapse over the followup period. ECT shows some potential promise for reducing hair-pulling behaviors in the context of severe depression.

PMID: 30888852 [PubMed - in process]