Recognizing the Symptoms of Trichotillomania

Author: Mokshvi Shah, BS Northeastern University Student

Published: July 2024

Trichotillomania, or hair-pulling disorder, is a mental health condition where people can't resist

pulling out their hair, leading to noticeable hair loss. This can cause a lot of distress and make it

hard to function well in social settings, at work, or in daily life. Spotting the signs of

trichotillomania early is key to getting the right help and managing it effectively. Creating a safe

and supportive environment where individuals feel comfortable discussing their struggles is

crucial. Parents, teachers, and healthcare providers should be aware of the signs, especially in

children and teenagers who may be reluctant to seek help

Key Symptoms of Trichotillomania

1. Recurrent Hair Pulling:

The main symptom of trichotillomania is the repeated act of pulling out hair. People with this

condition often feel a strong urge to pull their hair, which they find hard to resist. Hair pulling

can happen from various body parts, especially the scalp, eyebrows, and eyelashes. Some might

pull hair from less visible areas like the arms, legs, or pubic region.

2. Noticeable Hair Loss:

Due to frequent hair pulling, people with trichotillomania often have visible hair loss. This can

range from small patches to larger bald spots. Some may try to hide these areas with hats,

scarves, or different hairstyles.

5. Repeated Attempts to Stop:

People with trichotillomania often try to reduce or stop their hair-pulling behavior but find it very

challenging. These unsuccessful efforts can lead to frustration, shame, and helplessness.

6. Significant Distress and Impairment:

The disorder can cause a lot of emotional distress and affect daily functioning. Individuals may

avoid social situations or activities where their hair loss might be noticed, leading to isolation,

low self-esteem, and even depression. Monitor these behavioral changes, and avoidance of

certain activities.

7. Associated Behaviors:

Trichotillomania can include other behaviors, such as playing with pulled hair, chewing or eating

it (trichophagia), or examining the hair root. These actions can cause further distress and

complications, like gastrointestinal problems from eating hair.

Seeking Help and Treatment

If you or someone you know shows signs of trichotillomania, it’s important to seek professional

help. Treatment options may include:

Cognitive Behavioral Therapy (CBT):

A form of CBT called Habit Reversal Training (HRT) has been shown to be effective. HRT

involves identifying triggers for hair pulling and developing alternative behaviors. Check out our

blog on Habit Reversal Training as a Solution for Hair Pulling.

Medications:

In some cases, medications such as selective serotonin reuptake inhibitors (SSRIs) or other

psychotropic drugs may be prescribed to help manage symptoms.

Support Groups:

Joining a support group can provide a sense of community and understanding, which can be very

helpful for individuals struggling with trichotillomania.

Recognizing the symptoms of trichotillomania early can lead to timely intervention and better

outcomes. By understanding the key signs and fostering open communication, we can support

those affected by this challenging disorder and guide them toward effective treatment options. If

you suspect you or someone you know may have trichotillomania, don't hesitate to seek

professional help. With the right support and treatment, it is possible to manage the symptoms

and lead a fulfilling life.