Trichotillimania, compulsive hair pulling

What Is Compulsive Hair Pulling?


Trichotillomania (trick-o-til-o-MAY-nee-ah) is a disorder that causes people to pull out the hair from their scalp, eyelashes, eyebrows, pubic area, underarms, beard, chest, legs or other parts of the body, resulting in noticeable bald patches. Hair pulling varies greatly in its severity, location on the body, and response to treatment. For some people, at some times, trichotillomania is mild and can be quelled with a bit of extra awareness and concentration. For others, at times the urge may be so strong that it makes thinking of anything else nearly impossible.

Trichotillomania (also referred to as TTM or “trich”) is currently defined as an obsessive-compulsive RELATED disorder but there are still questions about how it should be classified. It may seem to resemble a habit, an addiction, a tic disorder or obsessive-compulsive disorder. Most recently, it is being conceptualized as part of a family of “body-focused repetitive behaviors” (BFRBs) along with skin picking and nail biting.

Research into treatments for trichotillomania and skin picking has grown steadily over the past decade. Although no one treatment has been found to be effective for everyone, a number of treatment options have shown promise for many people. At this time, management of these behaviors should begin with education about the disorders, followed by consideration of the treatment options listed below. Special considerations for treating children and adolescents are discussed in theExpert Consensus Treatment Guidelines for Trichotillomania and Skin Picking.


At Chris for Hair we have a good understanding of Trich, and have helped clients who are also in counseling to temporarily replace the hair they have pulled, which can help them to refocus and stop the behavior. We do not work with clients that have not committed to counseling, as we feel that counseling is an integrative necessity in treating the disorder.

Should you have questions about how we might be of help, please call:

925 -245 -0194

or use the contact form below.

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