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Trichotillomania is a chronic disorder characterized by the fact of tearing the hair by oneself, resulting in considerable loss of it. This disorder appears to be a relatively common in pediatric population. Its ocurrence is associated with significant morbidity, comorbidity and functional impairment in adults, surprisingly few studies investigating the psychopathology of trichotillomania actually they included teenagers or children. Recent reviews have shown the efficacy of cognitive-behavioral pediatric trichotillomania, therapy but have also noted problems with relapse; these same reviews have mentioned the general lack of benefit associated with treatment only with selective inhibitors of serotonin reuptake. Recent developments in pharmacotherapy has been suggested that other medicines (atypical antipsychotics, opioid blockers and modulators glutamate) are promising as treatments for trichotillomania, both children and adults. This article has the overall objective to conduct a general review of the prevailing trends in pediatric trichotillomania, emphasizing the evaluation of pathology and the most current treatment recommendations.