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Question
Posted by: Jena | 2011-02-07

Hair plucking from the head in adolescent

My daughter (12 years) started plucking out her hair on her head. She is practically bald on half her head. I have made an appointment with a psychologist but am concerned about anti-depressants being prescribed as our doctor suggested as I have read that these do not have the intended effect.

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Our expert says:
Expert ImageCyberShrink

I would not generally recommend using antidepressants in a situaion like this ( sounds like Trichitillomania a rather pretty name for an unpleasant condition ) Too many GPs seem to consider an AD an all-purpose cure for anything psychologically distressing, like one of those all-purpose kitchen cleaners. CBT style counselling / therapy would be most likely to help, and without taking a long time to do so.
And as Liza says, a safeguard and advantage with referral to a psychologist is that the psychologist cant prescribe drugs.

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3
Our users say:
Posted by: Liza | 2011-02-08

A psychologist cannot prescribe medication. Only if the psychologist deems it necessary, should an appointment be made with a specialist psychiatrist who can then prescribe medication. I understand your concern about anti depressants, but if your daughter needs them to help reduce her anxiety levels (together with CBT counseling from a psychologist) - it will probably make her life a lot easier. A child psychiatrist also has a much better knowledge about which medications would be suitable and effective. Personally I feel a GP just doesn''t have the knowledge and experience to prescribe AD''s to children.

Good Luck
Liza

Reply to Liza
Posted by: cybershrink | 2011-02-08

I would not generally recommend using antidepressants in a situaion like this ( sounds like Trichitillomania a rather pretty name for an unpleasant condition ) Too many GPs seem to consider an AD an all-purpose cure for anything psychologically distressing, like one of those all-purpose kitchen cleaners. CBT style counselling / therapy would be most likely to help, and without taking a long time to do so.
And as Liza says, a safeguard and advantage with referral to a psychologist is that the psychologist cant prescribe drugs.

Reply to cybershrink
Posted by: Suggestion | 2011-02-07

Hat or mittens?

Reply to Suggestion

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