Episode 95 – Trichotillomania and Dermatillomania with The Secret Psychiatrist

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Trigger warning: this podcast discusses the impact of Trichotillomania and Dermatillomania, treatment and the impact on a person’s life.

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One Reply to “Episode 95 – Trichotillomania and Dermatillomania with The Secret Psychiatrist”

  1. I noticed some outdated and potentially harmful info given in this episode. The scientific concensus is that BFRBs like trichotillomania are not self harm behaviors. It even states so in the DSM criteria for these disorders. If the behavior is caused by an intention to self harm, trichotillomania is not the correct diagnosis. Also, the psychiatrist stated she would be concerned about children with BFRBs because something is “clearly happening at home or school.” This ignores the research that shows that these disorders are not caused by trauma and are highly heritable conditions and puts unnecessary burden and shame on parents desperately seeking help for their children. That’s like saying you’d be concerned that something is happening at home or school if a child has ADHD, another highly heritable condition that is unrelated to parenting. It’s one thing to be one of the many clinicians who are unfamiliar with BRBFs due to lack of necessity. https://www.bfrb.org/learn-about-bfrbs/treatment

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