Play Therapy based HRT for managing Trichotillomania in Children:A Case Report

Satyinder Singh Saini, Krishan Kumar, Shweta Jha, Rajni Sharma

Abstract


Trichotillomania is considered as chronic impulse control Psycho-dermatological disorder, characterized by uncontrollable urge to pull one's own hair and is usually associated with emotional distress and Obsessive-Compulsive Disorder in children. Case Presentation: We report a clinical case study of a six year-old female child, who has currently developed few patches of decreased hair density mostly over the right side of her scalp. As reported by parents; behavior of repeated touching of hair, playing with them and rarely plucking them was noticed in the child since she was three and a half year of age; the behavior were exhibited mostly when she would be alone, playing or watching television and has gradually increased leading to present alarming condition for entire family. Intervention: Ten session of Play therapy incorporated with habit reversal therapy (HRT) was planned for the child as she had difficulty comprehending and processing the conceptual understanding of formal Habit Reversal Therapy techniques; e.g. Awareness Training. During sessions she was made to address her urges and based on same; she was taught competing response of habit reversal through play based techniques. The child responded positively and effectively towards the play therapy based HRT.  Discussion: Combination of Play therapy techniques andHRT has been found efficacious in our study however; more studies need to be conducted for the establishment of play based HRT (behavioral techniques) as treatment of Trichotillomania in children.


Keywords


Trichotillomania, Play Therapy, HRT, Children

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References


American Psychiatric Association. (2013). DSM-5 Diagnostic Classification. In Diagnostic and Statistical Manual of Mental Disorders. https://doi.org/10.1176/appi.books.9780890425596.x00diagnosticclassification

Bratton, S. C., Ray, D., Rhine, T., & Jones, L. (2005). The efficacy of play therapy with children: A meta-analytic review of treatment outcomes. Professional Psychology: Research and Practice. https://doi.org/10.1037/0735-7028.36.4.376

Bruce, T. O., Barwick, L. W., & Wright, H. H. (2005). Diagnosis and management of trichotillomania in children and adolescents. In Pediatric Drugs. https://doi.org/10.2165/00148581-200507060-00005

Chavan, B., Raj, L., & Kaur, H. (2005). Management of trichotillomania. Indian Journal of Psychiatry, 47(4), 235. https://doi.org/10.4103/0019-5545.43063

Flessner, C. A., Penzel, F., & Keuthen, N. J. (2010). Current Treatment Practices for Children and Adults With Trichotillomania: Consensus Among Experts. Cognitive and Behavioral Practice. https://doi.org/10.1016/j.cbpra.2009.10.006

Franklin, M. E., Edson, A. L., & Freeman, J. B. (2010). Behavior therapy for pediatric trichotillomania: Exploring the effects of age on treatment outcome. Child and Adolescent Psychiatry and Mental Health. https://doi.org/10.1186/1753-2000-4-18

Franklin, M. E., Edson, A. L., Ledley, D. A., & Cahill, S. P. (2011). Behavior therapy for pediatric trichotillomania: A randomized controlled trial. Journal of the American Academy of Child and Adolescent Psychiatry, 50(8), 763–771. https://doi.org/10.1016/j.jaac.2011.05.009

Franklin, M., & Tolin, D. F. (2007). Treating trichotillomania : cognitive-behavioral therapy for hairpulling and related problems. Springer.

Homeyer, L. E., & Morrison, M. O. (2008). Play Therapy: Practice , Issues , and Trends. American Journal of Play.

Knell, S. M. (2015). Cognitive-Behavioral Play Therapy. In Handbook of Play Therapy: Second Edition. https://doi.org/10.1002/9781119140467.ch6

Malhotra, S., Grover, S., Baweja, R., & Bhateja, G. (2008). Trichotillomania in children. Indian Pediatrics, 45(5), 403–405. https://doi.org/10.1159/000371809

Massong, S. R., Erwards, R. P., Sitton, L. R., & Hailey, B. J. (1980). A case of trichotillomania in a three year old treated by response prevention. Journal of Behavior Therapy and Experimental Psychiatry. https://doi.org/10.1016/0005-7916(80)90032-4

Nguyen, M., & Tharani, S. (2013). Trichotillomania in a 7 year old girl. Archives of Psychiatry and Psychotherapy. https://doi.org/10.12740/app/19144

Okamoto, Y., & Nishimura, R. (2002). Play Therapy for Trichotillomania. Japanese Journal of Child and Adolescent Psychiatry.

Sarah H, M., Hana F, Z., Hilary E, D., & Martin E, F. (2013). Habit reversal training in trichotillomania: guide for the clinician. Expert Review of Neurotherapeutics. https://doi.org/10.1586/14737175.2013.827477

Tolin, D. F., Diefenbach, G. J., Flessner, C. A., Franklin, M. E., Keuthen, N. J., Moore, P., Piacentini, J., Stein, D. J., & Woods, D. W. (2008). The trichotillomania scale for children: Development and validation. Child Psychiatry and Human Development. https://doi.org/10.1007/s10578-007-0092-3


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