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“What is trichotillomania?”

What is trichotillomania? Is it a manifestation of anxiety or OCD? Is there a neurochemical component? ADDED SEP 28TH, 2009
“I have to wash my hands every 5 minutes.”

I have to wash my hands every 5 minutes. I know that this isn't rational, but I'm scared of all the germs. My skin is so dry and cracked that it often bleeds and now I have started wearing gloves to hide this. ADDED SEP 27TH, 2009