The Experts below are selected from a list of 66 Experts worldwide ranked by ideXlab platform
Douglas W. Woods - One of the best experts on this subject based on the ideXlab platform.
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Stereotyped Movement Disorder in ICD-11.
Revista Brasileira de Psiquiatria, 2014Co-Authors: Dan J. Stein, Douglas W. WoodsAbstract:According to current proposals for ICD-11, stereotyped Movement Disorder will be classified in the grouping of neurodevelopmental Disorders, with a qualifier to indicate whether self-injury is present, similar to the classification of Stereotypic Movement Disorder in DSM-5. At the same time, the WHO ICD-11 Working Group on the Classification of Obsessive-Compulsive and Related Disorders has proposed a grouping of body-focused repetitive behavior Disorders within the obsessive-compulsive and related Disorders (OCRD) cluster to include trichotillomania and skin-picking Disorder. DSM-5 has taken a slightly different approach: trichotillomania and excoriation (skin picking) Disorder are included in the OCRD grouping, while body-focused repetitive behavior Disorder is listed under other specified forms of OCRD. DSM-5 also includes a separate category of nonsuicidal self-injury in the section on "conditions for further study." There are a number of unresolved nosological questions regarding the relationships among stereotyped Movement Disorder, body-focused repetitive behavior Disorders, and nonsuicidal self-injury. In this article, we attempt to provide preliminary answers to some of these questions as they relate to the ICD-11 classification of mental and behavioral Disorders.
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behavior therapy for Stereotypic Movement Disorder in typically developing children a clinical case series
Cognitive and Behavioral Practice, 2013Co-Authors: Emily J Ricketts, Christopher C Bauer, Faye Van Der Fluit, Matthew R Capriotti, Flint M Espil, Ivar Snorrason, Laura J Ely, Michael R Walther, Douglas W. WoodsAbstract:Abstract Stereotypic Movement Disorder (SMD) is characterized by repetitive, rhythmic, episodic Movement and is associated with distress and functional impairment. A range of behavioral strategies have been implemented for the treatment of stereotypies, but research on the effectiveness of behavior therapy in typically developing children is limited. The following case series describes the implementation of behavior therapy for 3 typically developing children (ages 12 to 14) with SMD. Results showed significant reductions in the frequency and intensity of the stereotypies. Future refinement and testing of a behavior therapy protocol is recommended.
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trichotillomania hair pulling Disorder skin picking Disorder and Stereotypic Movement Disorder toward dsm v
Depression and Anxiety, 2010Co-Authors: E Jon M D J D Grant, Christine Lochner, Martin E. Franklin, Nancy J Keuthen, S Harvey M D Singer, Douglas W. WoodsAbstract:In DSM-IV-TR, trichotillomania (TTM) is classified as an impulse control Disorder (not classified elsewhere), skin picking lacks its own diagnostic category (but might be diagnosed as an impulse control Disorder not otherwise specified), and Stereotypic Movement Disorder is classified as a Disorder usually first diagnosed in infancy, childhood, or adolescence. ICD-10 classifies TTM as a habit and impulse Disorder, and includes stereotyped Movement Disorders in a section on other behavioral and emotional Disorders with onset usually occurring in childhood and adolescence. This article provides a focused review of nosological issues relevant to DSM-V, given recent empirical findings. This review presents a number of options and preliminary recommendations to be considered for DSM-V: (1) Although TTM fits optimally into a category of body-focused repetitive behavioral Disorders, in a nosology comprised of relatively few major categories it fits best within a category of motoric obsessive–compulsive spectrum Disorders, (2) available evidence does not support continuing to include (current) diagnostic criteria B and C for TTM in DSM-V, (3) the text for TTM should be updated to describe subtypes and forms of hair pulling, (4) there are persuasive reasons for referring to TTM as ‘‘hair pulling Disorder (trichotillomania),’’ (5) diagnostic criteria for skin picking Disorder should be included in DSM-V or in DSM-Vs Appendix of Criteria Sets Provided for Further Study, and (6) the diagnostic criteria for Stereotypic Movement Disorder should be clarified and simplified, bringing them in line with those for hair pulling and skin picking Disorder. Depression and Anxiety 27:611–626, 2010. r 2010 Wiley-Liss, Inc.
