Trichotillomania – frequently asked questions

Trichotillomania is a hair loss condition and impulse control disorder characterised by the sufferer pulling out their own hair as a result of compulsive urges. It is not as well-known as conditions such as alopecia, but is starting to attract more awareness thanks to documentaries such as Channel 4’s “Girls on the Pull”.

Where does the name come from?

Trichotillomania comes from the Greek trich (meaning ‘hair’), till (meaning ‘to pull’) and mania (meaning ‘an abnormal love for a specific action’).

What are the signs and symptoms of trichotillomania?

People who have trichotillomania are likely to show signs of broken hair or bald patches mainly on the scalp, although hair can be pulled out from any area of the body. Sufferers are often secretive about their behaviour, which is why the condition frequently goes unreported.

Why does it happen?

Some people with trichotillomania report a sense of tension before pulling out hair, and relief or gratification afterwards. Some sufferers do not concur with this, whilst others pull their hair in a trance-like state. The condition is also strongly linked with stress, obsessive-compulsive behaviour, anxiety, depression and post-traumatic stress.

Is there a cure for trichotillomania?

Children with trichotillomania often outgrow the condition, whilst adults may need to consider behaviour modification programmes or psychiatric assessment.