Differential diagnosis

The diagnosis of trichotillomania in adults is usually straightforward since patients usually admit to pulling out hair. (3) However, young children may not admit to hair pulling and may never have been observed pulling out hair. (3.19 Dermatological conditions such as alopecia areata may then be mistakenly diagnosed.(9) Scalp biopsy will differentiate between trichotillomania and other dermatological conditions. (7)

The diagnosis of trichotillomania should not be made if hair pulling occurs in response to a delusion or hallucination. (12) Hair pulling typically is not associated with obsessions or specific rules as in obsessive-compulsive disorder. (4) DSM-IV(1) excludes hair pulling from the diagnosis of stereotypic movement disorder; whereas in ICD-10(2) the diagnosis of stereotypic movement disorder with hair pulling can be made, but it should generally be reserved for hair pulling accompanying other stereotypies in the context of mental retardation or developmental delay.

Break Free From Passive Aggression

Break Free From Passive Aggression

This guide is meant to be of use for anyone who is keen on developing a better understanding of PAB, to help/support concerned people to discover various methods for helping others, also, to serve passive aggressive people as a tool for self-help.

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