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is trichotillomania a Stereotypic Movement Disorder an analysis of body focused repetitive behaviors in people with hair pulling
Annals of Clinical Psychiatry, 2008Co-Authors: Dan J. Stein, Christine Lochner, Martin E. Franklin, Nancy J Keuthen, Christopher A Flessner, Douglas W. WoodsAbstract:Background. Stereotypic Movement Disorder (SMD) is characterized by nonfunctional repetitive Movements, is typically diagnosed in people with intellectual disability, and by definition excludes people with trichotillomania (TTM). Nevertheless, hair-pulling may be one of a number of body-focused repetitive behaviors (BFRBs) that are seen in the general population. Comorbidity of symptoms might support the idea that they are indicative of an underlying Stereotypic Disorder, and we therefore explored their frequency in people with hair-pulling. Methods. Participants were recruited with the help of the Trichotillomania Learning Center, the largest advocacy group for people with hair-pulling. Participants completed a self-report survey on the Internet, which included questions about the presence of both hair-pulling and other BFRBs. Measures included the Massachusetts General Hospital Hairpulling Scale (MGH-HS), the Milwaukee Inventory for Subtypes of Trichotillomania-Adult Version (MIST-A), the Depression and...
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trichotillomania Stereotypic Movement Disorder and related Disorders
Current Psychiatry Reports, 2007Co-Authors: Dan J. Stein, Martin E. Franklin, Nancy J Keuthen, Joseph P Garner, John T Walkup, Douglas W. WoodsAbstract:Trichotillomania is currently classified as an impulse control Disorder not otherwise classified, whereas body-focused behaviors other than hair-pulling may be diagnosed as Stereotypic Movement Disorder. A number of Disorders characterized by repetitive, body-focused behaviors (eg, skin-picking) are prevalent and disabling and may have phenomenological and psychobiological overlap. Such Disorders deserve greater recognition in the official nosology, and there would seem to be clinical utility in classifying them in the same diagnostic category.
Dan J. Stein - One of the best experts on this subject based on the ideXlab platform.
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Stereotyped Movement Disorder in ICD-11.
Revista Brasileira de Psiquiatria, 2014Co-Authors: Dan J. Stein, Douglas W. WoodsAbstract:According to current proposals for ICD-11, stereotyped Movement Disorder will be classified in the grouping of neurodevelopmental Disorders, with a qualifier to indicate whether self-injury is present, similar to the classification of Stereotypic Movement Disorder in DSM-5. At the same time, the WHO ICD-11 Working Group on the Classification of Obsessive-Compulsive and Related Disorders has proposed a grouping of body-focused repetitive behavior Disorders within the obsessive-compulsive and related Disorders (OCRD) cluster to include trichotillomania and skin-picking Disorder. DSM-5 has taken a slightly different approach: trichotillomania and excoriation (skin picking) Disorder are included in the OCRD grouping, while body-focused repetitive behavior Disorder is listed under other specified forms of OCRD. DSM-5 also includes a separate category of nonsuicidal self-injury in the section on "conditions for further study." There are a number of unresolved nosological questions regarding the relationships among stereotyped Movement Disorder, body-focused repetitive behavior Disorders, and nonsuicidal self-injury. In this article, we attempt to provide preliminary answers to some of these questions as they relate to the ICD-11 classification of mental and behavioral Disorders.
