Trichotillomania (TTM) or hair pulling disorder is characterized by repetitive pulling of hair on
the body whereas Polycystic Ovarian Syndrome (PCOS) is a metabolic-endocrine disorder,
manifested by irregular menstrual cycle and clinical hyperandrogenism. Both disorders
commonly occur in young females. TTM and PCOS may be related and share the same
pathophysiology. We reported a case of a teenager with TTM and PCOS, which were triggered
by stress. Neurobiological mechanism may explain the co-occurrences between TTM and
PCOS. Further research in the neurobiology of TTM and PCOS may better explain the cooccurrences between the two disorders.
We report the challenges in managing a troubled, medically ill adolescent with end-of-life issues. Our role as multi-professional service providers complemented the family's efforts to help him reconcile with himself before death. The present experience enhances understanding of the biopsychosocial aspects of care. Every child has the right to optimal care.