Materiały źródłowe

• #1 Trichotillomania (hair-pulling disorder) | Beacon Health System

  https://www.beaconhealthsystem.org/library/diseases-and-conditions/trichotillomania-hair-pulling-disorder?content_id=CON-20228105

  In this mental health condition, people can’t resist urges to pull out hair from their body. They do this often. Therapy may help reduce or stop urges. […] Trichotillomania (trik-o-til-o-MAY-nee-uh), also called hair-pulling disorder, is a mental health condition. It involves frequent, repeated and irresistible urges to pull out hair from your scalp, eyebrows or other areas of your body. You may try to resist the urges, but you can’t stop. […] Pulling out hair from the scalp often leaves patchy bald spots. This can cause a lot of distress and can affect your work, school and social life. You may go to great lengths to hide the hair loss. […] Symptoms of trichotillomania often include: Repeatedly pulling out your hair, whether it’s automatic or on purpose, usually from your scalp, eyebrows or eyelashes, but sometimes from other body areas. The sites may vary over time. An increasing sense of tension before pulling out your hair, or when you try to resist pulling. A sense of pleasure or relief after the hair is pulled out. Hair loss that’s easy to see, such as shortened hair or thinned or bald areas on the scalp or other areas of your body. This may include thin or missing eyelashes or eyebrows. Pulling out specific types of hair, taking the same steps in the same way each time hair is pulled out or pulling out hair in certain patterns. Biting, chewing or eating pulled-out hair. Playing with pulled-out hair or rubbing it across your lips or face. Repeatedly trying to stop pulling out your hair or trying to do it less often without success. Experiencing a great deal of distress or problems at work, school or in social situations related to pulling out your hair.

• #2 Trichotillomania (Hair Pulling): What It Is, Causes & Treatment

  https://my.clevelandclinic.org/health/diseases/9880-trichotillomania

  Trichotillomania is a mental health condition where you compulsively pull out your own hair. It often has severe negative effects on your mental health and well-being when it happens in your adolescent, teen and adult years. However, this condition is treatable. […] Missing patches of hair are a possible sign of trichotillomania. […] When its severe, it often has extremely negative effects on a persons happiness, well-being and overall quality of life. […] The more serious form most commonly starts between ages 10 and 13. […] The effects of trichotillomania also depend on the age at which it happens. […] Adolescents, teenagers and adults with this condition tend to have much more severe problems. […] People with TTM commonly feel anxiety, embarrassment or shame about this condition. This can affect their work and social lives.

• #3 Trichotillomania (hair pulling disorder) – NHS

  https://www.nhs.uk/mental-health/conditions/trichotillomania/

  Trich usually starts between the ages of 10 and 13 years old. […] People with trich feel an intense urge to pull their hair out and they experience growing tension until they do. After pulling their hair out, they feel a sense of relief. […] Most people with trich pull out hair from their scalp, but some pull out hair from other areas, such as their eyebrows, eyelashes, genital area, beard or moustache. […] Bald patches on the head may have an unusual shape and affect 1 side of the head more than the other. […] Trich may cause feelings of shame and low self-esteem. Those affected may try to keep their condition to themselves. […] For some people, hair pulling can be a habit that’s hard to break. The more they pull their hair out, the more they want to keep doing it. […] Trich is commonly treated using a type of CBT called habit reversal training.

• #4

• #5 Trichotillomania (hair-pulling Disorder): Causes, Symptoms, Treatment DSM-5 312.39 (F63.2)

  https://thriveworks.com/blog/trichotillomania-hair-pulling-disorder/

  The Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5), categorizes trichotillomania as an obsessive-compulsive or related disorder. Someone who suffers with the disorder pulls out their hair on a consistent basis, whether it be hair from the scalp, eyebrows, or any other region of their body. The individual may do this in short instances throughout the day or spend longer periods, hours even, hair-pulling. It can sometimes be difficult to notice when someone has this disorder if he or she pulls hair in a widely distributed fashion or conceals their hair loss with hats or makeup, for example. […] The individual pulls out his or her hair regularly, which results in hair loss. The individual makes a consistent effort to stop hair-pulling. The individuals hair-pulling causes him or her clinically significant distress or impairment in their everyday life. The individuals hair loss is not due to another medical condition. The individuals hair-pulling is not attributable to symptoms of another mental disorder.

• #6 Trichotillomania (Hair Pulling): What It Is, Causes & Treatment

  https://my.clevelandclinic.org/health/diseases/9880-trichotillomania

  About 20% of people with this condition eat their hair after pulling it, a condition known as trichophagia. […] People who pull out their hair often cause damage to their skin and tissue just underneath the skins surface, especially if they use any kind of personal care tool like tweezers. […] According to the American Psychiatric Associations Diagnostic and Statistical Manual of Mental Disorders Fifth Edition (DSM-5), the diagnosis of TTM requires a person to meet five criteria: Repeated pulling out of hair that causes hair loss. […] The hair pulling or hair loss isnt happening because of another condition (such as a skin-related disorder or problem). […] Some people with TTM pull their hair deliberately, such as when they feel a hair is out of place or looks different from others around it.

• #7 Trichotillomania (Hair Pulling Disorder) – The Complete Guide | TrichStop.com

  https://www.trichstop.com/info

  Trichotillomania, sometimes called trich or compulsive hair pulling, is a mental health disorder marked by the compulsive urge to pull out ones hair that results in physical injury and impairment in daily functioning. […] The average age of onset is between the ages of 9 and 13, meaning the urge to pull hair often begins around puberty. Little is known about what starts the symptoms of trichotillomania, but some research indicates depression, stress, or traumatic events serve as initial triggers. […] Prevalence data suggests that 0.5% to 2.0% of the population struggles with trichotillomania, with adult females experiencing it four times more than adult males. […] Trich behaviors tend to decrease in severity over the lifespan. The early years are difficult because when it starts during puberty, most people do not understand what is happening to them or why.

• #8 Trichotillomania – StatPearls – NCBI Bookshelf

  https://www.ncbi.nlm.nih.gov/books/NBK493186/

  Trichotillomania (TTM) also known as hair-pulling disorder, was first described in ancient Greece, but its current name was coined in the later part of the 18th century. […] In these cases the hair is pulled from anywhere on the body repeatedly, appearing as hair loss but is caused by the action of the patient. […] As this condition can greatly affect the appearance of the patient, it is associated with societal stigma. […] The adolescent patients do not all meet the criteria for trichotillomania as described by the DSM-V criteria but they do experience some form of the symptoms. […] The disorder is reported more commonly in females, with the ratio shown to be about 9:1 toward females. […] The disease is a clinical diagnosis but can be confirmed by punch biopsy of the scalp. […] The hair from the head is the most common to be pulled but can be from anywhere.

• #9 Hair Pulling Disorder: Symptoms, Causes, and Treatment

  https://iamsober.com/en/blog/hair-pulling-disorder

  Trichotillomania (TTM) is a mental disorder characterized by an overwhelming need to pull out ones own hair. […] Over time, repeatedly pulling their hair out results in bald spots and even more emotional distress. […] Hair pulling disorder affects males and females equally in childhood. However, it affects females more often during adulthood. […] Here are the signs and symptoms of trichotillomania or hair pulling disorder: Repeatedly pulling your hair out from any area with hair including lashes, brows, and armpits. […] A sense of tension before pulling your hair out. […] A sense of pleasure after pulling your hair. […] A sense of tension when you try to resist hair pulling. […] Hair loss, balding, or hair thinning. […] Preference for specific types of hair. […] Liking routines that come with hair pulling.

• #10 Trichotillomania (Hair Pulling Disorder) – The Complete Guide | TrichStop.com

  https://www.trichstop.com/info

  Trichotillomania, sometimes called trich or compulsive hair pulling, is a mental health disorder marked by the compulsive urge to pull out ones hair that results in physical injury and impairment in daily functioning. […] The average age of onset is between the ages of 9 and 13, meaning the urge to pull hair often begins around puberty. Little is known about what starts the symptoms of trichotillomania, but some research indicates depression, stress, or traumatic events serve as initial triggers. […] Prevalence data suggests that 0.5% to 2.0% of the population struggles with trichotillomania, with adult females experiencing it four times more than adult males. […] Trich behaviors tend to decrease in severity over the lifespan. The early years are difficult because when it starts during puberty, most people do not understand what is happening to them or why.

• #11 Trichotillomania (hair pulling disorder) – NHS

  https://www.nhs.uk/mental-health/conditions/trichotillomania/

  Trich usually starts between the ages of 10 and 13 years old. […] People with trich feel an intense urge to pull their hair out and they experience growing tension until they do. After pulling their hair out, they feel a sense of relief. […] Most people with trich pull out hair from their scalp, but some pull out hair from other areas, such as their eyebrows, eyelashes, genital area, beard or moustache. […] Bald patches on the head may have an unusual shape and affect 1 side of the head more than the other. […] Trich may cause feelings of shame and low self-esteem. Those affected may try to keep their condition to themselves. […] For some people, hair pulling can be a habit that’s hard to break. The more they pull their hair out, the more they want to keep doing it. […] Trich is commonly treated using a type of CBT called habit reversal training.

• #12 Trichotillomania (Hair Pulling) | Mental Health America

  https://mhanational.org/conditions/trichotillomania-hair-pulling/

  Trichotillomania is a body-focused repetitive behavior classified as an impulse control disorder (along the lines of pyromania, kleptomania, and pathologic gambling) which involves pulling out one’s hair. Hair pulling may occur in any region of the body in which hair grows but the most common sites are the scalp, eyebrows, and eyelids. […] In general, trichotillomania is a chronic condition that will come and go throughout an individual’s life if the disorder is not treated. For some individuals, the disorder may come and go for weeks, months, or years at a time. […] The most common age of onset is in preadolescents to young adults. On average, it is typically between 9 and 13 years, with a peak between 12 and 13 years. It is possible that hair pulling may be seen in infants, but this behavior typically resolves during early development. The onset of this disorder may be preceded or accompanied by various emotional states, such as feelings of anxiety or boredom. A stressful event such as abuse, family conflict, or death may also trigger trichotillomania.

• #13 Trichotillomania (hair-pulling disorder) | Beacon Health System

  https://www.beaconhealthsystem.org/library/diseases-and-conditions/trichotillomania-hair-pulling-disorder?content_id=CON-20228105

  Trichotillomania is a long-term disorder. If not treated, symptoms may come and go for weeks, months or years at a time. Also, symptoms can vary in severity over time. […] Trichotillomania can be related to emotions, including: Negative feelings. Pulling out hair may be a way of dealing with negative or uncomfortable feelings, such as stress, anxiety, tension, boredom, loneliness, extreme tiredness or frustration. Positive feelings. You may find that pulling out hair feels satisfying and provides some relief. As a result, you may continue to pull out your hair to keep these positive feelings. […] Trichotillomania is not just a bad habit, it’s a mental health condition. It’s not likely to get better without treatment. […] Trichotillomania usually develops just before or during the early teens most often between the ages of 10 and 13 years. It’s often a lifelong problem.

• #14 Trichotillomania (Hair Pulling): What It Is, Causes & Treatment

  https://my.clevelandclinic.org/health/diseases/9880-trichotillomania

  While experts suspect several possible factors could lead to TTM, there arent any confirmed causes of this condition. […] TTM isnt usually a danger to your physical health (except in rare cases, especially when a person develops a digestive tract blockage from hair theyve swallowed). However, it can be very disruptive and damaging to your mental health and quality of life. […] Those who avoid or delay treatment are much more likely to have issues like permanent hair loss, scarring and more severe mental health problems. […] The available research, while limited, shows that people with TTM have this condition for an average of about 22 years. […] TTM on its own is rarely a life-threatening problem. But its impacts on a persons life, especially their mental health, are often severe. […] If you have TTM, its important to see a healthcare provider (or multiple providers) with specialized training and experience in treating this condition. […] TTM is a mental health condition, which means it isnt preventable. Theres also no known way of reducing your risk of developing it.

