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Increased Trichotillomania Symptoms in a Child With Fluoxetine Treatment

Yektaş, Çiğdem MD; Tufan, Ali Evren MD

doi: 10.1097/WNF.0000000000000205
Case Reports

Trichotillomania (TTM) is a mental disorder characterized by uncontrolled and impulsive hair pulling leading to hair loss, distress, and disordered functioning. Treatment choices include behavioral therapy (especially habit reversal training) and selective serotonin reuptake inhibitors. However, randomized controlled trials conducted with selective serotonin reuptake inhibitors have led to controversial results of effectiveness for TTM. Here, we report a female patient whose TTM symptoms increased after fluoxetine use.

*Child and Adolescent Psycihatry Department, Düzce University Medical Faculty, Düzce; and †Child and Adolescent Psycihatry Department, Abant Izzet Baysal University Medical Faculty, Bolu, Turkey.

Address correspondence and reprint requests to Çiğdem Yektaş, MD, Düzce University Medical Faculty, Child and Adolescent Psycihatry, Department, Düzce/Turkey; E-mail:

Conflicts of Interest and Source of Funding: The authors have no conflicts of interest to declare.

All authors have made substantive contributions to the study and endorse the data and conclusions.

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