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Trichotillomania (hair pulling Disorder), skin picking Disorder, and Stereotypic movent Disorder: toward DSM-V. Depress
2010Co-Authors: Dan J. Stein, Christine Lochner, Martin E. Franklin, Nancy J Keuthen, M. Ph. D. D, Jon E. Grant, Ph. D, Harvey S. SingerAbstract:In DSM-IV-TR, trichotillomania (TTM) is classified as an impulse control Disorder (not classified elsewhere), skin picking lacks its own diagnostic category (but might be diagnosed as an impulse control Disorder not otherwise specified), and Stereotypic Movement Disorder is classified as a Disorder usually first diagnosed in infancy, childhood, or adolescence. ICD-10 classifies TTM as a habit and impulse Disorder, and includes stereotyped Movement Disorders in a section on other behavioral and emotional Disorders with onset usually occurring in childhood and adolescence. This article provides a focused review of nosological issues relevant to DSM-V, given recent empirical findings. This review presents a number of options and preliminary recommendations to be considered for DSM-V: (1) Although TTM fits optimally into a category of body-focused repetitive behavioral Disorders, in a nosology comprised of relatively few major categories it fits best within a category of motoric obsessive–compulsive spectrum Disorders, (2) available evidence does not support continuing to include (current) diagnostic criteria B and C for TTM in DSM-V, (3) the text for TTM should be updated to describe subtypes and forms of hair pulling, (4) there are persuasive reasons for referring to TTM as ‘‘hair pulling Disorder (trichotillomania),’ ’ (5) diagnostic criteria for skin picking Disorder should be included in DSM-V or in DSM-Vs Appendix of Criteria Sets Provided for Further Study, and (6) the diagnostic criteria for Stereotypic Movement Disorder should be clarified and simplified, bringing them in line with those for hair pulling and skin picking Disorder
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is trichotillomania a Stereotypic Movement Disorder an analysis of body focused repetitive behaviors in people with hair pulling
Annals of Clinical Psychiatry, 2008Co-Authors: Dan J. Stein, Christine Lochner, Martin E. Franklin, Nancy J Keuthen, Christopher A Flessner, Douglas W. WoodsAbstract:Background. Stereotypic Movement Disorder (SMD) is characterized by nonfunctional repetitive Movements, is typically diagnosed in people with intellectual disability, and by definition excludes people with trichotillomania (TTM). Nevertheless, hair-pulling may be one of a number of body-focused repetitive behaviors (BFRBs) that are seen in the general population. Comorbidity of symptoms might support the idea that they are indicative of an underlying Stereotypic Disorder, and we therefore explored their frequency in people with hair-pulling. Methods. Participants were recruited with the help of the Trichotillomania Learning Center, the largest advocacy group for people with hair-pulling. Participants completed a self-report survey on the Internet, which included questions about the presence of both hair-pulling and other BFRBs. Measures included the Massachusetts General Hospital Hairpulling Scale (MGH-HS), the Milwaukee Inventory for Subtypes of Trichotillomania-Adult Version (MIST-A), the Depression and...
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trichotillomania Stereotypic Movement Disorder and related Disorders
Current Psychiatry Reports, 2007Co-Authors: Dan J. Stein, Martin E. Franklin, Nancy J Keuthen, Joseph P Garner, John T Walkup, Douglas W. WoodsAbstract:Trichotillomania is currently classified as an impulse control Disorder not otherwise classified, whereas body-focused behaviors other than hair-pulling may be diagnosed as Stereotypic Movement Disorder. A number of Disorders characterized by repetitive, body-focused behaviors (eg, skin-picking) are prevalent and disabling and may have phenomenological and psychobiological overlap. Such Disorders deserve greater recognition in the official nosology, and there would seem to be clinical utility in classifying them in the same diagnostic category.
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an a b c model of habit Disorders hair pulling skin picking and other Stereotypic conditions
Cns Spectrums, 2006Co-Authors: Dan J. Stein, Samuel R Chamberlain, Naomi A FinebergAbstract:Severe hair-pulling is characteristic of trichotillomania, an impulse control Disorder not otherwise classified. Other pathological habits, including severe nail-biting and skin-picking, are also prevalent and are potentially diagnosable as Stereotypic Movement Disorder. There is increasing awareness of the morbidity associated with these kind of habit Disorders but, to date, relatively few randomized controlled trials of pharmacotherapy or psychotherapy have been undertaken. Advances in the understanding of the underlying cognitive-affective mechanisms driving stereotypies in animals and humans may ultimately lead to new approaches. An affect regulation, behavioral addiction, and cognitive control (A-B-C) approach is outlined to conceptualizing and managing these conditions.
Martin E. Franklin - One of the best experts on this subject based on the ideXlab platform.
