"Tearing our hair out" is a common enough expression, but some cannot stop pulling their hair or picking at their skin.
They are often underreported, and those who suffer may fail to seek treatment out of embarrassment and shame."Old Woman Tearing at her Hair" by Dutch artist Quentin Matsys, 16th century. Prado Museum, Madrid.“When I heard this, I tore my tunic and cloak, pulled hair from my head and beard and sat down appalled…then, at the evening sacrifice, I rose from my self-abasement,” wrote Ezra, a scribe and priest of biblical fame .
Woman throwing a tantrum and pulling her hair, by Spanish artist Francisco de Goya. Metropolitan Museum, NYC.The prevalence of psychiatric disorders with dermatological symptoms presenting to dermatologists is estimated to be up to 30% to 40% .Though there is a continuum in severity, these disorders may lead to significant physical damage and psychosocial impairment . The prevalence “of clinically meaningful” body-focused repetitive behaviors varies between 0.5% and 4.
Those without conscious awareness may have developed the habit as a form of self-soothing that became “functionally autonomous over time” . Some patients have both picking and plucking symptoms, and those with concomitant symptoms can spend hours a day engaging in these repetitive behaviors .Source: Copyright Look and Learn/Bridgeman Images. Used with permission.
About 20% of those with trichotillomania will eat their hair . There are rare cases in which patients with severe psychiatric illness present with abdominal pain from gastrointestinal obstruction due to a trichobezoar, a foreign body formed of undigested hair. When the tail of the hair extends from the stomach to the small intestine, it is referred to as thewhich indicates that hair, skin, and nails are quite sensitive and pleasantly rewarding to touch.
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