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I am desperate for advice. My 9 year old started picking her lashes 2 years ago. She pulled them all off. After about 4 sessions of cognitive behavioral therapy she stopped cold turkey. 3 months ago she started pulling her lashes, then brows, and now scalp. She has no lashes, no brows and a big hole on the top of her head. Therapy didn't help this time. She's been on NAc 600mg/day for 1 month with the last 2 weeks having an increase to 1200mg/day. We've tried 4 sessions of hypnotherapy to no avail. As much as I don't want to put her on anti-anxiety meds, I will do it if that will help. She was an extremely happy, healthy child prior to this. Now she has anxiety and cries herself to sleep. PLEASE, I need advice on what's helped for a child. If prescription meds will do it, I'll give them to her in a heartbeat. She wants to stop but can't and is pulling every day. I don't know how to help her. I would greatly appreciate any advice and if anyone who's dealt with this and has had success would be willing to talk to me. I'm desperate.