Alternative Pharmacotherapy for Trichotillomania: A Report of Successful Bupropion Use

Because this piece does not have an abstract, we have provided for your benefit the first 3 sentences of the full text.

Sir: Trichotillomania is classified in the spectrum of impulsecontrol disorders, with phenomenological overlap with obsessive- compulsive disorder (OCD), tic, and affective spectrum disorders.^1,2 The role of serotonin has been postulated in trichotillomania based on overlapping features with OCD and positive treatment response observed with selective serotonin reuptake inhibitors (SSRIs) in open-label studies.^3,4 In controlled studies, however, not all patients have benefited from SSRIs.^5,6