A recent review on the use of electroconvulsive therapy (ECT) in obsessive-compulsive-related disorders (OCRDs) identified reports of trichotillomania (TTM) in only three patients, but it did not describe the specific effect of ECT on hair-pulling behaviors. The authors present a case report of Mrs. A, a 77-year-old widowed housewife with a lifelong history of episodic TTM and bipolar disorder who was effectively treated with ECT. However, on each attempt to withdraw ECT, her condition deteriorated. Eventually, a decision was made to maintain ECT (one session every week), which resulted in no further relapse over the followup period. ECT shows some potential promise for reducing hair-pulling behaviors in the context of severe depression.

中文翻译：

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双极患者毛细血管痉挛的电惊厥疗法。

最近对强迫症相关疾病（OCRD）中使用电抽搐疗法（ECT）的评论仅在三名患者中发现了毛滴虫病（TTM）的报道，但并未描述ECT对拔毛行为的特定作用。作者介绍了A太太的病例报告，A太太是一位77岁的寡妇家庭主妇，具有终身的发作性TTM和双相情感障碍病史，并接受ECT有效治疗。但是，每次尝试撤回ECT时，她的病情都会恶化。最终，决定维持ECT（每周一次），因此在随访期内未再复发。ECT显示出在严重抑郁的情况下减少脱发行为的一些潜在前景。