Understanding Trichotillomania:
Causes, Treatment & Finding Help
Trichotillomania (TTM) or “trich” is characterized by the repeated urge to pull out scalp hair, eyelashes, facial hair, nose hair, pubic hair, eyebrows or other body hair, sometimes resulting in noticeable bald patches. Trichotillomania often begins during an individual’s teenage years, and depression or stress can trigger or exacerbate this condition.
What is Trichotillomania?
Trichotillomania is a body-focused repetitive behavior (BFRB) characterized by the repeated pulling out of one’s hair, leading to noticeable bald patches. It often starts in the teenage years and can be triggered or worsened by stress or anxiety.
Is Trichotillomania OCD?
Trichotillomania is sometimes confused with OCD (Obsessive-Compulsive Disorder). While they share some similarities, they are distinct conditions. OCD involves unwanted thoughts (obsessions) and repetitive behaviors (compulsions) that often feel driven by anxiety. In trichotillomania, the urge to pull hair may not be preceded by intrusive thoughts, and the act of pulling can be done for a variety of reasons, such as tension relief or a sense of satisfaction.
What are the Signs and Symptoms of Trichotillomania?
- Repeated pulling of hair from scalp, eyebrows, eyelashes, or other body areas
- Noticeable bald patches or uneven hair loss
- Difficulty resisting the urge to pull hair
- Feeling embarrassed or ashamed about hair pulling
- Spending significant time pulling hair or recovering from hair pulling
Is Trichotillomania Treatable?
Absolutely! With appropriate treatment, you can manage trichotillomania and regain control of your hair pulling.
What Treatment Options Are Available?
The primary treatment for trichotillomania is a type of Cognitive Behavioral Therapy (CBT) called Acceptance Commitment Therapy (ACT). ACT helps you:
- Identify Triggers: Recognize situations, emotions, or thoughts that make you want to pull hair.
- Develop Coping Strategies: Learn relaxation techniques and alternative behaviors to replace hair pulling.
- Increase Awareness: Become more aware of the physical sensations leading up to hair pulling.
Finding Help for Trichotillomania:
- Talk to your doctor: They can diagnose trichotillomania and recommend treatment options.
- Consider therapists specializing in BFRBs: Look for therapists with experience in Habit Reversal Training for trichotillomania.
- Explore online therapy options: Some platforms offer therapy for trichotillomania via telehealth.
The Gateway Institute Can help:
We offer weekly and intensive treatment programs for trichotillomania and other anxiety disorders. Our team of specialists can create a personalized treatment plan to address your specific needs.
Other Common Anxiety Disorders
- Obsessive-Compulsive Disorder
- General Anxiety Disorder
- Panic Disorder
- Social Anxiety Disorder
- Post-Traumatic Disorder
- Body Dysmorphic Disorder
It is not uncommon for an individual to suffer from multiple anxiety disorders. Treating co-occurring conditions simultaneously is important in finding balance and healing from anxiety.
The Gateway Institute is here to support you in getting the help that you need.