Cognitive Behavioural Therapy may be recommended for people with Trichotillomania. Your GP would advise as to whether or not this would be beneficial in your particular case but it is suggested frequently by the medical profession to help with managing Trichotilomania.

CBT is an Orientation of psychotherapy. It is essentially a talking therapy. The client and therapist work together to understand problems in terms of the relationship between thoughts, feelings and behaviour.

We have a number of clients who have had CBT to help with their trichotillomania and many have found it hugely beneficial however I appreciate that it is an individual thing but I would be interested to see if anyone has any feedback on this.

If your hair has reduced in volume and there are no obvious areas where you can see through to the scalp or there are no patches of hair loss, then you may want to consider using some fine hair extensions to help introduce some volume into your hair.  Extensions on fine hair need to be really lightweight.  It is important that they are applied professionally and it’s also just as important that they are removed by a professionally trained technician.  You should have a consultation first to discuss how many you would need to make a difference to the volume of your hair.  Most extensions available nowadays are real hair therefore the general day to day looking after your hair is easy as there are more styling options available with real hair extensions.

You can use them until you are happy with the volume of your own hair, but they can also be used to change the length of your hair, so you may want to explore using extensions as a means of increasing both the volume and length of your hair.

There are products available to help conceal areas of thinning hair or small areas of patchy hair loss. These are commonly knows as ‘scalp makeups’ or ‘coloured hair thickners’.

They are really like a hair spray except they have colour in them. Part of the problem with diffuse hair loss is that you can see the scalp. These products are available in different colours so you match one to your own hair colour then you apply it and it colours your scalp the same colour as your hair.

This type of product is easy to apply. You would wash, dry and style your hair as normal and then section the hair using a sectioning clip or even a pencil and then spray the product on. if you spray it close to the scalp you will get a more pronounced colour, so start off by spraying it a few inches away. The product will wash out when you next wash your hair.

Using a product like this can be very effective. It is not suitable for large areas of hair loss but with diffuse thinning or small patches then it may well be a good cosmetic option. There are various brands available on the net but the one I know of is called Fullmore.

There was an article by Jemima Khan regarding Trichotillomania which was printed in the Sunday Times last week. Some clients from Lucinda Ellery were interviewed about their experience of this little known condition.

The article has had a huge amount of interest. There have been calls from ladies of all ages and also a number of calls regarding children with Trichotillomania. In some cases the hair pulling may be from eyelashes and eyebrows only but in most cases the hair pulling affects areas on the scalp. The Intralace System is suitable for clients with TTM as it will replace the hair that is missing as well as act as a physical prevention. The Intralace is not a ‘cure all’ but using it alongside the TTM management skills recommended by Lucinda Ellery can make a big difference to a lot of clients and indeed many clients become pull free and experience full regrowth.

The article in the Sunday Times accurately described how someone with TTM feels and there is a great need for more awareness in schools and within the medical profession. Typically a person with TTM will say that they find it humiliating and perhaps the reason for this is because the problem of TTM is not widely recognised.

A hair replacement system is a tailor made system that is attached to the skin using various skin adhesives. It is different to a wig or hair piece in that it can be kept on for longer periods of time – most importantly,you can sleep in it. The client maintains the system themselves at home which involves approx. once a week removing the system and replacing the adhesives used to keep it in place.

Hair Extensions and Hair integration systems are often grouped in with the term Hair replacement but they are different in that they are connected to the clients’ own hair. Hair extensions or Medi Connections work well for fine hair or if there is slight thinning. For more pronounced thinning (if you can clearly see through to the scalp) or for patchy hair loss then the Intralace system would be a more suitable option. If a client has total hair loss then a hair replacement system may be a good solution. A consultation is always necessary to discuss what is the best way forward.

10 years younger had originally contacted us in 2007 about a lady who wanted a make over for her hair. Vivienne had struggled with thinning hair for years and as part of her 10 years younger makeover she wanted a new head of hair. She came in to see us, had the Intralace System and her amazing transformation was then featured in the show in June last year. We had so many calls from people that were amazed at how her hair had completely transformed her appearance and they were blown away at how natural it looked. Many ladies have been in to see us since and also had the Intralace System. We have recently had contact again with the makers of the program and on Monday last they had a catch up interview with Vivienne. The producers were so impressed with Viviennes new hair (one of them didn’t even recognise her) and the new program with their new presenter Myleene Klass should be aired on channel 4 over the next couple of months.