A 35-year-old man presents with hair loss on the side of his head. He states that during long office working hours he has a habit of pulling his hair at a certain area; this behavior increases with stress. He also states that he has been subjected to a severe workload lately. He does not take any medications. On examination, a 1 cm x 1 cm area of normal skin with no hair over the right temporal area is seen. No exclamation mark hairs are found.

Question
What is the most likely diagnosis?

Trichotillomania

Explanation: Trichotillomania or hair-pulling disorder is a disorder that involves an irresistible urge to pull out body hair. The urge involves pulling out one's hair from the scalp, eyebrows, eyelids, and other areas of the body.

Trichotillomania is a kind of impulse control disorder. A person with these disorders knows that he/she is doing damage by acting on the impulses, but he/she cannot stop himself/herself.

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