Updated: 11/10/23
Do you feel like pulling out your hair? Is the irresistible urge to pull strands of hair from areas like your scalp, eyebrows, and eyelashes taking control over your life? If yes, chances are that you’re suffering from an often-overlooked condition called trichotillomania. It is a body-focused repetitive behavior which can have serious effects on someone’s emotional and physical wellbeing. Thankfully though, there is hope: By implementing some simple dietary changes and taking our specially formulated supplements for trichotillomania – which may help limit its intensity – we believe that individuals with this condition can make significant strides in managing their urges to pull out their hair. Read on to learn more about trichotillomania and how our unique supplement blend can potentially put you back in control of it!
What is Trichotillomania?
Trichotillomania is a disorder characterized by the obsessive urge to pull out hair from different areas of the body, such as the scalp or eyebrows. This compulsion is automatic and can happen subconsciously – individuals may not even be aware that they are doing it. Trichotillomania affects approximately 1-2% of the general population and is more common in women than men. If left untreated, it can lead to significant impairment in social, occupational, and other key areas of life.
Trichotillomania Symptoms
Many people experience different symptoms while suffering from trichotillomania. Some are quite common, such as hair-pulling and bald patches while others depend on any underlying conditions that could act as a trigger.
Pulling Hair from the Scalp and Other Parts of the Body
One of the most common trichotillomania symptoms is the urge to pull out hair from different parts of the body, particularly from the scalp. This impulse can also manifest in the pulling out of eyelashes, eyebrows, or hair from other places on the body. People with trichotillomania will often do this repeatedly, sometimes without even realizing it. If you or someone you know frequently pulls out hair from their scalp or other areas of the body, it may be a sign of trichotillomania.
Hair Loss
Another symptom of trichotillomania is hair loss. When people repeatedly pull out hair, it can cause noticeable thinning or bald patches on the scalp or other areas of the body. If you notice that you or someone you know has significant hair loss in specific areas and cannot explain why, trichotillomania might be the culprit.
Skin Damage
For some people with trichotillomania, the repeated pulling can damage their skin. Pulling out hair can cause sores or scabs to form, or it can irritate the skin and cause redness or inflammation. If you or someone you know experiences skin damage or irritation due to hair-pulling, it’s essential to seek professional help to address the root cause.
Difficulty Stopping Hair Pulling
One of the defining characteristics of trichotillomania is the difficulty in stopping hair pulling or skin picking behavior. People with trichotillomania may feel embarrassed or ashamed of their behavior and try to conceal it. However, the behavior may persist despite efforts to stop and can cause distress and impairment in daily functioning.
Anxiety and Stress
Trichotillomania often goes hand in hand with stress and anxiety. Many people with the condition report feeling a sense of relief or satisfaction after pulling out their hair. But like other behaviors associated with obsessive-compulsive disorders, this impulse can become addictive and make anxiety worse. If you find yourself feeling anxious or stressed and have a strong urge to pull your hair, it may be a sign of trichotillomania.
Social Isolation
Lastly, trichotillomania can cause social isolation and shame. People with the condition may feel embarrassed or anxious about their hair loss or their behavior, leading them to avoid social situations or activities they used to enjoy. Family and friends may also find it challenging to understand the condition, which can further contribute to feelings of isolation. Seeking professional help can help people with trichotillomania overcome these challenges and regain social confidence.
Causes of Trichotillomania
Trichotillomania can occur for a variety of reasons, including:
Genetics
Trichotillomania appears to have a genetic component, as studies have shown that it runs in families and is more common in people with a family history of obsessive-compulsive disorder (OCD), anxiety disorders, and depression. This suggests that certain genes may be associated with a predisposition to trichotillomania and related mental health conditions. A study of twins showed that 43% of non-identical twins and 70% of identical twins both had trichotillomania. However, genetics alone cannot fully explain the development of trichotillomania, as not everyone with a genetic vulnerability will develop the disorder.
Age and Trauma
Trichotillomania can begin at any age, but it most often begins in early adolescence or childhood. Factors such as extreme family stress, neglect, or physical abuse, particularly at a young age, can contribute to the development of trichotillomania. In addition, people who have experienced past incidents of trauma may be more susceptible to developing the condition.