• #15 Trichotillomania: Causes, Symptoms, and Treatment

  https://www.webmd.com/anxiety-panic/trichotillomania

  Trichotillomania is a type of impulse control disorder where people have an irresistible urge to pull out their hair, usually from their scalp, eyelashes, and eyebrows. […] The main symptom of trichotillomania is pulling out your hair, often to the point that you have hair loss or bald patches. People with trichotillomania often try to stop pulling but can’t. They also say that pulling has negative effects on their lives, self-esteem, or well-being. […] Pulling can be focused or automatic. With automatic pulling, you aren’t aware that you’re doing it. Automatic pulling might happen when you’re studying, reading, or watching TV and not paying attention. […] With focused pulling, people know that they are doing it but can’t stop themselves. Focused pulling can be a way to ease stress or soothe yourself.

• #16 Trichotillomania: Causes, Symptoms, and Treatment

  https://www.webmd.com/anxiety-panic/trichotillomania

  Trichotillomania is a type of impulse control disorder where people have an irresistible urge to pull out their hair, usually from their scalp, eyelashes, and eyebrows. […] The main symptom of trichotillomania is pulling out your hair, often to the point that you have hair loss or bald patches. People with trichotillomania often try to stop pulling but can’t. They also say that pulling has negative effects on their lives, self-esteem, or well-being. […] Pulling can be focused or automatic. With automatic pulling, you aren’t aware that you’re doing it. Automatic pulling might happen when you’re studying, reading, or watching TV and not paying attention. […] With focused pulling, people know that they are doing it but can’t stop themselves. Focused pulling can be a way to ease stress or soothe yourself.

• #17 Trichotillomania: Causes, Symptoms, and Treatment

  https://www.webmd.com/anxiety-panic/trichotillomania

  Trichotillomania is a type of impulse control disorder where people have an irresistible urge to pull out their hair, usually from their scalp, eyelashes, and eyebrows. […] The main symptom of trichotillomania is pulling out your hair, often to the point that you have hair loss or bald patches. People with trichotillomania often try to stop pulling but can’t. They also say that pulling has negative effects on their lives, self-esteem, or well-being. […] Pulling can be focused or automatic. With automatic pulling, you aren’t aware that you’re doing it. Automatic pulling might happen when you’re studying, reading, or watching TV and not paying attention. […] With focused pulling, people know that they are doing it but can’t stop themselves. Focused pulling can be a way to ease stress or soothe yourself.

• #18 Trichotillomania: Causes, Symptoms, and Treatment

  https://www.webmd.com/anxiety-panic/trichotillomania

  Trichotillomania is a type of impulse control disorder where people have an irresistible urge to pull out their hair, usually from their scalp, eyelashes, and eyebrows. […] The main symptom of trichotillomania is pulling out your hair, often to the point that you have hair loss or bald patches. People with trichotillomania often try to stop pulling but can’t. They also say that pulling has negative effects on their lives, self-esteem, or well-being. […] Pulling can be focused or automatic. With automatic pulling, you aren’t aware that you’re doing it. Automatic pulling might happen when you’re studying, reading, or watching TV and not paying attention. […] With focused pulling, people know that they are doing it but can’t stop themselves. Focused pulling can be a way to ease stress or soothe yourself.

• #19 Trichotillomania: Causes, Symptoms, and Treatment

  https://www.webmd.com/anxiety-panic/trichotillomania

  Besides repeated hairpulling, other signs of trichotillomania may include: Feeling tense before pulling out your hair or if you try to resist the urge to pull, Feeling relieved, satisfied, or pleased after acting on the impulse to pull hair, Distress or problems at work, at school, or in your social life due to hairpulling, Avoiding situations where people might find out that you pull hair or have hair loss, like sleepovers, swimming, going outside in windy weather, hair salons or barber shops, changing rooms, or sexual intimacy with a partner, Conflicts or tension with your friends or family related to pulling, Irritated or sore skin from pulling or a tingling feeling or itch that makes you want to pull, Scars or damage to your skin, scalp, or hair follicles, Rituals like chewing on the hair you pull out, inspecting the hair root, twirling the hair, putting the hair between your teeth, or eating hair, A preference for certain types or textures of hair, Changes to how you look because of hair loss, Bare patches where your hair has been pulled out, Pulling fibers from blankets and clothing or hair from pets or dolls.

• #20 Trichotillomania (hair-pulling disorder) | Beacon Health System

  https://www.beaconhealthsystem.org/library/diseases-and-conditions/trichotillomania-hair-pulling-disorder?content_id=CON-20228105

  In this mental health condition, people can’t resist urges to pull out hair from their body. They do this often. Therapy may help reduce or stop urges. […] Trichotillomania (trik-o-til-o-MAY-nee-uh), also called hair-pulling disorder, is a mental health condition. It involves frequent, repeated and irresistible urges to pull out hair from your scalp, eyebrows or other areas of your body. You may try to resist the urges, but you can’t stop. […] Pulling out hair from the scalp often leaves patchy bald spots. This can cause a lot of distress and can affect your work, school and social life. You may go to great lengths to hide the hair loss. […] Symptoms of trichotillomania often include: Repeatedly pulling out your hair, whether it’s automatic or on purpose, usually from your scalp, eyebrows or eyelashes, but sometimes from other body areas. The sites may vary over time. An increasing sense of tension before pulling out your hair, or when you try to resist pulling. A sense of pleasure or relief after the hair is pulled out. Hair loss that’s easy to see, such as shortened hair or thinned or bald areas on the scalp or other areas of your body. This may include thin or missing eyelashes or eyebrows. Pulling out specific types of hair, taking the same steps in the same way each time hair is pulled out or pulling out hair in certain patterns. Biting, chewing or eating pulled-out hair. Playing with pulled-out hair or rubbing it across your lips or face. Repeatedly trying to stop pulling out your hair or trying to do it less often without success. Experiencing a great deal of distress or problems at work, school or in social situations related to pulling out your hair.

• #21 Trichotillomania (hair pulling disorder) – NHS

  https://www.nhs.uk/mental-health/conditions/trichotillomania/

  Trich usually starts between the ages of 10 and 13 years old. […] People with trich feel an intense urge to pull their hair out and they experience growing tension until they do. After pulling their hair out, they feel a sense of relief. […] Most people with trich pull out hair from their scalp, but some pull out hair from other areas, such as their eyebrows, eyelashes, genital area, beard or moustache. […] Bald patches on the head may have an unusual shape and affect 1 side of the head more than the other. […] Trich may cause feelings of shame and low self-esteem. Those affected may try to keep their condition to themselves. […] For some people, hair pulling can be a habit that’s hard to break. The more they pull their hair out, the more they want to keep doing it. […] Trich is commonly treated using a type of CBT called habit reversal training.

• #22 Trichotillomania: Causes, Symptoms, and Treatment

  https://www.webmd.com/anxiety-panic/trichotillomania

  Besides repeated hairpulling, other signs of trichotillomania may include: Feeling tense before pulling out your hair or if you try to resist the urge to pull, Feeling relieved, satisfied, or pleased after acting on the impulse to pull hair, Distress or problems at work, at school, or in your social life due to hairpulling, Avoiding situations where people might find out that you pull hair or have hair loss, like sleepovers, swimming, going outside in windy weather, hair salons or barber shops, changing rooms, or sexual intimacy with a partner, Conflicts or tension with your friends or family related to pulling, Irritated or sore skin from pulling or a tingling feeling or itch that makes you want to pull, Scars or damage to your skin, scalp, or hair follicles, Rituals like chewing on the hair you pull out, inspecting the hair root, twirling the hair, putting the hair between your teeth, or eating hair, A preference for certain types or textures of hair, Changes to how you look because of hair loss, Bare patches where your hair has been pulled out, Pulling fibers from blankets and clothing or hair from pets or dolls.

• #23 Trichotillomania: Causes, Symptoms, and Treatment

  https://www.webmd.com/anxiety-panic/trichotillomania

  Besides repeated hairpulling, other signs of trichotillomania may include: Feeling tense before pulling out your hair or if you try to resist the urge to pull, Feeling relieved, satisfied, or pleased after acting on the impulse to pull hair, Distress or problems at work, at school, or in your social life due to hairpulling, Avoiding situations where people might find out that you pull hair or have hair loss, like sleepovers, swimming, going outside in windy weather, hair salons or barber shops, changing rooms, or sexual intimacy with a partner, Conflicts or tension with your friends or family related to pulling, Irritated or sore skin from pulling or a tingling feeling or itch that makes you want to pull, Scars or damage to your skin, scalp, or hair follicles, Rituals like chewing on the hair you pull out, inspecting the hair root, twirling the hair, putting the hair between your teeth, or eating hair, A preference for certain types or textures of hair, Changes to how you look because of hair loss, Bare patches where your hair has been pulled out, Pulling fibers from blankets and clothing or hair from pets or dolls.

• #24 Trichotillomania (Hair Pulling): What It Is, Causes & Treatment

  https://my.clevelandclinic.org/health/diseases/9880-trichotillomania

  About 20% of people with this condition eat their hair after pulling it, a condition known as trichophagia. […] People who pull out their hair often cause damage to their skin and tissue just underneath the skins surface, especially if they use any kind of personal care tool like tweezers. […] According to the American Psychiatric Associations Diagnostic and Statistical Manual of Mental Disorders Fifth Edition (DSM-5), the diagnosis of TTM requires a person to meet five criteria: Repeated pulling out of hair that causes hair loss. […] The hair pulling or hair loss isnt happening because of another condition (such as a skin-related disorder or problem). […] Some people with TTM pull their hair deliberately, such as when they feel a hair is out of place or looks different from others around it.

• #25 Trichotillomania (TTM): Definition, Symptoms, Traits, Causes, Treatment

  https://www.verywellmind.com/trichotillomania-2510662

  Trichotillomania (TTM), also known as hair-pulling disorder, is a condition in which hair is repeatedly pulled out, twisted, or broken off from any part of the body for non-cosmetic reasons. People with trichotillomania pull out hair on their heads, eyelashes, eyebrows, and/or other parts of the body, such as the underarm, pubic, chin, chest, or leg areas. They may do this intentionally or unconsciously. […] Symptoms of trichotillomania include recurrent hair pulling that leads to hair loss, feelings of tension before the behavior, and a sense of gratification or relief when engaging in the behavior. […] Trichotillomania can come and go, stopping for days or even months before reoccurring. The hair-pulling behavior has even rarely been reported to happen during sleep. […] While trichotillomania can manifest differently depending on the person, it generally has five distinct characteristics: Recurrent pulling out of ones hair resulting in noticeable hair loss, An increasing sense of tension immediately prior to pulling out the hair or when attempting to resist the behavior, Pleasure, gratification, or relief when pulling out the hair, The disturbance is not better accounted for by another mental disorder and is not due to a general medical condition such as alopecia areata, tinea capitis, traction alopecia, and telogen effluvium, The disturbance causes clinically significant distress or impairment in social, occupational, or other important areas of functioning. […] Research indicates that hair is most commonly pulled from the scalp, eyebrows, eyelashes, and pubic area. However, pulling may also focus on the limbs, underarms, and chest. Such behavior leads to a considerable amount of distress and difficulties in other life areas.

• #26 Trichotillomania (Hair Pulling Disorder) – trichology

  https://trichology.com/trichotillomania-hair-pulling-disorder/

  Trichotillomania, also known as hair pulling disorder, is a debilitating mental condition characterized by the irresistible urge to pull out ones own hair. This repetitive behavior often leads to hair loss and significant functional impairment. […] Signs of trichotillomania can be observed in any hairy region of the body, but the scalp remains the most common site (72.8%) followed by the eyebrows (56.4%) and the pubic region (50.7%). Patients describe multiple triggers that cause them to pull on their hair, such as: […] The urge to pull hair can be triggered by sensory, emotional, or cognitive stimuli, such as the thickness, length, or location of the hair, as well as feelings of anxiety, stress, or boredom. These triggers may vary from person to person and can be unpredictable. The repetitive hair-pulling behavior can result in bald patches, noticeable hair loss, and even permanent hair loss if left untreated.

• #27 Trichotillomania (hair pulling disorder) – NHS

  https://www.nhs.uk/mental-health/conditions/trichotillomania/

  Trich usually starts between the ages of 10 and 13 years old. […] People with trich feel an intense urge to pull their hair out and they experience growing tension until they do. After pulling their hair out, they feel a sense of relief. […] Most people with trich pull out hair from their scalp, but some pull out hair from other areas, such as their eyebrows, eyelashes, genital area, beard or moustache. […] Bald patches on the head may have an unusual shape and affect 1 side of the head more than the other. […] Trich may cause feelings of shame and low self-esteem. Those affected may try to keep their condition to themselves. […] For some people, hair pulling can be a habit that’s hard to break. The more they pull their hair out, the more they want to keep doing it. […] Trich is commonly treated using a type of CBT called habit reversal training.

• #28 Trichotillomania – Wikipedia

  https://en.wikipedia.org/wiki/Trichotillomania

  Trichotillomania is usually confined to one or two sites, but can involve multiple sites. The scalp is the most common pulling site, followed by the eyebrows, eyelashes, face, arms, and legs. Some less common areas include the pubic area, underarms, beard, and chest. The classic presentation is the „Friar Tuck” form of crown alopecia (loss of hair at the „crown” of the head, also known as the „vertex”). Children are less likely to pull from areas other than the scalp. […] People with trichotillomania often pull only one hair at a time and these hair-pulling episodes can last for hours at a time. Some individuals may experience more satisfaction after pulling an anagen phase hair with the gel-like inner root sheath still surrounding the base of the hair. Trichotillomania can go into remission-like states where the individual may not experience the urge to „pull” for days, weeks, months, or even years.

• #29 Trichotillomania: Causes, Symptoms, and Treatment

  https://www.webmd.com/anxiety-panic/trichotillomania

  Besides repeated hairpulling, other signs of trichotillomania may include: Feeling tense before pulling out your hair or if you try to resist the urge to pull, Feeling relieved, satisfied, or pleased after acting on the impulse to pull hair, Distress or problems at work, at school, or in your social life due to hairpulling, Avoiding situations where people might find out that you pull hair or have hair loss, like sleepovers, swimming, going outside in windy weather, hair salons or barber shops, changing rooms, or sexual intimacy with a partner, Conflicts or tension with your friends or family related to pulling, Irritated or sore skin from pulling or a tingling feeling or itch that makes you want to pull, Scars or damage to your skin, scalp, or hair follicles, Rituals like chewing on the hair you pull out, inspecting the hair root, twirling the hair, putting the hair between your teeth, or eating hair, A preference for certain types or textures of hair, Changes to how you look because of hair loss, Bare patches where your hair has been pulled out, Pulling fibers from blankets and clothing or hair from pets or dolls.

• #30 Trichotillomania: Causes, Symptoms, and Treatment

  https://www.webmd.com/anxiety-panic/trichotillomania

  Besides repeated hairpulling, other signs of trichotillomania may include: Feeling tense before pulling out your hair or if you try to resist the urge to pull, Feeling relieved, satisfied, or pleased after acting on the impulse to pull hair, Distress or problems at work, at school, or in your social life due to hairpulling, Avoiding situations where people might find out that you pull hair or have hair loss, like sleepovers, swimming, going outside in windy weather, hair salons or barber shops, changing rooms, or sexual intimacy with a partner, Conflicts or tension with your friends or family related to pulling, Irritated or sore skin from pulling or a tingling feeling or itch that makes you want to pull, Scars or damage to your skin, scalp, or hair follicles, Rituals like chewing on the hair you pull out, inspecting the hair root, twirling the hair, putting the hair between your teeth, or eating hair, A preference for certain types or textures of hair, Changes to how you look because of hair loss, Bare patches where your hair has been pulled out, Pulling fibers from blankets and clothing or hair from pets or dolls.

• #31 Trichotillomania: Causes, Symptoms, and Treatment

  https://www.webmd.com/anxiety-panic/trichotillomania

  Besides repeated hairpulling, other signs of trichotillomania may include: Feeling tense before pulling out your hair or if you try to resist the urge to pull, Feeling relieved, satisfied, or pleased after acting on the impulse to pull hair, Distress or problems at work, at school, or in your social life due to hairpulling, Avoiding situations where people might find out that you pull hair or have hair loss, like sleepovers, swimming, going outside in windy weather, hair salons or barber shops, changing rooms, or sexual intimacy with a partner, Conflicts or tension with your friends or family related to pulling, Irritated or sore skin from pulling or a tingling feeling or itch that makes you want to pull, Scars or damage to your skin, scalp, or hair follicles, Rituals like chewing on the hair you pull out, inspecting the hair root, twirling the hair, putting the hair between your teeth, or eating hair, A preference for certain types or textures of hair, Changes to how you look because of hair loss, Bare patches where your hair has been pulled out, Pulling fibers from blankets and clothing or hair from pets or dolls.

• #32 Trichotillomania: Causes, Symptoms, and Treatment

  https://www.webmd.com/anxiety-panic/trichotillomania

  Besides repeated hairpulling, other signs of trichotillomania may include: Feeling tense before pulling out your hair or if you try to resist the urge to pull, Feeling relieved, satisfied, or pleased after acting on the impulse to pull hair, Distress or problems at work, at school, or in your social life due to hairpulling, Avoiding situations where people might find out that you pull hair or have hair loss, like sleepovers, swimming, going outside in windy weather, hair salons or barber shops, changing rooms, or sexual intimacy with a partner, Conflicts or tension with your friends or family related to pulling, Irritated or sore skin from pulling or a tingling feeling or itch that makes you want to pull, Scars or damage to your skin, scalp, or hair follicles, Rituals like chewing on the hair you pull out, inspecting the hair root, twirling the hair, putting the hair between your teeth, or eating hair, A preference for certain types or textures of hair, Changes to how you look because of hair loss, Bare patches where your hair has been pulled out, Pulling fibers from blankets and clothing or hair from pets or dolls.

• #33 Trichotillomania: Causes, Symptoms, and Treatment

  https://www.webmd.com/anxiety-panic/trichotillomania

  Besides repeated hairpulling, other signs of trichotillomania may include: Feeling tense before pulling out your hair or if you try to resist the urge to pull, Feeling relieved, satisfied, or pleased after acting on the impulse to pull hair, Distress or problems at work, at school, or in your social life due to hairpulling, Avoiding situations where people might find out that you pull hair or have hair loss, like sleepovers, swimming, going outside in windy weather, hair salons or barber shops, changing rooms, or sexual intimacy with a partner, Conflicts or tension with your friends or family related to pulling, Irritated or sore skin from pulling or a tingling feeling or itch that makes you want to pull, Scars or damage to your skin, scalp, or hair follicles, Rituals like chewing on the hair you pull out, inspecting the hair root, twirling the hair, putting the hair between your teeth, or eating hair, A preference for certain types or textures of hair, Changes to how you look because of hair loss, Bare patches where your hair has been pulled out, Pulling fibers from blankets and clothing or hair from pets or dolls.

• #34 Trichotillomania: Causes, Symptoms, and Treatment

  https://www.webmd.com/anxiety-panic/trichotillomania

  Besides repeated hairpulling, other signs of trichotillomania may include: Feeling tense before pulling out your hair or if you try to resist the urge to pull, Feeling relieved, satisfied, or pleased after acting on the impulse to pull hair, Distress or problems at work, at school, or in your social life due to hairpulling, Avoiding situations where people might find out that you pull hair or have hair loss, like sleepovers, swimming, going outside in windy weather, hair salons or barber shops, changing rooms, or sexual intimacy with a partner, Conflicts or tension with your friends or family related to pulling, Irritated or sore skin from pulling or a tingling feeling or itch that makes you want to pull, Scars or damage to your skin, scalp, or hair follicles, Rituals like chewing on the hair you pull out, inspecting the hair root, twirling the hair, putting the hair between your teeth, or eating hair, A preference for certain types or textures of hair, Changes to how you look because of hair loss, Bare patches where your hair has been pulled out, Pulling fibers from blankets and clothing or hair from pets or dolls.

• #35 Trichotillomania: Causes, Symptoms, and Treatment

  https://www.webmd.com/anxiety-panic/trichotillomania

  Besides repeated hairpulling, other signs of trichotillomania may include: Feeling tense before pulling out your hair or if you try to resist the urge to pull, Feeling relieved, satisfied, or pleased after acting on the impulse to pull hair, Distress or problems at work, at school, or in your social life due to hairpulling, Avoiding situations where people might find out that you pull hair or have hair loss, like sleepovers, swimming, going outside in windy weather, hair salons or barber shops, changing rooms, or sexual intimacy with a partner, Conflicts or tension with your friends or family related to pulling, Irritated or sore skin from pulling or a tingling feeling or itch that makes you want to pull, Scars or damage to your skin, scalp, or hair follicles, Rituals like chewing on the hair you pull out, inspecting the hair root, twirling the hair, putting the hair between your teeth, or eating hair, A preference for certain types or textures of hair, Changes to how you look because of hair loss, Bare patches where your hair has been pulled out, Pulling fibers from blankets and clothing or hair from pets or dolls.

• #36 Trichotillomania: Causes, Symptoms, and Treatment

  https://www.webmd.com/anxiety-panic/trichotillomania

  Many people who have trichotillomania feel embarrassed or ashamed to let other people know they pull. They may try to hide their bald patches or hair loss with hats, scarves, or wigs. […] Trichotillomania can last your whole life, though symptoms may come and go. […] If you have trichotillomania, you could also have other body-focused repetitive behaviors, like nail biting, skin picking, or chewing on your lips or cheeks. About 1 in 5 people with trichotillomania also have trichophagia, a related condition that causes you to eat the hair you pull out. […] Without treatment, it can lead to different kinds of complications including: Emotional issues and stigma. People say they feel ashamed or embarrassed about pulling or hair loss. […] People with trichotillomania may avoid friendships, relationships, and intimacy. They might turn down school or job opportunities because they feel down about themselves or embarrassed about pulling.

• #37 Trichotillomania (Hair Pulling): What It Is, Causes & Treatment

  https://my.clevelandclinic.org/health/diseases/9880-trichotillomania

  About 20% of people with this condition eat their hair after pulling it, a condition known as trichophagia. […] People who pull out their hair often cause damage to their skin and tissue just underneath the skins surface, especially if they use any kind of personal care tool like tweezers. […] According to the American Psychiatric Associations Diagnostic and Statistical Manual of Mental Disorders Fifth Edition (DSM-5), the diagnosis of TTM requires a person to meet five criteria: Repeated pulling out of hair that causes hair loss. […] The hair pulling or hair loss isnt happening because of another condition (such as a skin-related disorder or problem). […] Some people with TTM pull their hair deliberately, such as when they feel a hair is out of place or looks different from others around it.

• #38 Trichotillomania: Symptoms, causes, and treatments

  https://www.medicalnewstoday.com/articles/326833

  According to an article in the American Journal of Psychiatry, around 20% of people who have trichotillomania eat their hair after pulling it out. […] People with trichotillomania may experience bouts of depression or anxiety over their inability to control compulsive hair pulling. People who have developed hair loss as a result of the condition may feel additional concerns about their appearance. […] Trichotillomania is a rare medical disorder that can greatly affect a person’s quality of life.

• #39 Trichotillomania: Causes, Symptoms, and Treatment

  https://www.webmd.com/anxiety-panic/trichotillomania

  People with trichotillomania often have hair loss or bald or uneven patches on their scalp, body, or face. Repeated pulling can leave tiny scars on your scalp, skin, or hair follicles. […] About half of all people with trichotillomania put the hair they pull in their mouth in some way, and 1 in 5 swallow or eat it. Hair is hard for your body to break down, so swallowing it can lead to digestive system problems like stomachaches, nausea, throwing up, or blockages. […] Some people with trichotillomania also pull out the hair from their eyebrows. […] If you pull your eyelashes, your eye doctor might tell you to put eye ointment on your eyelids to moisten the area and help the hair grow back.

• #40 Trichotillomania: Causes, Symptoms, and Treatment

  https://www.webmd.com/anxiety-panic/trichotillomania

  People with trichotillomania often have hair loss or bald or uneven patches on their scalp, body, or face. Repeated pulling can leave tiny scars on your scalp, skin, or hair follicles. […] About half of all people with trichotillomania put the hair they pull in their mouth in some way, and 1 in 5 swallow or eat it. Hair is hard for your body to break down, so swallowing it can lead to digestive system problems like stomachaches, nausea, throwing up, or blockages. […] Some people with trichotillomania also pull out the hair from their eyebrows. […] If you pull your eyelashes, your eye doctor might tell you to put eye ointment on your eyelids to moisten the area and help the hair grow back.

• #41 Trichotillomania – Wikipedia

  https://en.wikipedia.org/wiki/Trichotillomania

  For some people, trichotillomania is a mild, if frustrating, problem. But for many, embarrassment about hair pulling causes isolation and results in a great deal of emotional distress, placing them at risk for a co-occurring psychiatric disorder, such as a mood or anxiety disorder. Hair pulling can lead to tension and strained relationships with family members and friends. Family members may need professional help in coping with this problem. […] Other medical complications include infection, permanent loss of hair, repetitive stress injury, carpal tunnel syndrome, and gastrointestinal obstruction as a result of trichophagia. In trichophagia, people with trichotillomania also ingest the hair that they pull; in extreme (and rare) cases this can lead to a hair ball (trichobezoar). Rapunzel syndrome is an extreme form of trichobezoar in which the „tail” of the hair ball extends into the intestines and can be fatal if misdiagnosed. […] The disorder is typically treated with cognitive behavioral therapy. Trichotillomania is estimated to affect one to four percent of people. Trichotillomania most commonly begins in childhood or adolescence. Women are affected about 10 times more often than men.

• #42 Trichotillomania – Wikipedia

  https://en.wikipedia.org/wiki/Trichotillomania

  For some people, trichotillomania is a mild, if frustrating, problem. But for many, embarrassment about hair pulling causes isolation and results in a great deal of emotional distress, placing them at risk for a co-occurring psychiatric disorder, such as a mood or anxiety disorder. Hair pulling can lead to tension and strained relationships with family members and friends. Family members may need professional help in coping with this problem. […] Other medical complications include infection, permanent loss of hair, repetitive stress injury, carpal tunnel syndrome, and gastrointestinal obstruction as a result of trichophagia. In trichophagia, people with trichotillomania also ingest the hair that they pull; in extreme (and rare) cases this can lead to a hair ball (trichobezoar). Rapunzel syndrome is an extreme form of trichobezoar in which the „tail” of the hair ball extends into the intestines and can be fatal if misdiagnosed. […] The disorder is typically treated with cognitive behavioral therapy. Trichotillomania is estimated to affect one to four percent of people. Trichotillomania most commonly begins in childhood or adolescence. Women are affected about 10 times more often than men.

• #43 Trichotillomania – Psychiatric Disorders – Merck Manual Professional Edition

  https://www.merckmanuals.com/professional/psychiatric-disorders/obsessive-compulsive-and-related-disorders/trichotillomania

  Trichotillomania is characterized by recurrent pulling out of one’s hair resulting in hair loss. […] Patients with trichotillomania repeatedly pull or pluck out their hair for noncosmetic reasons. […] Hair pulling typically begins just before or after puberty. At any given point in time, about 1 to 2% of people have the disorder. […] Hair pulling is usually chronic, with waxing and waning of symptoms if untreated. […] Patterns of hair loss vary from patient to patient. Some have areas of complete alopecia or missing eyelashes and/or eyebrows; others merely have thinned hair. […] Patients may feel embarrassed by or ashamed because of their appearance or their inability to control their behavior. […] Patients with trichotillomania try to stop pulling their hair out or to pull less often, but they are unable to do so.

• #44 Trichotillomania (Hair Pulling) | Mental Health America

  https://mhanational.org/conditions/trichotillomania-hair-pulling/

  Trichotillomania is a body-focused repetitive behavior classified as an impulse control disorder (along the lines of pyromania, kleptomania, and pathologic gambling) which involves pulling out one’s hair. Hair pulling may occur in any region of the body in which hair grows but the most common sites are the scalp, eyebrows, and eyelids. […] In general, trichotillomania is a chronic condition that will come and go throughout an individual’s life if the disorder is not treated. For some individuals, the disorder may come and go for weeks, months, or years at a time. […] The most common age of onset is in preadolescents to young adults. On average, it is typically between 9 and 13 years, with a peak between 12 and 13 years. It is possible that hair pulling may be seen in infants, but this behavior typically resolves during early development. The onset of this disorder may be preceded or accompanied by various emotional states, such as feelings of anxiety or boredom. A stressful event such as abuse, family conflict, or death may also trigger trichotillomania.

• #45 Trichotillomania: Causes, Symptoms, Treatment, & More

  https://www.healthline.com/health/anxiety/trichotillomania

  Trichotillomania (TTM) is sometimes related to certain mental health conditions, such as anxiety and depression. […] For people with trichotillomania, that may include an overwhelming urge to pull out your own hair. Over time, repeatedly pulling hair out can lead to bald spots and even more emotional distress. […] Trichotillomania usually develops during the adolescent years, but its been known to appear in young children, too. Once it starts, it can continue for several years through to adulthood. […] Some women report having more urges to pull out their hair during the start of their menstrual cycles. […] Symptoms of trichotillomania include: pulling out hair repeatedly, breaking off pieces of hair, eating hair (trichophagy), feeling relieved after pulling hair out. […] Over time, those affected by trichotillomania may experience side effects like: itching or tingling at the site where hair was pulled, bald spots, thinning hair, skin irritations, social anxiety.

• #46 Trichotillomania (hair-pulling Disorder): Causes, Symptoms, Treatment DSM-5 312.39 (F63.2)

  https://thriveworks.com/blog/trichotillomania-hair-pulling-disorder/

  Individuals who suffer with trichotillomania can develop habits alongside hair-pulling such as examining the hair after pulling it out, eating the hair, and playing with the hair. A wide variety of emotions also follow the acts, including feelings of gratification or relief, while some alternatively cause them, such as anxiety and boredom. […] Those at a greater risk of developing trichotillomania are individuals with obsessive-compulsive disorder (OCD) and those who have close relatives who suffer from hair-pulling disorder. Otherwise, there is normal risk. In individuals that do develop trichotillomania, onset typically occurs during puberty. If they dont get help for the disorder, its course will likely be chronic. Additionally, symptoms may worsen during hormonal changes in women, such as during menstruation or menopause. It is also possible for the disorder to come and go for any period of time.

• #47 Trichotillomania (Hair Pulling) | Mental Health America

  https://mhanational.org/conditions/trichotillomania-hair-pulling/

  Trichotillomania is a body-focused repetitive behavior classified as an impulse control disorder (along the lines of pyromania, kleptomania, and pathologic gambling) which involves pulling out one’s hair. Hair pulling may occur in any region of the body in which hair grows but the most common sites are the scalp, eyebrows, and eyelids. […] In general, trichotillomania is a chronic condition that will come and go throughout an individual’s life if the disorder is not treated. For some individuals, the disorder may come and go for weeks, months, or years at a time. […] The most common age of onset is in preadolescents to young adults. On average, it is typically between 9 and 13 years, with a peak between 12 and 13 years. It is possible that hair pulling may be seen in infants, but this behavior typically resolves during early development. The onset of this disorder may be preceded or accompanied by various emotional states, such as feelings of anxiety or boredom. A stressful event such as abuse, family conflict, or death may also trigger trichotillomania.

• #48 Trichotillomania (Hair Pulling) | Mental Health America

  https://mhanational.org/conditions/trichotillomania-hair-pulling/

  Trichotillomania is a body-focused repetitive behavior classified as an impulse control disorder (along the lines of pyromania, kleptomania, and pathologic gambling) which involves pulling out one’s hair. Hair pulling may occur in any region of the body in which hair grows but the most common sites are the scalp, eyebrows, and eyelids. […] In general, trichotillomania is a chronic condition that will come and go throughout an individual’s life if the disorder is not treated. For some individuals, the disorder may come and go for weeks, months, or years at a time. […] The most common age of onset is in preadolescents to young adults. On average, it is typically between 9 and 13 years, with a peak between 12 and 13 years. It is possible that hair pulling may be seen in infants, but this behavior typically resolves during early development. The onset of this disorder may be preceded or accompanied by various emotional states, such as feelings of anxiety or boredom. A stressful event such as abuse, family conflict, or death may also trigger trichotillomania.

• #49 Trichotillomania: Causes, Symptoms, Treatment, & More

  https://www.healthline.com/health/anxiety/trichotillomania

  Symptoms usually start with pulling out the hairs on the scalp, which makes the person feel less anxious or stressed. […] Many people report symptoms happening in cycles where hair pulling urges may happen often for a few months then go away completely for a little while. […] Trichotillomania can cause permanent hair loss and scarring. […] Some people with trichotillomania may also eat their hair, a condition known as trichophagia. This may result in hair building up in the digestive tract and can also cause a dangerous obstruction. […] Trichotillomania affects many people all over the world and is considered a treatable mental health condition.

• #50 Trichotillomania – StatPearls – NCBI Bookshelf

  https://www.ncbi.nlm.nih.gov/books/NBK493186/

  The prognosis is better when the disorder is diagnosed early, and treatment begins early. […] Long-term complications of the disease include permanent hair loss, and this is seen primarily in people who have been pulling the hair out into adulthood. […] Patients should be encouraged to avoid stressful situations and triggers for their hair-pulling behavior. […] There is a significant stigma surrounding self-inflicted pathological hair loss thus patients may be hesitant to discuss it. […] Trichotillomania often presents to the primary care provider or mental health nurse. […] The treatment includes therapy techniques combined with anxiety-relieving medications. […] Unfortunately, the disorder has no cure and all treatments have limitations. […] The disorder has relapses and remissions.

• #51 Trichotillomania – symptoms and treatment options | healthdirect

  https://www.healthdirect.gov.au/trichotillomania

  Other physical symptoms can include: sore and infected skin, hand injuries from repetitive use, a hair ball that requires surgical removal (for those who chew or eat the pulled hair). […] If trichotillomania is left untreated, hair pulling can cause permanent damage to your skin and hair follicles.

• #52 Trichotillomania – UF Health

  https://ufhealth.org/conditions-and-treatments/trichotillomania

  Most people with this disorder also have problems with: Feeling sad or depressed, Anxiety, Poor self-image. […] Trichotillomania that begins in younger children (less than 6 years old) may go away without treatment. For most people, the hair pulling ends within 12 months. […] For others, trichotillomania is a lifelong disorder. However, treatment often improves the hair pulling and the feelings of depression, anxiety, or poor self-image.

• #53 Trichotillomania: Background, Pathophysiology, Etiology

  https://emedicine.medscape.com/article/1071854-overview

  Trichotillomania (hair-pulling disorder) is characterized by the persistent and excessive pulling of ones own hair, resulting in noticeable hair loss. Hair pulling can occur in any area of the body where hair grows. The scalp is the area most commonly affected, followed by the eyelashes and eyebrows. The hair loss that results from hair pulling can range from small undetectable areas of hair thinning to complete alopecia. […] Trichotillomania most commonly presents in early adolescence, with the peak prevalence between ages 4 and 17 years. The disorder has both physical and psychosocial implications. Affected patients may experience distress, moderate impairment of social or academic functioning, and adverse impacts on family relationships. […] Trichotillomania results in highly variable patterns of hair loss. The scalp is the most common area of hair pulling, followed by the eyebrows, eyelashes, pubic and perirectal areas, axillae, limbs, torso, and face. The resulting alopecia can range from thin unnoticeable areas of hair loss to total baldness in the area(s) being plucked.

• #54 Trichotillomania – StatPearls – NCBI Bookshelf

  https://www.ncbi.nlm.nih.gov/books/NBK493186/

  The prognosis is better when the disorder is diagnosed early, and treatment begins early. […] Long-term complications of the disease include permanent hair loss, and this is seen primarily in people who have been pulling the hair out into adulthood. […] Patients should be encouraged to avoid stressful situations and triggers for their hair-pulling behavior. […] There is a significant stigma surrounding self-inflicted pathological hair loss thus patients may be hesitant to discuss it. […] Trichotillomania often presents to the primary care provider or mental health nurse. […] The treatment includes therapy techniques combined with anxiety-relieving medications. […] Unfortunately, the disorder has no cure and all treatments have limitations. […] The disorder has relapses and remissions.

• #55 Trichotillomania: Background, Pathophysiology, Etiology

  https://emedicine.medscape.com/article/1071854-overview

  Trichotillomania can become a chronic and persistent condition. Specifically, symptoms of trichotillomania can persist for weeks to decades. Therefore, comprehensive treatment planning is critical and may require consultations with mental health professionals. Treating trichotillomania in children may be difficult because of the low reliability and validity of self-reporting. […] In very young children, the prognosis is excellent; hair pulling that occurs in young children may be described more accurately as a short-term habit disorder. In late childhood and adolescence, the prognosis is usually good but should be considered guarded; the alopecia quite often continues for months or a couple of years and then recurs after a variable time. In adult patients, the prognosis is poor, and permanent recovery is uncommon.

• #56 Trichotillomania: Background, Pathophysiology, Etiology

  https://emedicine.medscape.com/article/1071854-overview

  Trichotillomania can become a chronic and persistent condition. Specifically, symptoms of trichotillomania can persist for weeks to decades. Therefore, comprehensive treatment planning is critical and may require consultations with mental health professionals. Treating trichotillomania in children may be difficult because of the low reliability and validity of self-reporting. […] In very young children, the prognosis is excellent; hair pulling that occurs in young children may be described more accurately as a short-term habit disorder. In late childhood and adolescence, the prognosis is usually good but should be considered guarded; the alopecia quite often continues for months or a couple of years and then recurs after a variable time. In adult patients, the prognosis is poor, and permanent recovery is uncommon.

• #57 Trichotillomania: Background, Pathophysiology, Etiology

  https://emedicine.medscape.com/article/1071854-overview

  Trichotillomania can become a chronic and persistent condition. Specifically, symptoms of trichotillomania can persist for weeks to decades. Therefore, comprehensive treatment planning is critical and may require consultations with mental health professionals. Treating trichotillomania in children may be difficult because of the low reliability and validity of self-reporting. […] In very young children, the prognosis is excellent; hair pulling that occurs in young children may be described more accurately as a short-term habit disorder. In late childhood and adolescence, the prognosis is usually good but should be considered guarded; the alopecia quite often continues for months or a couple of years and then recurs after a variable time. In adult patients, the prognosis is poor, and permanent recovery is uncommon.

• #58 Trichotillomania (Hair Pulling): What It Is, Causes & Treatment

  https://my.clevelandclinic.org/health/diseases/9880-trichotillomania

  Trichotillomania is a mental health condition where you compulsively pull out your own hair. It often has severe negative effects on your mental health and well-being when it happens in your adolescent, teen and adult years. However, this condition is treatable. […] Missing patches of hair are a possible sign of trichotillomania. […] When its severe, it often has extremely negative effects on a persons happiness, well-being and overall quality of life. […] The more serious form most commonly starts between ages 10 and 13. […] The effects of trichotillomania also depend on the age at which it happens. […] Adolescents, teenagers and adults with this condition tend to have much more severe problems. […] People with TTM commonly feel anxiety, embarrassment or shame about this condition. This can affect their work and social lives.

• #59 Trichotillomania – UF Health

  https://ufhealth.org/conditions-and-treatments/trichotillomania

  Most people with this disorder also have problems with: Feeling sad or depressed, Anxiety, Poor self-image. […] Trichotillomania that begins in younger children (less than 6 years old) may go away without treatment. For most people, the hair pulling ends within 12 months. […] For others, trichotillomania is a lifelong disorder. However, treatment often improves the hair pulling and the feelings of depression, anxiety, or poor self-image.

• #60 Trichotillomania factsheet | The Sydney Children’s Hospitals Network

  https://www.schn.health.nsw.gov.au/trichotillomania-factsheet

  Treatment of trichotillomania will be different for every child and will depend on what is causing the behaviour to happen. […] Treatment could include: therapies like cognitive behaviour therapy (CBT), medications to manage mental health conditions like depression, distraction strategies at home. […] Some children may pull or twist their hair to self-soothe. They may like the feeling of the hair strand or find the repetitive motion calming. […] At this age, hair pulling can be a self-soothing behaviour that goes with thumb sucking. A baby may twist or gently pull their own or your hair while sucking their thumb or fingers before falling asleep or when they are distressed. […] Children who pull their hair to self-soothe as a baby may continue the habit as they get older.

• #61 Trichotillomania factsheet | The Sydney Children’s Hospitals Network

  https://www.schn.health.nsw.gov.au/trichotillomania-factsheet

  Treatment of trichotillomania will be different for every child and will depend on what is causing the behaviour to happen. […] Treatment could include: therapies like cognitive behaviour therapy (CBT), medications to manage mental health conditions like depression, distraction strategies at home. […] Some children may pull or twist their hair to self-soothe. They may like the feeling of the hair strand or find the repetitive motion calming. […] At this age, hair pulling can be a self-soothing behaviour that goes with thumb sucking. A baby may twist or gently pull their own or your hair while sucking their thumb or fingers before falling asleep or when they are distressed. […] Children who pull their hair to self-soothe as a baby may continue the habit as they get older.

• #62 Trichotillomania factsheet | The Sydney Children’s Hospitals Network

  https://www.schn.health.nsw.gov.au/trichotillomania-factsheet

  Treatment of trichotillomania will be different for every child and will depend on what is causing the behaviour to happen. […] Treatment could include: therapies like cognitive behaviour therapy (CBT), medications to manage mental health conditions like depression, distraction strategies at home. […] Some children may pull or twist their hair to self-soothe. They may like the feeling of the hair strand or find the repetitive motion calming. […] At this age, hair pulling can be a self-soothing behaviour that goes with thumb sucking. A baby may twist or gently pull their own or your hair while sucking their thumb or fingers before falling asleep or when they are distressed. […] Children who pull their hair to self-soothe as a baby may continue the habit as they get older.

• #63

  https://www.aacap.org/AACAP/Families_and_Youth/Facts_for_Families/FFF-Guide/Hair-Pulling-_Trichotillomania_-096.aspx

  Most youth with trichotillomania feel shame, embarrassment or guilt about their hair loss. Younger children may not notice or be bothered by hair loss. Older children and adolescents may be teased, have low self-esteem, anxiety or depression. […] Frequently used treatments for trichotillomania include: Habit reversal therapy is a cognitive behavioral therapy (CBT) and specialized form of behavior therapy. It involves helping a child recognize thoughts, feelings and behaviors associated with hair pulling. The goal of this therapy is to increase the awareness of hair pulling and replace it with behaviors that compete with the urge to pull; Medication therapy is also used to decrease the anxiety, depression and obsessive compulsive symptoms that often accompany trichotillomania. […] Treatment is most effective when it is covers the symptoms unique to each person and individualized to the needs of the child and family.

• #64 Trichotillomania (Hair Pulling): What It Is, Causes & Treatment

  https://my.clevelandclinic.org/health/diseases/9880-trichotillomania

  Trichotillomania is a mental health condition where you compulsively pull out your own hair. It often has severe negative effects on your mental health and well-being when it happens in your adolescent, teen and adult years. However, this condition is treatable. […] Missing patches of hair are a possible sign of trichotillomania. […] When its severe, it often has extremely negative effects on a persons happiness, well-being and overall quality of life. […] The more serious form most commonly starts between ages 10 and 13. […] The effects of trichotillomania also depend on the age at which it happens. […] Adolescents, teenagers and adults with this condition tend to have much more severe problems. […] People with TTM commonly feel anxiety, embarrassment or shame about this condition. This can affect their work and social lives.

• #65 Trichotillomania (Hair Pulling): What It Is, Causes & Treatment

  https://my.clevelandclinic.org/health/diseases/9880-trichotillomania

  Trichotillomania is a mental health condition where you compulsively pull out your own hair. It often has severe negative effects on your mental health and well-being when it happens in your adolescent, teen and adult years. However, this condition is treatable. […] Missing patches of hair are a possible sign of trichotillomania. […] When its severe, it often has extremely negative effects on a persons happiness, well-being and overall quality of life. […] The more serious form most commonly starts between ages 10 and 13. […] The effects of trichotillomania also depend on the age at which it happens. […] Adolescents, teenagers and adults with this condition tend to have much more severe problems. […] People with TTM commonly feel anxiety, embarrassment or shame about this condition. This can affect their work and social lives.

• #66

  https://www.aacap.org/AACAP/Families_and_Youth/Facts_for_Families/FFF-Guide/Hair-Pulling-_Trichotillomania_-096.aspx

  Most youth with trichotillomania feel shame, embarrassment or guilt about their hair loss. Younger children may not notice or be bothered by hair loss. Older children and adolescents may be teased, have low self-esteem, anxiety or depression. […] Frequently used treatments for trichotillomania include: Habit reversal therapy is a cognitive behavioral therapy (CBT) and specialized form of behavior therapy. It involves helping a child recognize thoughts, feelings and behaviors associated with hair pulling. The goal of this therapy is to increase the awareness of hair pulling and replace it with behaviors that compete with the urge to pull; Medication therapy is also used to decrease the anxiety, depression and obsessive compulsive symptoms that often accompany trichotillomania. […] Treatment is most effective when it is covers the symptoms unique to each person and individualized to the needs of the child and family.

• #67 Trichotillomania (Hair Pulling) (for Teens) | Nemours KidsHealth

  https://kidshealth.org/en/teens/trichotillomania.html

  Trichotillomania (pronounced: trik-eh-til-eh-MAY-nee-uh) is a strong habit that causes people to pull out their own hair. They may pull hairs from their scalp, eyebrows, eyelashes, or pubic area. People may pull out a few hairs at once or one strand at a time. Some may look at, play with, chew, or eat the hair after pulling it out. […] Hair pulling can leave bald patches or areas without hair, eyebrows, or eyelashes. It can cause the skin to become sore or infected. It can leave scars. If people chew or swallow hair, it can cause a ball of hair to form. This can lead to stomach pain or other health problems. […] Most people who do hair pulling feel stuck in a habit they dont want. They may feel frustrated that they cant control it. They may feel nagged by people who don’t understand what its like for them. Some are hard on themselves for not being able to stop. But hair pulling is not their fault.

• #68 What is Trichotillomania? | Signs, Symptoms, Consequences & Triggers

  https://cpdonline.co.uk/knowledge-base/mental-health/trichotillomania/

  Common signs and symptoms of Trichotillomania can include: Repeatedly pulling your hair out from your scalp, eyebrows or eyelashes or other body areas or pulling of hair from more than one area on the body. Increased feelings of tension before pulling your hair. Feelings of pleasure, gratification, relief or guilt after the hair is pulled out. Struggling with yourself to stop pulling your hair out, usually without success. Hair loss, thinning or baldness around the head, sometimes in uneven patches or focused on one particular area. […] Sufferers who put hair into their mouth or swallow their hair can damage their teeth and even develop potentially fatal Trichobezoar, balls of hair in their stomach which could lead to a gastrointestinal blockage that requires surgical removal. […] Although many young people with Trichotillomania develop the condition in early adolescence, the condition may affect some people continually or intermittently throughout adulthood. […] In adolescents and adults, Trichotillomania may be episodic but tends to be chronic.

• #69 Trichotillomania (Hair-Pulling Disorder): What to Know

  https://www.verywellhealth.com/trichotillomania-hair-pulling-disorder-5089316

  For people with hair-pulling disorder, these behaviors negatively affect their daily lives. […] Studies have shown that people living with trichotillomania are likely to engage in episodic or frequent episodes of eating hair (trichophagia). About 5% to 20% of people with trichotillomania also have trichophagia. […] Guilt and shame often follow the hair-pulling. People with trichotillomania will often pull out their hair in private if possible. […] The hair-pulling behavior of people living with trichotillomania can be classified as focused, automatic, or mixed. […] The average age of onset for trichotillomania is often between 10 and 13 years old, but it can start younger. Once it starts, hair-pulling disorder has the potential to be lifelong. […] Research suggests that trichotillomania often gets worse over time, particularly if it starts in childhood. However, studies have also shown that when kids and adolescents get some form of treatment, their hair-pulling symptoms can often get better or at least become easier to manage. Increased awareness as people get older also helps them learn to manage the condition.

• #70 Trichotillomania (Hair-Pulling Disorder): What to Know

  https://www.verywellhealth.com/trichotillomania-hair-pulling-disorder-5089316

  For people with hair-pulling disorder, these behaviors negatively affect their daily lives. […] Studies have shown that people living with trichotillomania are likely to engage in episodic or frequent episodes of eating hair (trichophagia). About 5% to 20% of people with trichotillomania also have trichophagia. […] Guilt and shame often follow the hair-pulling. People with trichotillomania will often pull out their hair in private if possible. […] The hair-pulling behavior of people living with trichotillomania can be classified as focused, automatic, or mixed. […] The average age of onset for trichotillomania is often between 10 and 13 years old, but it can start younger. Once it starts, hair-pulling disorder has the potential to be lifelong. […] Research suggests that trichotillomania often gets worse over time, particularly if it starts in childhood. However, studies have also shown that when kids and adolescents get some form of treatment, their hair-pulling symptoms can often get better or at least become easier to manage. Increased awareness as people get older also helps them learn to manage the condition.

• #71 Trichotillomania (Hair Pulling): What It Is, Causes & Treatment

  https://my.clevelandclinic.org/health/diseases/9880-trichotillomania

  While experts suspect several possible factors could lead to TTM, there arent any confirmed causes of this condition. […] TTM isnt usually a danger to your physical health (except in rare cases, especially when a person develops a digestive tract blockage from hair theyve swallowed). However, it can be very disruptive and damaging to your mental health and quality of life. […] Those who avoid or delay treatment are much more likely to have issues like permanent hair loss, scarring and more severe mental health problems. […] The available research, while limited, shows that people with TTM have this condition for an average of about 22 years. […] TTM on its own is rarely a life-threatening problem. But its impacts on a persons life, especially their mental health, are often severe. […] If you have TTM, its important to see a healthcare provider (or multiple providers) with specialized training and experience in treating this condition. […] TTM is a mental health condition, which means it isnt preventable. Theres also no known way of reducing your risk of developing it.

• #72 Trichotillomania (Hair Pulling): What It Is, Causes & Treatment

  https://my.clevelandclinic.org/health/diseases/9880-trichotillomania

  Trichotillomania is a mental health condition where you compulsively pull out your own hair. It often has severe negative effects on your mental health and well-being when it happens in your adolescent, teen and adult years. However, this condition is treatable. […] Missing patches of hair are a possible sign of trichotillomania. […] When its severe, it often has extremely negative effects on a persons happiness, well-being and overall quality of life. […] The more serious form most commonly starts between ages 10 and 13. […] The effects of trichotillomania also depend on the age at which it happens. […] Adolescents, teenagers and adults with this condition tend to have much more severe problems. […] People with TTM commonly feel anxiety, embarrassment or shame about this condition. This can affect their work and social lives.

• #73 Trichotillomania (Hair Pulling): What It Is, Causes & Treatment

  https://my.clevelandclinic.org/health/diseases/9880-trichotillomania

  Trichotillomania is a mental health condition where you compulsively pull out your own hair. It often has severe negative effects on your mental health and well-being when it happens in your adolescent, teen and adult years. However, this condition is treatable. […] Missing patches of hair are a possible sign of trichotillomania. […] When its severe, it often has extremely negative effects on a persons happiness, well-being and overall quality of life. […] The more serious form most commonly starts between ages 10 and 13. […] The effects of trichotillomania also depend on the age at which it happens. […] Adolescents, teenagers and adults with this condition tend to have much more severe problems. […] People with TTM commonly feel anxiety, embarrassment or shame about this condition. This can affect their work and social lives.

• #74 Trichotillomania (Hair Pulling) | Psychology Today

  https://www.psychologytoday.com/us/conditions/trichotillomania-hair-pulling

  The behavior is compulsive and may even occur without conscious notice; it often results in significant hair loss that can lead to alopecia or bald spots. […] The distress associated with the disorder can be severe and debilitating and may lead someone with trich to feel acute shame, anxiety, depression, or embarrassment related to their condition. […] Trichotillomania can cause physical damage to skin tissue that may lead to infection, especially if tweezers, scissors, or other sharp objects are used to help facilitate hair pulling. […] In some cases, people engage in rituals after pulling, such as rolling the hair between their fingers, touching it to their lips or face, or inspecting the end to look at the root. […] Trichotillomania often co-occurs with other psychological problems, such as anxiety, OCD, or eating, mood, and personality disorders.

• #75 Trichotillomania: Symptoms, Causes, Treatment, and More

  https://psychcentral.com/disorders/trichotillomania-symptoms

  Trichotillomania can also impact your mental health and cause: depression, anxiety, low self-esteem due to hair loss or skin damage, embarrassment or shame. […] Nearly one-third of adults with trichotillomania report a low or very low quality of life. […] A 2016 study involving 894 individuals with trichotillomania found that many turn to substances to relieve the negative feelings associated with pulling: 6% engage in drug use, 17.7% use tobacco products, 14.1% use alcohol. […] 83% of participants reported anxiety, and 70% reported depression due to pulling.

• #76 Trichotillomania (hair-pulling disorder) // Middlesex Health

  https://middlesexhealth.org/learning-center/diseases-and-conditions/trichotillomania-hair-pulling-disorder

  Trichotillomania (trik-o-til-o-MAY-nee-uh), also called hair-pulling disorder, is a mental health condition. It involves frequent, repeated and irresistible urges to pull out hair from your scalp, eyebrows or other areas of your body. […] Symptoms of trichotillomania often include: Repeatedly pulling out your hair, whether it’s automatic or on purpose, usually from your scalp, eyebrows or eyelashes, but sometimes from other body areas. The sites may vary over time. […] Trichotillomania is a long-term disorder. If not treated, symptoms may come and go for weeks, months or years at a time. Also, symptoms can vary in severity over time. […] You may feel frustrated, ashamed and embarrassed because of your condition and hair loss. You may feel that you don’t have control over pulling out your hair.

• #77 Trichotillomania: Symptoms, Causes, Treatment, and More

  https://psychcentral.com/disorders/trichotillomania-symptoms

  Trichotillomania can also impact your mental health and cause: depression, anxiety, low self-esteem due to hair loss or skin damage, embarrassment or shame. […] Nearly one-third of adults with trichotillomania report a low or very low quality of life. […] A 2016 study involving 894 individuals with trichotillomania found that many turn to substances to relieve the negative feelings associated with pulling: 6% engage in drug use, 17.7% use tobacco products, 14.1% use alcohol. […] 83% of participants reported anxiety, and 70% reported depression due to pulling.

• #78 Trichotillomania: Symptoms, Causes, Treatment, and More

  https://psychcentral.com/disorders/trichotillomania-symptoms

  Trichotillomania can also impact your mental health and cause: depression, anxiety, low self-esteem due to hair loss or skin damage, embarrassment or shame. […] Nearly one-third of adults with trichotillomania report a low or very low quality of life. […] A 2016 study involving 894 individuals with trichotillomania found that many turn to substances to relieve the negative feelings associated with pulling: 6% engage in drug use, 17.7% use tobacco products, 14.1% use alcohol. […] 83% of participants reported anxiety, and 70% reported depression due to pulling.

• #79 Trichotillomania: Symptoms, Causes, Treatment, and More

  https://psychcentral.com/disorders/trichotillomania-symptoms

  Trichotillomania can also impact your mental health and cause: depression, anxiety, low self-esteem due to hair loss or skin damage, embarrassment or shame. […] Nearly one-third of adults with trichotillomania report a low or very low quality of life. […] A 2016 study involving 894 individuals with trichotillomania found that many turn to substances to relieve the negative feelings associated with pulling: 6% engage in drug use, 17.7% use tobacco products, 14.1% use alcohol. […] 83% of participants reported anxiety, and 70% reported depression due to pulling.

• #80 Trichotillomania Clinical Presentation: History, Physical Examination

  https://emedicine.medscape.com/article/1071854-clinical

  Trichotillomania can be difficult to diagnose. Reported symptoms may include the following: Pulling hair – Patients may report hair loss related directly to hair pulling or plucking; however, they frequently complain of unexplainable alopecia or hair loss, because they typically conduct the pulling or plucking behavior in private and often deny engaging in it […] Denial of hair pulling – Children are particularly likely to deny hair pulling; because the behavior is usually not conducted in the presence of adults or others, it is often difficult to diagnose as self-inflicted hair loss […] Avoidance of social situations – Some individuals with trichotillomania tend to avoid social situations so that they can maintain the privacy to engage in hair-pulling behavior and escape the embarrassment such behavior may bring

• #81 Trichotillomania (hair-pulling disorder) | Beacon Health System

  https://www.beaconhealthsystem.org/library/diseases-and-conditions/trichotillomania-hair-pulling-disorder?content_id=CON-20228105

  Trichotillomania is a long-term disorder. If not treated, symptoms may come and go for weeks, months or years at a time. Also, symptoms can vary in severity over time. […] Trichotillomania can be related to emotions, including: Negative feelings. Pulling out hair may be a way of dealing with negative or uncomfortable feelings, such as stress, anxiety, tension, boredom, loneliness, extreme tiredness or frustration. Positive feelings. You may find that pulling out hair feels satisfying and provides some relief. As a result, you may continue to pull out your hair to keep these positive feelings. […] Trichotillomania is not just a bad habit, it’s a mental health condition. It’s not likely to get better without treatment. […] Trichotillomania usually develops just before or during the early teens most often between the ages of 10 and 13 years. It’s often a lifelong problem.

• #82 Trichotillomania (hair-pulling disorder) | Beacon Health System

  https://www.beaconhealthsystem.org/library/diseases-and-conditions/trichotillomania-hair-pulling-disorder?content_id=CON-20228105

  Trichotillomania is a long-term disorder. If not treated, symptoms may come and go for weeks, months or years at a time. Also, symptoms can vary in severity over time. […] Trichotillomania can be related to emotions, including: Negative feelings. Pulling out hair may be a way of dealing with negative or uncomfortable feelings, such as stress, anxiety, tension, boredom, loneliness, extreme tiredness or frustration. Positive feelings. You may find that pulling out hair feels satisfying and provides some relief. As a result, you may continue to pull out your hair to keep these positive feelings. […] Trichotillomania is not just a bad habit, it’s a mental health condition. It’s not likely to get better without treatment. […] Trichotillomania usually develops just before or during the early teens most often between the ages of 10 and 13 years. It’s often a lifelong problem.

• #83 Trichotillomania (hair-pulling disorder) | Beacon Health System

  https://www.beaconhealthsystem.org/library/diseases-and-conditions/trichotillomania-hair-pulling-disorder?content_id=CON-20228105

  Trichotillomania is a long-term disorder. If not treated, symptoms may come and go for weeks, months or years at a time. Also, symptoms can vary in severity over time. […] Trichotillomania can be related to emotions, including: Negative feelings. Pulling out hair may be a way of dealing with negative or uncomfortable feelings, such as stress, anxiety, tension, boredom, loneliness, extreme tiredness or frustration. Positive feelings. You may find that pulling out hair feels satisfying and provides some relief. As a result, you may continue to pull out your hair to keep these positive feelings. […] Trichotillomania is not just a bad habit, it’s a mental health condition. It’s not likely to get better without treatment. […] Trichotillomania usually develops just before or during the early teens most often between the ages of 10 and 13 years. It’s often a lifelong problem.

• #84 Hair Pulling | Trichotillomania | BFRB

  https://www.bfrb.org/hair-pulling

  For some people, trichotillomania is a mild problem, merely a frustration. But for many, shame and embarrassment about hair pulling causes painful isolation and results in a great deal of emotional distress. […] Physical effects such as pruritus, tissue damage, infection, and repetitive motion injuries to the muscles or joints are not uncommon. […] Hair pulling can lead to great tension and strained relationships with family members and friends.

• #85 Hair Pulling | Trichotillomania | BFRB

  https://www.bfrb.org/hair-pulling

  For some people, trichotillomania is a mild problem, merely a frustration. But for many, shame and embarrassment about hair pulling causes painful isolation and results in a great deal of emotional distress. […] Physical effects such as pruritus, tissue damage, infection, and repetitive motion injuries to the muscles or joints are not uncommon. […] Hair pulling can lead to great tension and strained relationships with family members and friends.

• #86 Trichotillomania: Causes, Symptoms, and Treatment

  https://www.webmd.com/anxiety-panic/trichotillomania

  Many people who have trichotillomania feel embarrassed or ashamed to let other people know they pull. They may try to hide their bald patches or hair loss with hats, scarves, or wigs. […] Trichotillomania can last your whole life, though symptoms may come and go. […] If you have trichotillomania, you could also have other body-focused repetitive behaviors, like nail biting, skin picking, or chewing on your lips or cheeks. About 1 in 5 people with trichotillomania also have trichophagia, a related condition that causes you to eat the hair you pull out. […] Without treatment, it can lead to different kinds of complications including: Emotional issues and stigma. People say they feel ashamed or embarrassed about pulling or hair loss. […] People with trichotillomania may avoid friendships, relationships, and intimacy. They might turn down school or job opportunities because they feel down about themselves or embarrassed about pulling.

• #87 Trichotillomania: Causes, Symptoms, and Treatment

  https://www.webmd.com/anxiety-panic/trichotillomania

  Besides repeated hairpulling, other signs of trichotillomania may include: Feeling tense before pulling out your hair or if you try to resist the urge to pull, Feeling relieved, satisfied, or pleased after acting on the impulse to pull hair, Distress or problems at work, at school, or in your social life due to hairpulling, Avoiding situations where people might find out that you pull hair or have hair loss, like sleepovers, swimming, going outside in windy weather, hair salons or barber shops, changing rooms, or sexual intimacy with a partner, Conflicts or tension with your friends or family related to pulling, Irritated or sore skin from pulling or a tingling feeling or itch that makes you want to pull, Scars or damage to your skin, scalp, or hair follicles, Rituals like chewing on the hair you pull out, inspecting the hair root, twirling the hair, putting the hair between your teeth, or eating hair, A preference for certain types or textures of hair, Changes to how you look because of hair loss, Bare patches where your hair has been pulled out, Pulling fibers from blankets and clothing or hair from pets or dolls.

• #88 Trichotillomania (Hair Pulling) (for Teens) | Nemours KidsHealth

  https://kidshealth.org/en/teens/trichotillomania.html

  Trichotillomania (pronounced: trik-eh-til-eh-MAY-nee-uh) is a strong habit that causes people to pull out their own hair. They may pull hairs from their scalp, eyebrows, eyelashes, or pubic area. People may pull out a few hairs at once or one strand at a time. Some may look at, play with, chew, or eat the hair after pulling it out. […] Hair pulling can leave bald patches or areas without hair, eyebrows, or eyelashes. It can cause the skin to become sore or infected. It can leave scars. If people chew or swallow hair, it can cause a ball of hair to form. This can lead to stomach pain or other health problems. […] Most people who do hair pulling feel stuck in a habit they dont want. They may feel frustrated that they cant control it. They may feel nagged by people who don’t understand what its like for them. Some are hard on themselves for not being able to stop. But hair pulling is not their fault.

• #89

  https://www.aacap.org/AACAP/Families_and_Youth/Facts_for_Families/FFF-Guide/Hair-Pulling-_Trichotillomania_-096.aspx

  Most youth with trichotillomania feel shame, embarrassment or guilt about their hair loss. Younger children may not notice or be bothered by hair loss. Older children and adolescents may be teased, have low self-esteem, anxiety or depression. […] Frequently used treatments for trichotillomania include: Habit reversal therapy is a cognitive behavioral therapy (CBT) and specialized form of behavior therapy. It involves helping a child recognize thoughts, feelings and behaviors associated with hair pulling. The goal of this therapy is to increase the awareness of hair pulling and replace it with behaviors that compete with the urge to pull; Medication therapy is also used to decrease the anxiety, depression and obsessive compulsive symptoms that often accompany trichotillomania. […] Treatment is most effective when it is covers the symptoms unique to each person and individualized to the needs of the child and family.

• #90 Trichotillomania Symptoms: Signs of Hair Pulling Condition | HealthyPlace

  https://www.healthyplace.com/ocd-related-disorders/trichotillomania/trichotillomania-symptoms-signs-of-hair-pulling-condition

  Watch for these common trichotillomania symptoms: Repetitive acts of hair pulling from scalp, eyebrows, eyelashes or other body areas, Persistent urge to pull hair with feelings of relief after pulling the hair, Bald areas on the scalp or other areas, Missing eyelashes or eyebrows, Chewing on pulled hair, Playing with pulled hair, Skimming pulled hair across the face or lips, Increase distress that interferes with daily life. […] Some people suffering from this hair pulling condition swallow their hair. Doctors refer to the act of purposely swallowing hair as trichophagia. When you eat your hair, you may develop trichobezoars, or hair balls, in your stomach or gut. These hair balls can cause fairly serious symptoms that include: Nausea, Vomiting, Stomach or lower abdominal pain, Stomach bleeding. […] People with trichotillomania frequently try to hide or camouflage the hair loss resulting from the disorder. They may use hats, scarves, long-sleeved shirts, or false eyelashes. Others simply avoid social situations altogether to keep people from asking about the hair loss.

• #91 Trichotillomania – Wikipedia

  https://en.wikipedia.org/wiki/Trichotillomania

  Individuals with trichotillomania exhibit hair of differing lengths; some are broken hairs with blunt ends, some new growth with tapered ends, some broken mid-shaft, or some uneven stubble. Scaling on the scalp is not present, overall hair density is normal, and a hair pull test is negative (the hair does not pull out easily). Hair is often pulled out leaving an unusual shape. Individuals with trichotillomania may be secretive of the hair pulling behavior, which is often associated with feelings of shame. […] An additional psychological effect can be low self-esteem, often associated with being shunned by peers and the fear of socializing, due to appearance and negative attention they may receive. Some people with trichotillomania wear hats, wigs, false eyelashes, use makeup such as an eyebrow pencil, or style their hair in an effort to avoid such attention. There seems to be a strong stress-related component. In low-stress environments, some exhibit no symptoms (known as „pulling”) whatsoever, and this „pulling” often resumes upon leaving this environment.

• #92 Trichotillomania – Wikipedia

  https://en.wikipedia.org/wiki/Trichotillomania

  Individuals with trichotillomania exhibit hair of differing lengths; some are broken hairs with blunt ends, some new growth with tapered ends, some broken mid-shaft, or some uneven stubble. Scaling on the scalp is not present, overall hair density is normal, and a hair pull test is negative (the hair does not pull out easily). Hair is often pulled out leaving an unusual shape. Individuals with trichotillomania may be secretive of the hair pulling behavior, which is often associated with feelings of shame. […] An additional psychological effect can be low self-esteem, often associated with being shunned by peers and the fear of socializing, due to appearance and negative attention they may receive. Some people with trichotillomania wear hats, wigs, false eyelashes, use makeup such as an eyebrow pencil, or style their hair in an effort to avoid such attention. There seems to be a strong stress-related component. In low-stress environments, some exhibit no symptoms (known as „pulling”) whatsoever, and this „pulling” often resumes upon leaving this environment.

• #93 Trichotillomania – Wikipedia

  https://en.wikipedia.org/wiki/Trichotillomania

  Individuals with trichotillomania exhibit hair of differing lengths; some are broken hairs with blunt ends, some new growth with tapered ends, some broken mid-shaft, or some uneven stubble. Scaling on the scalp is not present, overall hair density is normal, and a hair pull test is negative (the hair does not pull out easily). Hair is often pulled out leaving an unusual shape. Individuals with trichotillomania may be secretive of the hair pulling behavior, which is often associated with feelings of shame. […] An additional psychological effect can be low self-esteem, often associated with being shunned by peers and the fear of socializing, due to appearance and negative attention they may receive. Some people with trichotillomania wear hats, wigs, false eyelashes, use makeup such as an eyebrow pencil, or style their hair in an effort to avoid such attention. There seems to be a strong stress-related component. In low-stress environments, some exhibit no symptoms (known as „pulling”) whatsoever, and this „pulling” often resumes upon leaving this environment.

• #94 Trichotillomania in Teens: Symptoms, Causes, and Treatment

  https://www.brightpathbh.com/trichotillomania-teens/

  Trichotillomania is diagnosed through a combination of a physical examination (hair loss, visible signs of hair pulling and psychiatric evaluation (hair pulling behavior, emotional and functional impact) by a mental health professional, such as a psychiatrist or therapist. […] The condition typically begins in late childhood or early adolescence and is more common in females than males. […] The prognosis varies with individuals; some experience spontaneous remission, while others struggle with chronic symptoms. Early intervention and treatment improve outcomes as demonstrated by the 2022 article from MedlinePlus.

• #95 Trichotillomania in Teens: Symptoms, Causes, and Treatment

  https://www.brightpathbh.com/trichotillomania-teens/

  Trichotillomania is diagnosed through a combination of a physical examination (hair loss, visible signs of hair pulling and psychiatric evaluation (hair pulling behavior, emotional and functional impact) by a mental health professional, such as a psychiatrist or therapist. […] The condition typically begins in late childhood or early adolescence and is more common in females than males. […] The prognosis varies with individuals; some experience spontaneous remission, while others struggle with chronic symptoms. Early intervention and treatment improve outcomes as demonstrated by the 2022 article from MedlinePlus.

• #96 Trichotillomania (Hair Pulling): What It Is, Causes & Treatment

  https://my.clevelandclinic.org/health/diseases/9880-trichotillomania

  About 20% of people with this condition eat their hair after pulling it, a condition known as trichophagia. […] People who pull out their hair often cause damage to their skin and tissue just underneath the skins surface, especially if they use any kind of personal care tool like tweezers. […] According to the American Psychiatric Associations Diagnostic and Statistical Manual of Mental Disorders Fifth Edition (DSM-5), the diagnosis of TTM requires a person to meet five criteria: Repeated pulling out of hair that causes hair loss. […] The hair pulling or hair loss isnt happening because of another condition (such as a skin-related disorder or problem). […] Some people with TTM pull their hair deliberately, such as when they feel a hair is out of place or looks different from others around it.

• #97 Trichotillomania – StatPearls – NCBI Bookshelf

  https://www.ncbi.nlm.nih.gov/books/NBK493186/

  Trichotillomania (TTM) also known as hair-pulling disorder, was first described in ancient Greece, but its current name was coined in the later part of the 18th century. […] In these cases the hair is pulled from anywhere on the body repeatedly, appearing as hair loss but is caused by the action of the patient. […] As this condition can greatly affect the appearance of the patient, it is associated with societal stigma. […] The adolescent patients do not all meet the criteria for trichotillomania as described by the DSM-V criteria but they do experience some form of the symptoms. […] The disorder is reported more commonly in females, with the ratio shown to be about 9:1 toward females. […] The disease is a clinical diagnosis but can be confirmed by punch biopsy of the scalp. […] The hair from the head is the most common to be pulled but can be from anywhere.

• #98 Trichotillomania Clinical Presentation: History, Physical Examination

  https://emedicine.medscape.com/article/1071854-clinical

  Trichotillomania can be difficult to diagnose. Reported symptoms may include the following: Pulling hair – Patients may report hair loss related directly to hair pulling or plucking; however, they frequently complain of unexplainable alopecia or hair loss, because they typically conduct the pulling or plucking behavior in private and often deny engaging in it […] Denial of hair pulling – Children are particularly likely to deny hair pulling; because the behavior is usually not conducted in the presence of adults or others, it is often difficult to diagnose as self-inflicted hair loss […] Avoidance of social situations – Some individuals with trichotillomania tend to avoid social situations so that they can maintain the privacy to engage in hair-pulling behavior and escape the embarrassment such behavior may bring

• #99 Trichotillomania (hair pulling disorder) – NHS

  https://www.nhs.uk/mental-health/conditions/trichotillomania/

  Trich usually starts between the ages of 10 and 13 years old. […] People with trich feel an intense urge to pull their hair out and they experience growing tension until they do. After pulling their hair out, they feel a sense of relief. […] Most people with trich pull out hair from their scalp, but some pull out hair from other areas, such as their eyebrows, eyelashes, genital area, beard or moustache. […] Bald patches on the head may have an unusual shape and affect 1 side of the head more than the other. […] Trich may cause feelings of shame and low self-esteem. Those affected may try to keep their condition to themselves. […] For some people, hair pulling can be a habit that’s hard to break. The more they pull their hair out, the more they want to keep doing it. […] Trich is commonly treated using a type of CBT called habit reversal training.

• #100 Trichotillomania (hair-pulling disorder) | Beacon Health System

  https://www.beaconhealthsystem.org/library/diseases-and-conditions/trichotillomania-hair-pulling-disorder?content_id=CON-20228105

  Although it may not seem serious, trichotillomania can have harmful effects on your life. Complications may include: Emotional distress. You may feel frustrated, ashamed and embarrassed because of your condition and hair loss. You may feel that you don’t have control over pulling out your hair. You may experience low self-esteem, depression, anxiety, and problems with alcohol or drugs. […] Some treatment options have helped many people reduce hair pulling or stop completely. These include therapy and sometimes medicine. […] Types of therapy that may be helpful for trichotillomania include: Habit reversal training. This behavior therapy is the main treatment for trichotillomania. You learn how to recognize situations where you’re likely to pull out your hair and how to substitute other behaviors instead.

• #101 Trichotillomania – Psychiatric Disorders – Merck Manual Professional Edition

  https://www.merckmanuals.com/professional/psychiatric-disorders/obsessive-compulsive-and-related-disorders/trichotillomania

  In trichotillomania, hair pulling is not triggered by obsessions or concerns about appearance but may be preceded by a feeling of tension or anxiety that is relieved by the hair pulling, often followed by a feeling of gratification. […] Patterns of hair loss vary from areas of thinned hair to missing eyelashes and/or eyebrows to areas of complete alopecia. […] Treat using cognitive-behavioral therapy that is tailored to treat specific trichotillomania symptoms (specifically habit reversal training) and possibly an SSRI or clomipramine, N-acetylcysteine, or memantine.

• #102

  https://111.wales.nhs.uk/Trichotillomania/

  Trichotillomania, also known as trich or TTM, is when someone cannot resist the urge to pull out their hair. […] People with trich feel an intense urge to pull their hair out and they experience growing tension until they do. After pulling their hair out, they feel a sense of relief. […] Most people with trich pull out hair from their scalp, but some pull out hair from other areas, such as their eyebrows, eyelashes, genital area, or beard or moustache. […] Bald patches left on the head may have an unusual shape and affect 1 side more than the other. […] Trich may cause feelings of shame and low self-esteem. Those affected may try to keep their condition to themselves. […] For some people, hair pulling can be a habit that’s hard to break. The more they pull their hair out, the more they want to keep doing it. […] Trich is commonly treated using a type of CBT called habit reversal training. […] Antidepressants are no longer considered to be an effective treatment for trich.

• #103

  https://www.aacap.org/AACAP/Families_and_Youth/Facts_for_Families/FFF-Guide/Hair-Pulling-_Trichotillomania_-096.aspx

  Most youth with trichotillomania feel shame, embarrassment or guilt about their hair loss. Younger children may not notice or be bothered by hair loss. Older children and adolescents may be teased, have low self-esteem, anxiety or depression. […] Frequently used treatments for trichotillomania include: Habit reversal therapy is a cognitive behavioral therapy (CBT) and specialized form of behavior therapy. It involves helping a child recognize thoughts, feelings and behaviors associated with hair pulling. The goal of this therapy is to increase the awareness of hair pulling and replace it with behaviors that compete with the urge to pull; Medication therapy is also used to decrease the anxiety, depression and obsessive compulsive symptoms that often accompany trichotillomania. […] Treatment is most effective when it is covers the symptoms unique to each person and individualized to the needs of the child and family.

• #104 Trichotillomania – StatPearls – NCBI Bookshelf

  https://www.ncbi.nlm.nih.gov/books/NBK493186/

  The prognosis is better when the disorder is diagnosed early, and treatment begins early. […] Long-term complications of the disease include permanent hair loss, and this is seen primarily in people who have been pulling the hair out into adulthood. […] Patients should be encouraged to avoid stressful situations and triggers for their hair-pulling behavior. […] There is a significant stigma surrounding self-inflicted pathological hair loss thus patients may be hesitant to discuss it. […] Trichotillomania often presents to the primary care provider or mental health nurse. […] The treatment includes therapy techniques combined with anxiety-relieving medications. […] Unfortunately, the disorder has no cure and all treatments have limitations. […] The disorder has relapses and remissions.

• #105 Trichotillomania – StatPearls – NCBI Bookshelf

  https://www.ncbi.nlm.nih.gov/books/NBK493186/

  The prognosis is better when the disorder is diagnosed early, and treatment begins early. […] Long-term complications of the disease include permanent hair loss, and this is seen primarily in people who have been pulling the hair out into adulthood. […] Patients should be encouraged to avoid stressful situations and triggers for their hair-pulling behavior. […] There is a significant stigma surrounding self-inflicted pathological hair loss thus patients may be hesitant to discuss it. […] Trichotillomania often presents to the primary care provider or mental health nurse. […] The treatment includes therapy techniques combined with anxiety-relieving medications. […] Unfortunately, the disorder has no cure and all treatments have limitations. […] The disorder has relapses and remissions.

• #106 Trichotillomania (Hair Pulling): What It Is, Causes & Treatment

  https://my.clevelandclinic.org/health/diseases/9880-trichotillomania

  While experts suspect several possible factors could lead to TTM, there arent any confirmed causes of this condition. […] TTM isnt usually a danger to your physical health (except in rare cases, especially when a person develops a digestive tract blockage from hair theyve swallowed). However, it can be very disruptive and damaging to your mental health and quality of life. […] Those who avoid or delay treatment are much more likely to have issues like permanent hair loss, scarring and more severe mental health problems. […] The available research, while limited, shows that people with TTM have this condition for an average of about 22 years. […] TTM on its own is rarely a life-threatening problem. But its impacts on a persons life, especially their mental health, are often severe. […] If you have TTM, its important to see a healthcare provider (or multiple providers) with specialized training and experience in treating this condition. […] TTM is a mental health condition, which means it isnt preventable. Theres also no known way of reducing your risk of developing it.

• #107 Trichotillomania (Hair Pulling): What It Is, Causes & Treatment

  https://my.clevelandclinic.org/health/diseases/9880-trichotillomania

  While experts suspect several possible factors could lead to TTM, there arent any confirmed causes of this condition. […] TTM isnt usually a danger to your physical health (except in rare cases, especially when a person develops a digestive tract blockage from hair theyve swallowed). However, it can be very disruptive and damaging to your mental health and quality of life. […] Those who avoid or delay treatment are much more likely to have issues like permanent hair loss, scarring and more severe mental health problems. […] The available research, while limited, shows that people with TTM have this condition for an average of about 22 years. […] TTM on its own is rarely a life-threatening problem. But its impacts on a persons life, especially their mental health, are often severe. […] If you have TTM, its important to see a healthcare provider (or multiple providers) with specialized training and experience in treating this condition. […] TTM is a mental health condition, which means it isnt preventable. Theres also no known way of reducing your risk of developing it.

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