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trichotillomania hair pulling Disorder skin picking Disorder and Stereotypic Movement Disorder toward dsm v
Depression and Anxiety, 2010Co-Authors: E Jon M D J D Grant, Christine Lochner, Martin E. Franklin, Nancy J Keuthen, S Harvey M D Singer, Douglas W. WoodsAbstract:In DSM-IV-TR, trichotillomania (TTM) is classified as an impulse control Disorder (not classified elsewhere), skin picking lacks its own diagnostic category (but might be diagnosed as an impulse control Disorder not otherwise specified), and Stereotypic Movement Disorder is classified as a Disorder usually first diagnosed in infancy, childhood, or adolescence. ICD-10 classifies TTM as a habit and impulse Disorder, and includes stereotyped Movement Disorders in a section on other behavioral and emotional Disorders with onset usually occurring in childhood and adolescence. This article provides a focused review of nosological issues relevant to DSM-V, given recent empirical findings. This review presents a number of options and preliminary recommendations to be considered for DSM-V: (1) Although TTM fits optimally into a category of body-focused repetitive behavioral Disorders, in a nosology comprised of relatively few major categories it fits best within a category of motoric obsessive–compulsive spectrum Disorders, (2) available evidence does not support continuing to include (current) diagnostic criteria B and C for TTM in DSM-V, (3) the text for TTM should be updated to describe subtypes and forms of hair pulling, (4) there are persuasive reasons for referring to TTM as ‘‘hair pulling Disorder (trichotillomania),’’ (5) diagnostic criteria for skin picking Disorder should be included in DSM-V or in DSM-Vs Appendix of Criteria Sets Provided for Further Study, and (6) the diagnostic criteria for Stereotypic Movement Disorder should be clarified and simplified, bringing them in line with those for hair pulling and skin picking Disorder. Depression and Anxiety 27:611–626, 2010. r 2010 Wiley-Liss, Inc.
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Trichotillomania (hair pulling Disorder), skin picking Disorder, and Stereotypic movent Disorder: toward DSM-V. Depress
2010Co-Authors: Dan J. Stein, Christine Lochner, Martin E. Franklin, Nancy J Keuthen, M. Ph. D. D, Jon E. Grant, Ph. D, Harvey S. SingerAbstract:In DSM-IV-TR, trichotillomania (TTM) is classified as an impulse control Disorder (not classified elsewhere), skin picking lacks its own diagnostic category (but might be diagnosed as an impulse control Disorder not otherwise specified), and Stereotypic Movement Disorder is classified as a Disorder usually first diagnosed in infancy, childhood, or adolescence. ICD-10 classifies TTM as a habit and impulse Disorder, and includes stereotyped Movement Disorders in a section on other behavioral and emotional Disorders with onset usually occurring in childhood and adolescence. This article provides a focused review of nosological issues relevant to DSM-V, given recent empirical findings. This review presents a number of options and preliminary recommendations to be considered for DSM-V: (1) Although TTM fits optimally into a category of body-focused repetitive behavioral Disorders, in a nosology comprised of relatively few major categories it fits best within a category of motoric obsessive–compulsive spectrum Disorders, (2) available evidence does not support continuing to include (current) diagnostic criteria B and C for TTM in DSM-V, (3) the text for TTM should be updated to describe subtypes and forms of hair pulling, (4) there are persuasive reasons for referring to TTM as ‘‘hair pulling Disorder (trichotillomania),’ ’ (5) diagnostic criteria for skin picking Disorder should be included in DSM-V or in DSM-Vs Appendix of Criteria Sets Provided for Further Study, and (6) the diagnostic criteria for Stereotypic Movement Disorder should be clarified and simplified, bringing them in line with those for hair pulling and skin picking Disorder
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is trichotillomania a Stereotypic Movement Disorder an analysis of body focused repetitive behaviors in people with hair pulling
Annals of Clinical Psychiatry, 2008Co-Authors: Dan J. Stein, Christine Lochner, Martin E. Franklin, Nancy J Keuthen, Christopher A Flessner, Douglas W. WoodsAbstract:Background. Stereotypic Movement Disorder (SMD) is characterized by nonfunctional repetitive Movements, is typically diagnosed in people with intellectual disability, and by definition excludes people with trichotillomania (TTM). Nevertheless, hair-pulling may be one of a number of body-focused repetitive behaviors (BFRBs) that are seen in the general population. Comorbidity of symptoms might support the idea that they are indicative of an underlying Stereotypic Disorder, and we therefore explored their frequency in people with hair-pulling. Methods. Participants were recruited with the help of the Trichotillomania Learning Center, the largest advocacy group for people with hair-pulling. Participants completed a self-report survey on the Internet, which included questions about the presence of both hair-pulling and other BFRBs. Measures included the Massachusetts General Hospital Hairpulling Scale (MGH-HS), the Milwaukee Inventory for Subtypes of Trichotillomania-Adult Version (MIST-A), the Depression and...
