Info over trichotillomanie, - Pagina 2

monique3 · 6 augustus 2002, 23:25

When the pulling stops - hair loss and regrowth
Compiled by Geoff Dean.

Natural hair loss and regrowth.
The process of hair growth and regrowth is a little clearer following a report on investigations into factors influencing baldness. (1)

Healthy hair follicles spend about 18 months growing at about 0.4 mm per day, after which the hair producing cells die off and the follicle is dormant for around 6 months. After this period the hair is shed, a new hair sprouts, and a fresh growth phase begins.

Age trends are important, and, when people go bald naturally, the fresh hairs become progressively finer and less coloured at which point the scalp looks bare. One theory is that each follicle has a limited number of cycles, after which it can only produce miniature hairs. When people go bald the follicles go though the same number of cycles, but do so much faster.

The growth rate can vary from 0.3-0.5 mm per day, between people; and, although the normal cycle is around two years, some people have a cycle of 10 years. A combination of these factors allows some people to grow hair 1.8 m long.

There are differences between men and women in control of natural hair loss, and such losses usually only occur if there is a steady supply of the male hormone dihydrotestosterone. Hippocrates (460-377 BC approx.) observed that eunuchs did not go bald, and scientists now believe that this is because their castration has removed the source of the critical male hormone.

There are also differences between different parts of the body. For example, in men there are usually strong differences in the balding pattern between the top of the scalp and the side of the head. In women age-related hair loss is normally more diffuse throughout the head and much less dramatic.

Permanent damage caused by Trichotillomania
Against the description above, of natural hair loss and regrowth, it is interesting to reflect on long-term damage, which persists after any hair-pulling behavior has stopped.

It seems that damage varies enormously between individuals. One male sufferer had no apparent permanent damage two years after stopping hair pulling, despite nearly 40 years of scalp pulling. By contrast, a middle-aged female indicated that her hair did not regrow after pulling, and that she wore a wig to cover significant and permanent hair loss (2).

Severe hair loss has been recorded as a result of even infrequent hair-pulling episodes of minimal duration. In addition, the repetitive and prolonged pulling can lead to musculoskelatal problems such as carpal tunnel syndrome. (3, 4)

Changes in hair colour to white or grey have been noted, and these can persist long after hair pulling has ceased. Textural changes have also been recorded, e.g. normally straight hair becoming thick and curly (3).

Trichotillomania patients may develop patterns of avoidant behavior in response to hair loss. These can result in avoiding public activities such as swimming or dancing, and shunning intimate relationships (5). It can also result in avoiding physical examinations by a doctor, which results in decreased opportunities for detection and treatment of other medical conditions (3). There is the potential for these serious problems to diminish substantially, if not completely, when the hair-pulling behavior stops.

Associated skin damage can result inadvertently, or deliberately, by picking with fingernails, tweezers etc, resulting in infection or scarring (3). The long-term recovery will, in these cases, depend on the nature and extent of damage.

Where sufferers regularly ingest whole hair there can be formation of a trichobezoar (hair ball). Such balls can become very large and can have serious, even fatal, consequences. Sufferers should seek medical checkups and support, and, after the hair-pulling behavior has ceased, the problem will remain until adequately deal with. In serious cases surgery is generally needed and is usually successful (6).

References:
Fox, D. (2001) "Keep your hair on", New Scientist magazine, Vol. 172 Issue 2312, 13 Oct 2001, p.28
Personal communication
Christenson, GA (1995) "Medical complications of trichotillomania", in Syllabus and Proceedings Summary of the 148th Annual Meeting of the American Psychiatric Association. Washington DC, American Psychiatric Association, 1995, p 158
O'Sullivan, RL; Keuthan, NJ and Gumley, G (1996) "Trichotillomania and carpal tunnel syndrome". J Clin Psychiatry 57:174
Mansueto, CS (1990) "Typography and phenomenology of trichotillomania". Paper presented at the annual convention of the Association for the Advancement of Behavior Therapy. San Francisco, CA, November 1990
DeBakey, M and Ochsner, A (1939) "Bezoars and concretions". Surgery 5:132-160.

hallo allemaal, helaas is alles in het engels, alweer!
Hoop toch dat jullie er wat mee kunnen, en de info komt van de site van TLC ,oftewel Trichotillomania Learning center.
Groeten van Monique3.

monique3 · 22 november 2002, 23:21

Docosahexaenoic Acid
Docosahexaenoic Acid or DHA for short, is an essetial, omega 3 fatty acid to be found in the body oils of deep sea cold water fish. "Essential" means that very little of this fatty acid can be synthesized by the body and therefore we need to obtain it from our diet.

