Medikal tedaviye kısmi yanıt veren trikotilomani tanılı ergen hastada bilişsel davranışçı terapi

Year 2024, Volume: 49 Issue: 2, 506 - 508, 30.06.2024

Çağla Çelikkol Sadıç

https://doi.org/10.17826/cumj.1421483

Abstract

Trikotillomani, saç dökülmesiyle sonuçlanan tekrarlayan saç çekme ile karakterize psikiyatrik bir bozukluktur. Trikotillomani tedavisinde farmakolojik ajanlar ve psikoterapi yöntemleri kullanılmıştır. Ancak bu yöntemlerin çocuk ve ergen popülasyonundaki etkinliğine ilişkin kontrollü çalışmalar oldukça sınırlıdır. Trikotillomani için altın standart bir tedavi olmadığından, hastalığın yönetimi zorlaşmaktadır. Bu makalede, trikotillomani tanısı konulan, medikal tedaviye kısmen yanıt veren ve tedavisine bilişsel davranışçı terapi (BDT) eklenen 13 yaşında bir kız çocuğu sunulmuştur. BDT'nin eklenmesinden sonra hastanın semptomlarında belirgin bir iyileşme olmuş ve bu iyileşme, hasta tedavi sürecinde aniden ilaç kullanmayı bırakmasına rağmen devam etmiştir. Bu vaka, ilaç tedavisine kısmen yanıt veren trikotillomani hastası bir ergenin, alışkanlıkların tersine çevrilmesi eğitiminin bileşenlerini içeren BDT ile semptomlarında önemli ölçüde iyileşme olabileceğini göstermektedir.

Keywords

Bilişsel Davranışçı Terapi, Ergen, Trikotillomani, Tıbbi Tedavi, Sertralin

Ethical Statement

Ethics committee approval is not required for case report articles.

Supporting Institution

none

Thanks

I thank the family for allowing me to publish this case report.

Cognitive behavioral therapy in an adolescent with trichotillomania partially responding to medical treatment

Abstract

Trichotillomania is a psychiatric disorder characterized by recurrent hair pulling resulting in hair loss. Pharmacological agents and psychotherapy methods have been used in the treatment of trichotillomania. However, controlled studies on the efficacy of these methods in the child and adolescent population are very limited. Since there is no gold standard treatment for trichotillomania, disease management becomes challenging. In this article, we present a 13-year-old girl diagnosed with trichotillomania, who partially responded to medical treatment and cognitive behavioral therapy (CBT) was added to her treatment. After the addition of CBT, there was a significant improvement in the patient's symptoms, and this improvement continued even though the patient suddenly stopped using the medication during the treatment process. This case demonstrates that an adolescent with trichotillomania who responded partially to medication may have significant improvement in her symptoms with CBT that includes components of habit reversal training.

Keywords

Cognitive Behavioral Therapy, Adolescent, Trichotillomani, Medical Treatment, Sertraline

References

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