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trichotillomania Stereotypic Movement Disorder and related Disorders
Current Psychiatry Reports, 2007Co-Authors: Dan J. Stein, Martin E. Franklin, Nancy J Keuthen, Joseph P Garner, John T Walkup, Douglas W. WoodsAbstract:Trichotillomania is currently classified as an impulse control Disorder not otherwise classified, whereas body-focused behaviors other than hair-pulling may be diagnosed as Stereotypic Movement Disorder. A number of Disorders characterized by repetitive, body-focused behaviors (eg, skin-picking) are prevalent and disabling and may have phenomenological and psychobiological overlap. Such Disorders deserve greater recognition in the official nosology, and there would seem to be clinical utility in classifying them in the same diagnostic category.
Nancy J Keuthen - One of the best experts on this subject based on the ideXlab platform.
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trichotillomania hair pulling Disorder skin picking Disorder and Stereotypic Movement Disorder toward dsm v
Depression and Anxiety, 2010Co-Authors: E Jon M D J D Grant, Christine Lochner, Martin E. Franklin, Nancy J Keuthen, S Harvey M D Singer, Douglas W. WoodsAbstract:In DSM-IV-TR, trichotillomania (TTM) is classified as an impulse control Disorder (not classified elsewhere), skin picking lacks its own diagnostic category (but might be diagnosed as an impulse control Disorder not otherwise specified), and Stereotypic Movement Disorder is classified as a Disorder usually first diagnosed in infancy, childhood, or adolescence. ICD-10 classifies TTM as a habit and impulse Disorder, and includes stereotyped Movement Disorders in a section on other behavioral and emotional Disorders with onset usually occurring in childhood and adolescence. This article provides a focused review of nosological issues relevant to DSM-V, given recent empirical findings. This review presents a number of options and preliminary recommendations to be considered for DSM-V: (1) Although TTM fits optimally into a category of body-focused repetitive behavioral Disorders, in a nosology comprised of relatively few major categories it fits best within a category of motoric obsessive–compulsive spectrum Disorders, (2) available evidence does not support continuing to include (current) diagnostic criteria B and C for TTM in DSM-V, (3) the text for TTM should be updated to describe subtypes and forms of hair pulling, (4) there are persuasive reasons for referring to TTM as ‘‘hair pulling Disorder (trichotillomania),’’ (5) diagnostic criteria for skin picking Disorder should be included in DSM-V or in DSM-Vs Appendix of Criteria Sets Provided for Further Study, and (6) the diagnostic criteria for Stereotypic Movement Disorder should be clarified and simplified, bringing them in line with those for hair pulling and skin picking Disorder. Depression and Anxiety 27:611–626, 2010. r 2010 Wiley-Liss, Inc.
