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Trichotillomania Symptoms, Causes, Treatment

Trichotillomania is a psychological condition where individuals experience compelling and persistent urges to pull out their hair. Find more information on Trichotillomania symptoms, causes, and treatment process here.
authorImageNivedita Dar29 Mar, 2024
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Trichotillomania Symptoms, Causes, Treatment

Trichotillomania is a feeling of strong urges to pull out your hair from the various parts of your body and disturb a person's daily life routine. This condition is grouped with other behaviors where people repeatedly do things to their bodies.

Pulling hair from the scalp can make parts of it bald, which can be upsetting and affect your life at work, school, or with friends. You might try hard to hide the bald spots. Various therapy treatments can help reduce or even stop hair pulling. The article discusses the details of this disorder, its symptoms, treatment, diagnosis, etc.

What is Trichotillomania?

Trichotillomania, also known as a hair-pulling disorder, is part of a group of behaviors called body-focused repetitive behaviors. It is a mental illness problem where you feel an urge to pull out hair from your scalp, eyebrows, or other parts of your body. For some, trichotillomania isn't too severe, and they can manage it. But for others, the urge to pull out hair is tough to handle emotionally. Trichotillomania may involve picking your skin, biting nails, or chewing lips. Sometimes, pulling out hairs from pets, dolls, or materials like clothes may also happen. People usually do hair pulling alone, lasting a few seconds to hours. They may try to keep it a secret from others.

Trichotillomania Symptoms

Trichotillomania is mainly about pulling out your hair repeatedly. You can pull hair from any part of your body where hair grows, but the most common places are the scalp, eyebrows, and eyelids. Sometimes, people also pull hair from less common areas like the face, pubic area, or around the bottom. The symptoms of Trichotillomania are of various types, as mentioned below:

Behavioral Symptoms

  • Pulling out hair repeatedly, intentionally or unintentionally, mainly from the scalp, eyebrows, or eyelashes.
  • Feeling tense before pulling out hair or trying to stop but unable to resist the urge.
  • Feeling relieved or satisfied after pulling out hair.
  • Noticing bald patches, shorter hair, or missing eyebrows or eyelashes.
  • Pulling out hair in specific patterns or ways.
  • Some may bite, chew, or eat the pulled-out hair.
  • Struggling to stop pulling out hair despite repeated attempts.
  • Experiencing distress at work, school, or in social situations due to hair pulling.

Emotional Time Symptoms:

  • Negative emotions: Pulling out hair might be a way to cope with feelings like stress, anxiety, boredom, or frustration.
  • Positive emotions: Some people find hair-pulling satisfying, which relieves them, so they keep doing it.
Trichotillomania is a long-lasting problem. Without treatment, symptoms may come and go over time. They can change how bad they are, like getting worse during periods for some women. In rare cases, hair-pulling stops on its own within a few years.

Trichotillomania   Causes

The reason why people develop trichotillomania isn't understood. It may be because of both genes and things you learn or experience. The primary causes behind Trichotillomania are to following reasons:
  • Family history : If someone in your family has trichotillomania, you might be more likely to have it, too.
  • Health conditions : Unwell hair or skin might lead you to focus on pulling your hair or picking at your scalp.
  • Age : Trichotillomania usually starts early, typically between ages 10 and 13. It can continue throughout life, although it's rare in babies.
  • Mental health : Trichotillomania may occur due to other mental disorders like depression, anxiety, or OCD.
  • Stress : High levels of stress can trigger trichotillomania in some people.
  • Environment : Factors like boredom, isolation, and privacy may increase the chances of hair-pulling

Trichotillomania Diagnosis

To diagnose trichotillomania, you'll probably first get a physical check-up. Then, you might see a mental health expert who knows about treating trichotillomania. The diagnosis process follows the following steps:
  • Physical exam : A doctor will examine your hair loss by looking at your scalp and hair.
  • Lab tests : They might also do some tests to check if any medical reasons are causing your hair loss.
  • Talk with a specialist : You'll talk to a mental health expert who knows about trichotillomania. They'll ask you about your hair-pulling habits and how they make you feel.
The specialist will also see if you have any other physical or mental health issues that could be linked to your hair pulling.

Trichotillomania Treatment

Treating trichotillomania can involve various strategies and techniques, and individuals need to try multiple approaches before finding what works best for them. Here are some standard treatment options explained in more detail: Habit reversal: This approach to treatment is about figuring out why you pull your hair and do something different instead. You might write down when you feel like pulling, use reminders to help you notice when you're doing it, or do something else like squeezing your fists or snapping a rubber band on your wrist.
  • Cognitive therapy: This therapy helps individuals challenge beliefs or thoughts related to hair pulling. By understanding and changing these thoughts, individuals can develop better deals to cope with this disorder.
  • Self-awareness means paying attention to when and where you pull your hair and writing down how you feel when you do it. This helps you understand why you pull your hair and find ways to stop it.
  • Relaxation Technique: Learning relaxation techniques helps individuals calm their nervous systems, reducing the likelihood of hair-pulling episodes. Techniques such as muscle relaxation must be applied.
  • Deep breathing: Proper deep breathing techniques can promote relaxation and focus, helping individuals manage stress and anxiety associated with trichotillomania.
  • Talk therapy is when you talk to someone about why you pull your hair. They help you understand why you do it and find ways to feel better.

Trichotillomania Medication:

While there are no medications approved for treating trichotillomania, selective serotonin reuptake inhibitors (SSRIs) and serotonin-norepinephrine reuptake inhibitors (SNRIs) may be prescribed to relieve symptoms of anxiety or depression. Trichotillomania is when people can't stop themselves from pulling out their hair. It causes problems in their life and often comes with other mental health issues. Many people with trichotillomania can handle their symptoms with regular treatment outside the hospital. But others may need more intense treatment. It's essential to ask for help early and keep getting treatment regularly to deal with trichotillomania well. Download the PW MedEd app and crack the NEET PG 2024 exam by experts at a minimal cost.

Why is Trichotillomania challenging to treat?

Several studies have found that this behavior is complex to stop because the picking and pulling of hair have a purpose.

What is the best therapy for Trichotillomania?

Cognitive behavior approaches are considered the best therapy treatment for Trichotillomania.

Can hair grow after Trichotillomania?

Once you stop pulling your hair, new hair growth can begin.

What are the two types of Trichotillomania?

The two types of Trichotillomania include focused hair-pulling and the other one is automatic hair-pulling.

What is the most common site of hair pulling?

The scalp is the most common site of hair pulling in Trichotillomania.
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