Trichotillomania Comorbid with Schizophrenia

Introduction: Trichotillomania (TTM) is now part of DSM-5 classification of obsessive-compulsive and related disorders. A quarter of schizophrenia patients suffer from obsessive-compulsive symptoms (OCS) and the use of atypical antipsychotics may worsen or even induce new onset OCS. Objective: A...

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Main Authors: Othman, Zahiruddin, Fadzil, Nor Asyikin
Format: Article
Language:English
Published: Japan International Cultural Exchange Foundation 2019
Subjects:
Online Access:http://eprints.usm.my/45291/
http://eprints.usm.my/45291/1/155-34Othman.pdf
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author Othman, Zahiruddin
Fadzil, Nor Asyikin
author_facet Othman, Zahiruddin
Fadzil, Nor Asyikin
author_sort Othman, Zahiruddin
building USM Institutional Repository
collection Online Access
description Introduction: Trichotillomania (TTM) is now part of DSM-5 classification of obsessive-compulsive and related disorders. A quarter of schizophrenia patients suffer from obsessive-compulsive symptoms (OCS) and the use of atypical antipsychotics may worsen or even induce new onset OCS. Objective: A 25-year old man who presented with TTM comorbid with schizophrenia was studied. The symptomatology and treatment will be discussed. Results: The patient had prominent anxiety and mild OCS during the prodromal phase of schizophrenia. While on atypical antipsychotics treatments, he developed TTM which was partially reduced with addition of selective serotonin reuptake inhibitor (SSRI). Conclusion: Schizophrenia patient with prodromal OCS is probably at increased risk of developing TTM while on atypical antipsychotics treatment. Atypical antipsychotics and SSRI combination therapy is a useful strategy in such patient.
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spelling usm-452912019-08-26T07:17:48Z http://eprints.usm.my/45291/ Trichotillomania Comorbid with Schizophrenia Othman, Zahiruddin Fadzil, Nor Asyikin RC0321 Neuroscience. Biological psychiatry. Neuropsychiatry Introduction: Trichotillomania (TTM) is now part of DSM-5 classification of obsessive-compulsive and related disorders. A quarter of schizophrenia patients suffer from obsessive-compulsive symptoms (OCS) and the use of atypical antipsychotics may worsen or even induce new onset OCS. Objective: A 25-year old man who presented with TTM comorbid with schizophrenia was studied. The symptomatology and treatment will be discussed. Results: The patient had prominent anxiety and mild OCS during the prodromal phase of schizophrenia. While on atypical antipsychotics treatments, he developed TTM which was partially reduced with addition of selective serotonin reuptake inhibitor (SSRI). Conclusion: Schizophrenia patient with prodromal OCS is probably at increased risk of developing TTM while on atypical antipsychotics treatment. Atypical antipsychotics and SSRI combination therapy is a useful strategy in such patient. Japan International Cultural Exchange Foundation 2019-04 Article PeerReviewed application/pdf en http://eprints.usm.my/45291/1/155-34Othman.pdf Othman, Zahiruddin and Fadzil, Nor Asyikin (2019) Trichotillomania Comorbid with Schizophrenia. International Medical Journal, 26 (2). pp. 155-156. ISSN 1341-2051 http://www.seronjihou.co.jp/IMJ/backnumber-IMJ.html
spellingShingle RC0321 Neuroscience. Biological psychiatry. Neuropsychiatry
Othman, Zahiruddin
Fadzil, Nor Asyikin
Trichotillomania Comorbid with Schizophrenia
title Trichotillomania Comorbid with Schizophrenia
title_full Trichotillomania Comorbid with Schizophrenia
title_fullStr Trichotillomania Comorbid with Schizophrenia
title_full_unstemmed Trichotillomania Comorbid with Schizophrenia
title_short Trichotillomania Comorbid with Schizophrenia
title_sort trichotillomania comorbid with schizophrenia
topic RC0321 Neuroscience. Biological psychiatry. Neuropsychiatry
url http://eprints.usm.my/45291/
http://eprints.usm.my/45291/
http://eprints.usm.my/45291/1/155-34Othman.pdf