Trichotillomania.

Trichotillomania (TTM), also known as hair-pulling disorder, is characterised by an uncontrollable and persistent compulsion to pull out one's own hair, which results in noticeable hair loss. TTM, which belongs to a group of body-focused repetitive behaviour disorders (BFRBDs), considerably affects the quality of life by producing a sense of own unattractiveness, low self-esteem, dissatisfaction with the appearance of one's own body, and the associated feelings of shame and embarrassment. As a result, the disorder leads to significant distress and impairs the patient's functioning in both their social and working life. TTM often coexists with other mental conditions; it is underdiagnosed and often ineffectively treated. This article presents a case of effective treatment with aripiprazole in a 38-year-old female who had suffered from concomitant body-focused repetitive behaviour disorders since childhood. Well-selected medical treatment, an increased patient willingness to undergo treatment, and her motivation to engage in psychotherapy helped improve the patient's psychosomatic condition and relieve her TTM symptoms.