Increased Trichotillomania Symptoms in a Child With Fluoxetine Treatment

Clin Neuropharmacol. 2017 Mar/Apr;40(2):95-96. doi: 10.1097/WNF.0000000000000205.


Trichotillomania (TTM) is a mental disorder characterized by uncontrolled and impulsive hair pulling leading to hair loss, distress, and disordered functioning. Treatment choices include behavioral therapy (especially habit reversal training) and selective serotonin reuptake inhibitors. However, randomized controlled trials conducted with selective serotonin reuptake inhibitors have led to controversial results of effectiveness for TTM. Here, we report a female patient whose TTM symptoms increased after fluoxetine use.

Publication types

  • Case Reports

MeSH terms

  • Child
  • Female
  • Fluoxetine / adverse effects*
  • Humans
  • Selective Serotonin Reuptake Inhibitors / adverse effects
  • Trichotillomania / chemically induced*


  • Serotonin Uptake Inhibitors
  • Fluoxetine