Trichotillomania (Hair-Pulling Disorder)


If you’re struggling with the urge to pull your hair, you’re not alone. Trichotillomania, often called “trich,” can feel confusing, frustrating, and even shameful. You may find yourself pulling hair from your scalp, eyebrows, eyelashes, or other parts of your body—sometimes without even realizing it until after it’s happened. You might feel stuck in a cycle of tension, pulling, and temporary relief, only to be left with guilt, sadness, or frustration afterward.

This isn’t just a “bad habit” or something you can “just stop.” Trichotillomania is a real mental health condition that can feel isolating and out of your control. But you’re not weak or broken—what you’re experiencing is valid, and there is help. You can learn to manage the urges, rebuild your confidence, and feel in control again.

Common Experiences of Trichotillomania

Everyone’s experience with trichotillomania is different, but here are some common emotional and physical experiences:

  • Strong Urges You may feel an intense urge to pull your hair, especially in moments of boredom, stress, anxiety, or even relaxation.
  • Automatic Pulling Sometimes, you may find yourself pulling hair without even noticing until it’s already happened.
  • Shame and Isolation You may feel embarrassed or ashamed, avoiding social situations or covering up areas of hair loss.
  • Soothing or Relieving Hair pulling may bring temporary relief or comfort, even though it can cause distress afterward.
  • Frustration with Yourself You may feel frustrated or hopeless when you try to stop but find the urge too strong to resist.

The Impact of Trichotillomania

Trichotillomania can affect more than just your appearance—it can impact your self-esteem, relationships, and daily life. You may find yourself spending extra time hiding bald spots or worrying that others will notice. You might avoid places like salons, gyms, or social gatherings out of fear of being judged or questioned.

This can lead to feelings of isolation and self-doubt, but it’s important to remember: you didn’t choose this, and you’re not alone. Trichotillomania is not a weakness—it’s a condition that can be managed with the right tools and support.

How Support Can Help You Manage Trichotillomania

While trichotillomania can feel overwhelming, there is hope. With the right support, you can take back control and reduce the urges to pull. Here’s how therapy and self-care can help:

Cognitive Behavioral Therapy (CBT)

CBT helps you understand the thoughts and emotions that trigger hair pulling. You’ll learn strategies to interrupt the cycle and develop healthier ways to manage stress and discomfort.

Habit Reversal Training (HRT)

HRT is a specific form of therapy that teaches you to replace the urge to pull with alternative behaviors, helping you regain control over your actions.

Acceptance and Commitment Therapy (ACT)

ACT can help you accept the urges without giving in to them or feeling controlled by them. Instead of fighting the urge, you’ll learn to sit with the discomfort and make choices aligned with your values and goals.

Mindfulness and Self-Compassion

Learning to be kinder to yourself is an important part of healing. Instead of beating yourself up for pulling, therapy can help you develop self-compassion, which can reduce shame and empower you to keep moving forward.

Community Support

Connecting with others who understand what you’re going through can help reduce feelings of isolation. Support groups and online communities can be a powerful reminder that you’re not alone.

Care and Recovery Belong to You

Trichotillomania doesn’t define who you are—it’s a challenge you’re facing, not a reflection of your strength or worth. Healing is a process, and progress happens one small step at a time. You deserve support, patience, and compassion as you work toward a life where you feel more confident and in control.

You’re not alone in this—we’re here to walk with you and help you take back your peace and self-confidence.

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