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Trichotillomania (hair pulling Disorder), skin picking Disorder, and Stereotypic movent Disorder: toward DSM-V. Depress
2010Co-Authors: Dan J. Stein, Christine Lochner, Martin E. Franklin, Nancy J Keuthen, M. Ph. D. D, Jon E. Grant, Ph. D, Harvey S. SingerAbstract:In DSM-IV-TR, trichotillomania (TTM) is classified as an impulse control Disorder (not classified elsewhere), skin picking lacks its own diagnostic category (but might be diagnosed as an impulse control Disorder not otherwise specified), and Stereotypic Movement Disorder is classified as a Disorder usually first diagnosed in infancy, childhood, or adolescence. ICD-10 classifies TTM as a habit and impulse Disorder, and includes stereotyped Movement Disorders in a section on other behavioral and emotional Disorders with onset usually occurring in childhood and adolescence. This article provides a focused review of nosological issues relevant to DSM-V, given recent empirical findings. This review presents a number of options and preliminary recommendations to be considered for DSM-V: (1) Although TTM fits optimally into a category of body-focused repetitive behavioral Disorders, in a nosology comprised of relatively few major categories it fits best within a category of motoric obsessive–compulsive spectrum Disorders, (2) available evidence does not support continuing to include (current) diagnostic criteria B and C for TTM in DSM-V, (3) the text for TTM should be updated to describe subtypes and forms of hair pulling, (4) there are persuasive reasons for referring to TTM as ‘‘hair pulling Disorder (trichotillomania),’ ’ (5) diagnostic criteria for skin picking Disorder should be included in DSM-V or in DSM-Vs Appendix of Criteria Sets Provided for Further Study, and (6) the diagnostic criteria for Stereotypic Movement Disorder should be clarified and simplified, bringing them in line with those for hair pulling and skin picking Disorder
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is trichotillomania a Stereotypic Movement Disorder an analysis of body focused repetitive behaviors in people with hair pulling
Annals of Clinical Psychiatry, 2008Co-Authors: Dan J. Stein, Christine Lochner, Martin E. Franklin, Nancy J Keuthen, Christopher A Flessner, Douglas W. WoodsAbstract:Background. Stereotypic Movement Disorder (SMD) is characterized by nonfunctional repetitive Movements, is typically diagnosed in people with intellectual disability, and by definition excludes people with trichotillomania (TTM). Nevertheless, hair-pulling may be one of a number of body-focused repetitive behaviors (BFRBs) that are seen in the general population. Comorbidity of symptoms might support the idea that they are indicative of an underlying Stereotypic Disorder, and we therefore explored their frequency in people with hair-pulling. Methods. Participants were recruited with the help of the Trichotillomania Learning Center, the largest advocacy group for people with hair-pulling. Participants completed a self-report survey on the Internet, which included questions about the presence of both hair-pulling and other BFRBs. Measures included the Massachusetts General Hospital Hairpulling Scale (MGH-HS), the Milwaukee Inventory for Subtypes of Trichotillomania-Adult Version (MIST-A), the Depression and...
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trichotillomania Stereotypic Movement Disorder and related Disorders
Current Psychiatry Reports, 2007Co-Authors: Dan J. Stein, Martin E. Franklin, Nancy J Keuthen, Joseph P Garner, John T Walkup, Douglas W. WoodsAbstract:Trichotillomania is currently classified as an impulse control Disorder not otherwise classified, whereas body-focused behaviors other than hair-pulling may be diagnosed as Stereotypic Movement Disorder. A number of Disorders characterized by repetitive, body-focused behaviors (eg, skin-picking) are prevalent and disabling and may have phenomenological and psychobiological overlap. Such Disorders deserve greater recognition in the official nosology, and there would seem to be clinical utility in classifying them in the same diagnostic category.
Christine Lochner - One of the best experts on this subject based on the ideXlab platform.
