This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: Miscellaneous, Subject name: Psychiatry
[{'content': 'Which of the following is true regarding Trichotillomania? \nSelect and explain. \nA. Not an Impulse control disorder, B. Repetitive hair pulling without tension, C. No hair loss seen, D. Repetitive hair pulling driven by increasing tension', 'role': 'user'}, {'content': "Answer: D \nExplanation: Ans. D. Repetitive hair pulling driven by increasing tensionHair-pulling disorder* Chronic disorder- repetitive hair pulling, leading to variable hair loss that may be visible to others.* Aka Trichotillomania-- coined by French dermatologist Francois Hallopeau's (1889)* Typical findings- area of incomplete alopecia* Before engaging in behavior, pts may experience increasing sense of tension & achieve sense of release or gratification from pulling out their hair.* All areas of body may be affected. Most commonly the Scalp.* Other areas involved -- eyebrows, eyelashes, beard* Trunk, armpit, pubic area -- less commonly involved", 'role': 'assistant'}]