Understanding Trichotillomania

Hair pulling you can't stop — you're not alone and help is available.

What Is Trichotillomania?

Trichotillomania is a condition where a person feels compelled to pull out their own hair, resulting in noticeable hair loss.

It's classified as a body-focused repetitive behaviour and is related to OCD.

What It Feels Like

An increasing sense of tension before pulling or when trying to resist.

A sense of relief or pleasure after pulling.

Pulling may happen during focused activities (reading, watching TV) or while stressed.

It can affect hair on the head, eyebrows, eyelashes, or other body areas.

Many people feel shame and go to great lengths to hide the effects.

Treatment Options

Habit reversal training teaches you to recognise urges and substitute alternative behaviours.

CBT can address the thoughts and emotions behind the pulling.

Fidget tools and barriers (gloves, plasters) can help reduce pulling.

Identifying and managing triggers is important.

Support groups help reduce shame and isolation.

Recovery is possible — many people significantly reduce or stop pulling with the right help.

Educational self-help, not a diagnosis, treatment or crisis service. If you are in immediate danger, call 999. For UK listening support, call Samaritans on 116 123 or text SHOUT to 85258.

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