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trichotillomania hair pulling Disorder skin picking Disorder and Stereotypic Movement Disorder toward dsm v
Depression and Anxiety, 2010Co-Authors: E Jon M D J D Grant, Christine Lochner, Martin E. Franklin, Nancy J Keuthen, S Harvey M D Singer, Douglas W. WoodsAbstract:In DSM-IV-TR, trichotillomania (TTM) is classified as an impulse control Disorder (not classified elsewhere), skin picking lacks its own diagnostic category (but might be diagnosed as an impulse control Disorder not otherwise specified), and Stereotypic Movement Disorder is classified as a Disorder usually first diagnosed in infancy, childhood, or adolescence. ICD-10 classifies TTM as a habit and impulse Disorder, and includes stereotyped Movement Disorders in a section on other behavioral and emotional Disorders with onset usually occurring in childhood and adolescence. This article provides a focused review of nosological issues relevant to DSM-V, given recent empirical findings. This review presents a number of options and preliminary recommendations to be considered for DSM-V: (1) Although TTM fits optimally into a category of body-focused repetitive behavioral Disorders, in a nosology comprised of relatively few major categories it fits best within a category of motoric obsessive–compulsive spectrum Disorders, (2) available evidence does not support continuing to include (current) diagnostic criteria B and C for TTM in DSM-V, (3) the text for TTM should be updated to describe subtypes and forms of hair pulling, (4) there are persuasive reasons for referring to TTM as ‘‘hair pulling Disorder (trichotillomania),’’ (5) diagnostic criteria for skin picking Disorder should be included in DSM-V or in DSM-Vs Appendix of Criteria Sets Provided for Further Study, and (6) the diagnostic criteria for Stereotypic Movement Disorder should be clarified and simplified, bringing them in line with those for hair pulling and skin picking Disorder. Depression and Anxiety 27:611–626, 2010. r 2010 Wiley-Liss, Inc.
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Trichotillomania (hair pulling Disorder), skin picking Disorder, and Stereotypic movent Disorder: toward DSM-V. Depress
2010Co-Authors: Dan J. Stein, Christine Lochner, Martin E. Franklin, Nancy J Keuthen, M. Ph. D. D, Jon E. Grant, Ph. D, Harvey S. SingerAbstract:In DSM-IV-TR, trichotillomania (TTM) is classified as an impulse control Disorder (not classified elsewhere), skin picking lacks its own diagnostic category (but might be diagnosed as an impulse control Disorder not otherwise specified), and Stereotypic Movement Disorder is classified as a Disorder usually first diagnosed in infancy, childhood, or adolescence. ICD-10 classifies TTM as a habit and impulse Disorder, and includes stereotyped Movement Disorders in a section on other behavioral and emotional Disorders with onset usually occurring in childhood and adolescence. This article provides a focused review of nosological issues relevant to DSM-V, given recent empirical findings. This review presents a number of options and preliminary recommendations to be considered for DSM-V: (1) Although TTM fits optimally into a category of body-focused repetitive behavioral Disorders, in a nosology comprised of relatively few major categories it fits best within a category of motoric obsessive–compulsive spectrum Disorders, (2) available evidence does not support continuing to include (current) diagnostic criteria B and C for TTM in DSM-V, (3) the text for TTM should be updated to describe subtypes and forms of hair pulling, (4) there are persuasive reasons for referring to TTM as ‘‘hair pulling Disorder (trichotillomania),’ ’ (5) diagnostic criteria for skin picking Disorder should be included in DSM-V or in DSM-Vs Appendix of Criteria Sets Provided for Further Study, and (6) the diagnostic criteria for Stereotypic Movement Disorder should be clarified and simplified, bringing them in line with those for hair pulling and skin picking Disorder
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is trichotillomania a Stereotypic Movement Disorder an analysis of body focused repetitive behaviors in people with hair pulling
Annals of Clinical Psychiatry, 2008Co-Authors: Dan J. Stein, Christine Lochner, Martin E. Franklin, Nancy J Keuthen, Christopher A Flessner, Douglas W. WoodsAbstract:Background. Stereotypic Movement Disorder (SMD) is characterized by nonfunctional repetitive Movements, is typically diagnosed in people with intellectual disability, and by definition excludes people with trichotillomania (TTM). Nevertheless, hair-pulling may be one of a number of body-focused repetitive behaviors (BFRBs) that are seen in the general population. Comorbidity of symptoms might support the idea that they are indicative of an underlying Stereotypic Disorder, and we therefore explored their frequency in people with hair-pulling. Methods. Participants were recruited with the help of the Trichotillomania Learning Center, the largest advocacy group for people with hair-pulling. Participants completed a self-report survey on the Internet, which included questions about the presence of both hair-pulling and other BFRBs. Measures included the Massachusetts General Hospital Hairpulling Scale (MGH-HS), the Milwaukee Inventory for Subtypes of Trichotillomania-Adult Version (MIST-A), the Depression and...