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- Title
Trichotillomania Comorbid with Schizophrenia.
- Authors
Zahiruddin Othman; Nor Asyikin Fadzil
- Abstract
Introduction: Trichotillomania (TTM) is now part of DSM-5 classification of obsessive-compulsive and related disorders. A quarter of schizophrenia patients suffer from obsessive-compulsive symptoms (OCS) and the use of atypical antipsychotics may worsen or even induce new onset OCS. Objective: A 25-year old man who presented with TTM comorbid with schizophrenia was studied. The symptomatology and treatment will be discussed. Results: The patient had prominent anxiety and mild OCS during the prodromal phase of schizophrenia. While on atypical antipsychotics treatments, he developed TTM which was partially reduced with addition of selective serotonin reuptake inhibitor (SSRI). Conclusion: Schizophrenia patient with prodromal OCS is probably at increased risk of developing TTM while on atypical antipsychotics treatment. Atypical antipsychotics and SSRI combination therapy is a useful strategy in such patient.
- Subjects
DRUG therapy for schizophrenia; SCHIZOPHRENIA treatment; ANXIETY; OBSESSIVE-compulsive disorder; SCHIZOPHRENIA; SEROTONIN uptake inhibitors; COMPULSIVE hair pulling; COMORBIDITY
- Publication
International Medical Journal, 2019, Vol 26, Issue 2, p155
- ISSN
1341-2051
- Publication type
Case Study