phenylephrine-hydrochloride and Disruptive--Impulse-Control--and-Conduct-Disorders

Topics: Adolescent; Adult; Anti-Anxiety Agents; Antidepressive Agents, Tricyclic; Attention Deficit and Disruptive Behavior Disorders; Behavior Therapy; Child; Child, Preschool; Disruptive, Impulse Control, and Conduct Disorders; Fingersucking; Habits; Humans; Masturbation; Nail Biting; Nose; Selective Serotonin Reuptake Inhibitors

Topics: Aged, 80 and over; Anti-Anxiety Agents; Anxiety Disorders; Citalopram; Disruptive, Impulse Control, and Conduct Disorders; Female; Humans; Nose; Radiography

To describe a different type of self-injurious behavior that may be secondary to body dysmorphic disorder (BDD).. Single case report.. We reported a case of an individual who have developed the self-destructive habit of pulling and severely scraping hairs and debris out of the mucous membrane of his nasal cavities. We have proposed the term rhinotrichotillomania to emphasize the phenomenological overlapping between trichotillomania (TTM) and rhinotillexomania (RTM) exhibited by this case. The main motivation behind the patient's actions was a distressing preoccupation with an imaginary defect in his appearance, which constitutes the core characteristic of BDD. The patient was successfully treated with imipramine.. The case suggests that certain features of TTM, RTM, and BDD may overlap and produce serious clinical consequences. Patients with this condition may benefit from a trial of tricyclics when other effective medications, such as serotonin reuptake inhibitors, are not available for use.

Topics: Adrenergic Uptake Inhibitors; Adult; Antidepressive Agents, Tricyclic; Body Image; Disruptive, Impulse Control, and Conduct Disorders; Humans; Imipramine; Male; Nose; Somatoform Disorders; Terminology as Topic; Treatment Outcome; Trichotillomania

Rhinotillexomania is a recent term coined to describe compulsive nose picking. There is little world literature on nose-picking behavior in the general population.. We studied nose-picking behavior in a sample of 200 adolescents from 4 urban schools.. Almost the entire sample admitted to nose picking, with a median frequency of 4 times per day; the frequency was > 20 times per day in 7.6% of the sample. Nearly 17% of subjects considered that they had a serious nose-picking problem. Other somatic habits such as nail biting, scratching in a specific spot, or pulling out of hair were also common; 3 or more such behaviors were simultaneously present in 14.2% of the sample, only in males. Occasional nose bleeds complicating nose picking occurred in 25% of subjects. Several interesting findings in specific categories of nose pickers were identified.. Nose picking is common in adolescents. It is often associated with other habitual behaviors. Nose picking may merit closer epidemiologic and nosologic scrutiny.

Topics: Adolescent; Age Factors; Comorbidity; Data Collection; Disruptive, Impulse Control, and Conduct Disorders; Female; Habits; Humans; India; Male; Motivation; Nose; Prevalence; Psychology, Adolescent; Sex Factors; Socioeconomic Factors; Students; Surveys and Questionnaires; Trichotillomania

Conditions once considered bad habits are now recognized as psychiatric disorders (trichotillomania, onychopagia). We hypothesized that nose picking is another such "habit," a common benign practice in most adults but a time-consuming, socially compromising, or physically harmful condition (rhinotillexomania) in some.. We developed the Rhinotillexomania Questionnaire, mailed it to 1000 randomly selected adult residents of Dane County, Wisconsin, and requested anonymous responses. The returned questionnaires were analyzed according to age, sex, marital status, living arrangement, and educational level. Nose picking was characterized according to time involved, level of distress, location, attitudes toward self and others regarding the practice, technique, methods of disposal, reasons, complications, and associated habits and psychiatric disorders.. Two hundred fifty-four subjects responded. Ninety-one percent were current nose pickers although only 75% felt "almost everyone does it"; 1.2% picked at least every hour. For 2 subjects (0.8%), nose picking caused moderate to marked interferences with daily functioning. Two subjects spent between 15 and 30 minutes and 1 over 2 hours a day picking their nose. For 2 others, perforation of the nasal septum was a complication. Associated "habits" included picking cuticles (25%), picking at skin (20%), biting fingernails (18%), and pulling out hair (6%).. This first population survey of nose picking suggests that it is an almost universal practice in adults but one that should not be considered pathologic for most. For some, however, the condition may meet criteria for a disorder-rhinotillexomania.

Topics: Adult; Age Factors; Aged; Disruptive, Impulse Control, and Conduct Disorders; Female; Habits; Humans; Male; Middle Aged; Nose; Obsessive-Compulsive Disorder; Prevalence; Sex Factors; Surveys and Questionnaires; Wisconsin