Research shows that about 2 in 50 people experience hair pulling disorder or Trichotillomania. Most of the time it begins in late childhood. It appears to happen equally between men and woman. However in adulthood 80-90% of reported cases are women.
Trichotillomania is a chronic condition. Meaning, it may come and go throughout someone's lifetime. A spot that someone may start with the pull may not be the same spot they pull a few months from now. Areas of pulling tend to change. Some common pulling sites are:
Top of head
Eye brows
Eye lashes
Pubic Area
Arms or Legs
After a hair it pulled it is not uncommon for the individual to spend time feeling the texture of the hair by their fingers or even rubbing it across their lips. Some may bite the root or bulb off from the hair and then discard. Others may eat the whole hair. If this is occurring please see go to the hospital immediately as this can be very dangerous and fatal.
Trichotillomania or hair pulling disorder is classified as an "Obsessive Compulsive Related Disorder". The criteria in the DSM-5 Diagnostic Manual are as follows:
Recurrent hair pulling, resulting in hair loss
Repeated attempts to decrease or stop the behavior
Clinically significant distress or impairment in social, occupational, or other area of functioning
Not due to substance abuse or a medical condition (e.g., dermatological condition)
Not better accounted for by another psychiatric disorder
Why Do I Even Have Trichotillomania?
Research has indicated that some may have inherited a predisposition to pulling or have whats called a body focused repetitive behavior (BFRB). Usually, we can find a few individuals down the family line who either pull hair, pick skin, bite nails, or some other BFRB.
Other factors are involved such as temperament, environment, age of onset and family stressors in the individual's life that may bring Trichotillomania to life.
Is There Treatment? Can I Really Stop Pulling?
Yes! The treatment for Trichotillomania is called The Comprehensive Behavioral Treatment Model or ComB. It incorporates habit reversal in a more comprehensive way. This researched based treatment has helped thousands of individuals stop pulling their hair or manage it to a point where it does not interfere in their life. It starts with awareness of the pulling. Then it moves to creating competing responses or strategies. Using this treatment changes brain patterns, allowing the individual to learn a better method of coping with hair pulling. Often anxiety and depression is felt. This is incorporated into the treatment.
I am a counselor for Trichotillomania in McKinney. I have been practicing for many years. Body Focused Repetitive Behaviors are my specialty. It's not a guessing game of what will work for you in treatment. It's an equation. You just need to know the correct one. Managing Trichotillomania is very doable. Lets do it together.