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Since NAC works on reducing oxidative stress and normalizing glutaminergic transmission, GABA may help too and will certainly help to ease any physical anxiety that is being experienced Recommended first-line therapy for this psychiatric condition is administration of SSRIs even though their efficacy is not yet proven in children for this reason Id recommend tryptophan or 5-HTP Also according to the psychiatric definition, these patients pull their hair because the act is gratifying and reduces tension, anger, depression and anxiety (these are all signs of low serotonin and another reason to consider tryptophan or 5-HTP) Because they offer relief right away, within 1-5 minutes A complete nutritional and functional medicine work-up would be part of the plan too to address the asthma and dermatitis (in the first paper above) and any other symptoms the person is experiencing and may be a contributing factor

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