Trichotillomania

This disorder involves the impulse to pull out hair from parts of the body such as the head, eyebrows, eye lids, or the pubic area. The individual usually experiences the impulse to pull out hair as very compelling and intense, experiences tension if they fight the impulse, and a sense of relief after pulling out their hair. Individuals may have rituals surrounding hair pulling such as pulling out a specific hair. In addition, sometimes individuals struggling with Trichotillomania will also chew on or eat the hair they have pulled out. Individuals usually experience a significant amount of distress regarding the impulse to pull out their hair and this disorder interferes with their quality of life. Further, when they try to stop engaging in this behaviour they are unable to do so.

Impacts of trichotillomania:

• Bald spots
• Infection of the areas where hair has been pulled out.
• Other medical complications depending on the severity of the disorder.
• Experiencing negative emotions due to their struggle with the disorder such as shame, distress, anxiety, or embarrassment.
• Deciding not to foster close relationships because of the trichotillomania.
• Avoiding group activities.

People who engage in this behaviour may be using it as a coping skill.

Trichotillomania is often treated with cognitive behavioural therapy and progressive muscle relaxation training.