DHA is necessary for communication between the brain and the nervous system and the importance of DHA to the brain and nervous system is seen early in our development with the mothers blood supplying the fetus with large amounts of DHA. This is seen as so important that the World Health Organization has recommended that DHA be added to infant formulas.

Research indicates that low levels of DHA may be involved in a number of health problems relating to the nervous system including Depression, Dementia and Alzheimer's Disease.

Many Trich sufferers are now claiming that a high dose of DHA supplementation is leaving them free of the urge to pull! They are taking a product by Nordic Naturals containing 250mg DHA and 100mg EPA (Eicosapentaenoic Acid) per capsule and they are taking 5 a day whilst the recommended amount by the manufacturer is 2 a day. These cannot be obtained here in the UK and the fish oil capsules we can get here have a far higher EPA content and also do be aware that many of these supplements also contain Vitamins A and D, both of which can cause serious damage in too large a dose.

Too many individuals have reported miraculous results with this DHA supplement so I'm going to give it a go myself. I'm taking 10 ml of Cod Liver Oil a day (this is the recommended amount and contains vitamins A, D and E) along with 5 FSC Foil capsules containing DHA and EPA and Vitamin E. All this adds up to:
DHA: 1,228 mg
EPA: 2,000 mg
Vitamins A and D: Safe levels
Vitamin E: 11.7 mg

I'll report on my progress.

Helaas weer in het engels, groetjes Monique3.

