When do you consider the use of N-acetylcysteine (NAC) in patients with trichotillomania?  

Generally speaking, there is no FDA-approved medication available to date for the treatment of trichotillomania. Various case reports have shown variable benefits with SSRIs, SNRIs, TCAs, and antipsychotics. However, Habit reversal therapy (HRT) is the gold standard for the treatment. N-Acetylcystei...