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CBT טיפול

טריכוטילומניה - תלישת שערות כפייתית

טריכוטילומניה

טריכוטילומניה - תלישת שערות כפייתית - מה זה ?

טריכוטילומניה - תלישת שיערות כפייתית קומפולסיבית מאופיינת בדחף בלתי נשלט לתלישת השיער.

עצם תלישת השיער גורמת להרגשת רווחה רגעית. רוב המאמצים של הסובלים מהתופעה להפסיקה נכשלים.

טריכוטילמניה פוגעת ב 1-2% מהאוכלוסיה והיא נפוצה יותר אצל הסובלים מהפרעה קומפלסיבית אובססיבית ocd .

הסיבות לטריכוטילומניה - תלישת שערות כפייתית -

להפרעה יש כנראה יסוד גנטי והיא יכולה להופיע אצל כמה בני משפחה .היא עלולה להופיע בכל הגילאים אבל לרוב תופיע בין הגילאים 9-13. שיעור הנשים שסובלות מהתופעה גבוה משמעותית משיעור הגברים.

סימפטומים של טריכוטילומניה -

טריכוטילמניה מוגבלת בדרך כלל לאזור אחד או שניים בעיקר בגולגולת אבל עלולה להופיע גם באזורים אחרים - גבות, ריסים, פנים, זרועות ורגליים.

מי שסובל מטריכוטילמניה נוטה לתלוש שיערה בודדת אחת אחרי השניה. כל התהליך עלול להימשך שעות.

טריכוטילמניה היא הפרעה שעלולה להימשך לאורך שנים אבל היא יכולה להיכנס למצבי רגיעה שבהם הסובל לא ירגיש את הדחף לתלוש את השיער במשך ימים, שבועות ואף שנים. הסובלים מההפרעה עלולים להרגיש בושה או לנסות לשמור בסוד את הנטיה לתלישת שיער.

מי שסובל מטריכוטילומניה עלול לסבול מהערכה עצמית נמוכה שמעורבת לעיתים בחשש מיחסים חברתיים ומתשומת לב שלילית מצד החברה למראה של הסובל מהתופעה. חלק מהסובלים מההפרעה יחבשו כובעים, פיאות,או יציירו גבות מלאכותיות כדי להסתיר את התופעה ולהימנע מתשומת לב שלילית. לפני הטיפול בטריכוטילומניה חשוב לבצע דיאגנוזה מדויקת ולשלול סיבות אחרות.

טיפול בטריכוטילומניה -

הטיפול הקוגניטיבי התנהגותי בטריכוטילומניה הוא טיפול שהוכח מחקרית כטיפול יעיל . בטיפול נעבוד הן על הצד הקוגניטיבי - המחשבות , הרגשות וההתנהגויות שלנו והן על הצד ההתנהגותי.

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