6 augustus 2002, 23:25	#16
monique3 HaarWeb lid Geregistreerd: 18 augustus 2001 Locatie: netherlands Berichten: 642	Hier nog wat info over haargroei na stoppen met ttm: When the pulling stops - hair loss and regrowth Compiled by Geoff Dean. Natural hair loss and regrowth. The process of hair growth and regrowth is a little clearer following a report on investigations into factors influencing baldness. (1) Healthy hair follicles spend about 18 months growing at about 0.4 mm per day, after which the hair producing cells die off and the follicle is dormant for around 6 months. After this period the hair is shed, a new hair sprouts, and a fresh growth phase begins. Age trends are important, and, when people go bald naturally, the fresh hairs become progressively finer and less coloured at which point the scalp looks bare. One theory is that each follicle has a limited number of cycles, after which it can only produce miniature hairs. When people go bald the follicles go though the same number of cycles, but do so much faster. The growth rate can vary from 0.3-0.5 mm per day, between people; and, although the normal cycle is around two years, some people have a cycle of 10 years. A combination of these factors allows some people to grow hair 1.8 m long. There are differences between men and women in control of natural hair loss, and such losses usually only occur if there is a steady supply of the male hormone dihydrotestosterone. Hippocrates (460-377 BC approx.) observed that eunuchs did not go bald, and scientists now believe that this is because their castration has removed the source of the critical male hormone. There are also differences between different parts of the body. For example, in men there are usually strong differences in the balding pattern between the top of the scalp and the side of the head. In women age-related hair loss is normally more diffuse throughout the head and much less dramatic. Permanent damage caused by Trichotillomania Against the description above, of natural hair loss and regrowth, it is interesting to reflect on long-term damage, which persists after any hair-pulling behavior has stopped. It seems that damage varies enormously between individuals. One male sufferer had no apparent permanent damage two years after stopping hair pulling, despite nearly 40 years of scalp pulling. By contrast, a middle-aged female indicated that her hair did not regrow after pulling, and that she wore a wig to cover significant and permanent hair loss (2). Severe hair loss has been recorded as a result of even infrequent hair-pulling episodes of minimal duration. In addition, the repetitive and prolonged pulling can lead to musculoskelatal problems such as carpal tunnel syndrome. (3, 4) Changes in hair colour to white or grey have been noted, and these can persist long after hair pulling has ceased. Textural changes have also been recorded, e.g. normally straight hair becoming thick and curly (3). Trichotillomania patients may develop patterns of avoidant behavior in response to hair loss. These can result in avoiding public activities such as swimming or dancing, and shunning intimate relationships (5). It can also result in avoiding physical examinations by a doctor, which results in decreased opportunities for detection and treatment of other medical conditions (3). There is the potential for these serious problems to diminish substantially, if not completely, when the hair-pulling behavior stops. Associated skin damage can result inadvertently, or deliberately, by picking with fingernails, tweezers etc, resulting in infection or scarring (3). The long-term recovery will, in these cases, depend on the nature and extent of damage. Where sufferers regularly ingest whole hair there can be formation of a trichobezoar (hair ball). Such balls can become very large and can have serious, even fatal, consequences. Sufferers should seek medical checkups and support, and, after the hair-pulling behavior has ceased, the problem will remain until adequately deal with. In serious cases surgery is generally needed and is usually successful (6). References: Fox, D. (2001) "Keep your hair on", New Scientist magazine, Vol. 172 Issue 2312, 13 Oct 2001, p.28 Personal communication Christenson, GA (1995) "Medical complications of trichotillomania", in Syllabus and Proceedings Summary of the 148th Annual Meeting of the American Psychiatric Association. Washington DC, American Psychiatric Association, 1995, p 158 O'Sullivan, RL; Keuthan, NJ and Gumley, G (1996) "Trichotillomania and carpal tunnel syndrome". J Clin Psychiatry 57:174 Mansueto, CS (1990) "Typography and phenomenology of trichotillomania". Paper presented at the annual convention of the Association for the Advancement of Behavior Therapy. San Francisco, CA, November 1990 DeBakey, M and Ochsner, A (1939) "Bezoars and concretions". Surgery 5:132-160. hallo allemaal, helaas is alles in het engels, alweer! Hoop toch dat jullie er wat mee kunnen, en de info komt van de site van TLC ,oftewel Trichotillomania Learning center. Groeten van Monique3.

22 november 2002, 23:21	#17
monique3 HaarWeb lid Geregistreerd: 18 augustus 2001 Locatie: netherlands Berichten: 642	Fabel of feit, DHA!!! Docosahexaenoic Acid Docosahexaenoic Acid or DHA for short, is an essetial, omega 3 fatty acid to be found in the body oils of deep sea cold water fish. "Essential" means that very little of this fatty acid can be synthesized by the body and therefore we need to obtain it from our diet. DHA is necessary for communication between the brain and the nervous system and the importance of DHA to the brain and nervous system is seen early in our development with the mothers blood supplying the fetus with large amounts of DHA. This is seen as so important that the World Health Organization has recommended that DHA be added to infant formulas. Research indicates that low levels of DHA may be involved in a number of health problems relating to the nervous system including Depression, Dementia and Alzheimer's Disease. Many Trich sufferers are now claiming that a high dose of DHA supplementation is leaving them free of the urge to pull! They are taking a product by Nordic Naturals containing 250mg DHA and 100mg EPA (Eicosapentaenoic Acid) per capsule and they are taking 5 a day whilst the recommended amount by the manufacturer is 2 a day. These cannot be obtained here in the UK and the fish oil capsules we can get here have a far higher EPA content and also do be aware that many of these supplements also contain Vitamins A and D, both of which can cause serious damage in too large a dose. Too many individuals have reported miraculous results with this DHA supplement so I'm going to give it a go myself. I'm taking 10 ml of Cod Liver Oil a day (this is the recommended amount and contains vitamins A, D and E) along with 5 FSC Foil capsules containing DHA and EPA and Vitamin E. All this adds up to: DHA: 1,228 mg EPA: 2,000 mg Vitamins A and D: Safe levels Vitamin E: 11.7 mg I'll report on my progress. Helaas weer in het engels, groetjes Monique3.