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Which diagnosis is characterized by chronic hair pulling, hair loss, and distress or impairment not explained by a medical condition?

  1. An anxiety disorder

  2. Hobson's Disorder

  3. Pyorrhea

  4. Trichotillomania

The correct answer is: An anxiety disorder

The diagnosis characterized by chronic hair pulling, hair loss, and significant distress or impairment not attributed to a medical condition is known as Trichotillomania. This disorder falls under the category of obsessive-compulsive and related disorders. Individuals suffering from Trichotillomania often have an urge to pull out their hair, which can lead to noticeable hair loss. The behavior typically results in emotional distress and can impair social and occupational functioning, fulfilling the criteria for a mental health diagnosis. In contrast, while anxiety disorders can involve compulsive behaviors and feelings of distress, they do not specifically involve the act of hair pulling as a primary symptom. Hobson’s Disorder is not a recognized clinical diagnosis related to hair pulling, and pyorrhea, or periodontitis, is a dental condition affecting the gums and is unrelated to hair pulling or mental health issues.