What Causes Suicidal Thoughts When Suffering From Trichotillomania

Posted on Wed, 26 Mar 2014

Medically reviewed by Ask A Doctor - 24x7 Medical Review Team

Wed, 26 Mar 2014 Answered on

Mon, 14 Apr 2014 Last reviewed on

Question : I'm 27, female.. trich patient. I am pulling from last 10 years. Kindly, please help me on this, as its getting worst. From past few days, i'm getting a bad feeling and keep on thinking of " suicide" . Please help me.

Answered by Dr. Ashish Mittal (19 hours later)

Brief Answer: You will get well after treatment. Detailed Answer: Hello, Thanks for your query. I appreciate your efforts for medical consultation in so much distress. Important aspects of your query are: • 28 year old female • Known case of Trich • Complaints of: Depressive symptoms and self harm ideas. Trichotillomania is also known as hair pulling disorder. It is characterized by compulsive urge to pull out one's own hair leading to noticeable hair loss, distress, and social or functional impairment. Many time it is associated with significant anxiety and depressive symptoms. Self harm ideas thinking is part of depressive symptom in your case. In your case combined treatment in form of: -Supportive counseling -Behaviour therapy like: Aversion therapy for trich is needed. -Medical treatment in form of medicines like SSRI is helpful which show good response in trich I know you are in great pain currently. It is best for you to meet nearby psychiatrist with out any hesitation, as patient respond well to treatment and I believe you will respond too. If you are in Delhi NCR, you can also meet me. I hope this information has been both informative and helpful for you. In case of any doubt, I will be available for follow ups. Wish you good health. Regards

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Ashish Mittal (19 minutes later)

Thanks. I m residing in east of delhi. Gurgaon is no good. Would u please suggest me good doctor or hospital for the same in east delhi. I'll be thankful

Answered by Dr. Ashish Mittal (2 hours later)

Brief Answer: You can meet Dr XXXXXXX in IHBAS Detailed Answer: Hello again, Thanks for follow up. It is really difficult to travel Gurgaon from East Delhi. Even I would avoid travel so far. In east Delhi you can meet: Dr XXXXXXX Shivalkar She works in following government hospital as Associate Professor. IHBAS: Institute of Human Behavior and Allied Sciences, Shahdara, Delhi. It is a government hospital so you may need to face rush, but you will get genuine treatment over there. Please accept my answer and give feedback in case there is no further query and you found reply helpful. In case of doubt, I am here to help you. Wish you good health. Regards

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Ashish Mittal (29 minutes later)

Lastly, for a time being can you please prescribed me some medicince with dosage. As i told you, its gettig worse from last few days.

Answered by Dr. Ashish Mittal (17 hours later)

Brief Answer: Hi Detailed Answer: Hello XXXXXXX According to government guideline you need prescription to buy and start medicine as these medicines used in trich are prescription medicine. For that you can meet above or other nearby psychiatrist. One of the most commonly used medicine for trich is Cap Fludac 20mg in morning (starting dose). Please accept my answer and give feedback in case there is no further query and you found reply helpful. In case of doubt, I am here to help you. Wish you good health. Regards

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar