Mental Health

Trichotillomania: Why Stressed-Out People Pull Out Their Hair

By Dynne C. | Update Date: Jul 11, 2024 11:20 AM EDT

Trichotillomania is a mental health condition characterized by repeated and irresistible urges to pull out hair from various parts of the body.

About Trichotillomania

Trichotillomania, also known as hair-pulling disorder, involves frequent and uncontrollable urges to pull out hair from the scalp, eyebrows, or other areas of the body. These urges can be difficult to resist, often resulting in noticeable hair loss and emotional distress. People with this disorder may attempt to hide their hair loss by wearing wigs or styling their hair differently. Trichotillomania is part of a group of conditions called body-focused repetitive behaviors and can be either mild or severe. Some people manage to control their urges, while others find it overwhelming.

Why Stressed-Out People Pull Out Their Hair

Emotions

Hair-pulling in trichotillomania can be related to both negative and positive emotions. Stress, anxiety, tension, boredom, and loneliness can trigger the urge to pull out hair. The act of hair-pulling may provide a sense of relief or satisfaction, reinforcing the behavior. Trichotillomania can be automatic or focused, depending on the situation and the person's mood. 

Intention

Automatic hair-pulling occurs without conscious awareness, often during activities like reading or watching TV. Focused hair-pulling is intentional and aimed at relieving distress or tension. Various positions or activities may trigger hair-pulling, such as resting the head on the hand or brushing hair.

Other Mental Health Conditions

Trichotillomania can also be associated with other mental health conditions like depression, anxiety, and obsessive-compulsive disorder. Additionally, genetic factors, age, and stressful life events may contribute to the development of the disorder. 

It usually starts in early adolescence and can become a long-term problem if not treated. Hormonal changes and other environmental factors may influence the severity of symptoms. Seeking medical advice and appropriate treatment is crucial for managing trichotillomania and reducing its impact on daily life.

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