Abstract
A case of trichotillomania (compulsive hair pulling) in a young adult is presented. The patient was treated with the tricyclic antidepressant amitriptyline in progressively increasing dosage, with marked improvement in symptoms. Amitriptyline has a pharmacological spectrum of action analogous to chlorimipramine, a medication with reputed effectiveness in severe compulsive behaviors. Thus, a rationale for the use of amitriptyline in this and related disorders evolves.

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