Brain Chemistry
Trichotillomania has also been linked to abnormalities in the brain’s neurotransmitters, such as serotonin, dopamine, and glutamate, which regulate mood, reward, and impulse control. Studies have shown that people with trichotillomania may have lower levels of serotonin and dopamine, which can contribute to the urge to pull hair and the sensation of relief or pleasure that follows the behavior. Similarly, the overactivity of glutamate, an excitatory neurotransmitter, may cause the brain to perceive hair pulling as a pleasurable or rewarding activity, leading to repetitive and compulsive behavior.
Stress and Trauma
While not a direct cause of trichotillomania, stress and trauma can trigger or exacerbate hair pulling in some people who are already predisposed to the condition. Stressful events such as a job loss, divorce, or illness can lead to feelings of anxiety, depression, and boredom, which may increase the urge to engage in hair pulling as a coping mechanism. Similarly, traumatic experiences such as abuse, neglect, or sexual assault can lead to feelings of powerlessness and shame, which may manifest in hair pulling as a way of exerting control over one’s body and relieving tension.
Personality Characteristics
Certain personality traits can predispose individuals to trichotillomania. Characteristics like perfectionism, impulsivity, low frustration tolerance, and a inclination towards obsessive-compulsive behaviors have been known to be more common in individuals with trichotillomania. Conversely, trichotillomania may also lead to self-consciousness, anxiety, and social isolation in some individuals.
Neurological Abnormalities
Studies suggest that some individuals with trichotillomania display neurological abnormalities in certain areas of the brain. The basal ganglia, which is responsible for motor control, and the prefrontal cortex, which mediate inhibitions and impulsivity, are two areas that have been consistently linked to trichotillomania. Hence, it’s essential to address any potential neurological or psychological abnormalities early on.
Environmental Factors
Although much of the research on trichotillomania focuses on biological and psychological factors, environmental factors such as cultural attitudes, social norms, and media influence may also contribute to the development of the disorder. For example, the idealization of hair as a symbol of beauty and femininity in Western society may lead some people to obsess over their hair and feel intense anxiety or shame when they perceive it as imperfect or defective. Similarly, the normalization of hair pulling in popular culture and social media, such as ASMR videos or “pimple popping” channels, may desensitize some people to the consequences of hair pulling and make it seem like a harmless or even pleasurable activity.
Diagnosing Trichotillomania
If you suspect that you are experiencing trichotillomania, it is essential to speak to a healthcare provider to determine an appropriate diagnosis. A mental health professional, such as a psychologist or psychiatrist, will likely ask you about your symptoms, medical history, and lifestyle to help diagnose trichotillomania. They may also use psychological tests or questionnaires to help assess the severity and extent of your condition.
What Helps Trichotillomania
Journaling, relaxation techniques, positive reinforcement, seeking help, and wearing jewelry can help overcome the disorder. Don’t be afraid to seek assistance and connect with people who also experience the same disorder.
Identify Triggers
The first step in overcoming trichotillomania is identifying triggers. It can be helpful to keep a journal and record the time, date, and situation when you feel the urge to pull out your hair. Knowing the triggers will allow you to avoid certain situations, or you can develop alternative mechanisms to deal with relentless stressors.
Engage in Relaxation Techniques
Stress relief and relaxation techniques are essential to overcome trichotillomania. Deep breathing exercises, mindfulness, yoga, and meditation are simple methods to start. These techniques can help relax your mind and body, reducing your anxiety and easing the urge to pull out your hair. Consistent indulgence will help you overcome the disorder in time.
Limit Access to Hair
One practical way to stop trichotillomania is to limit your access to your hair. For example, you could wear a hat or headband to cover your hair, or keep your hair tied back in a ponytail. This will make it more difficult to pull out your hair and give you time to pause and think before acting on the urge.
Positive Reinforcement
Celebrate small victories as you make progress in managing the disorder. Positive reinforcement has been studied to enhance recovery rates. Give yourself a pat on the back, reward yourself with something you love, or treat yourself with a fun activity when you refrain from hair-pulling.
Wear Jewelry
Having something in your hand that requires fidgeting like fidget spinners, tangle toys, or stress balls, the use of jewelry like bracelets, necklaces, or rings that keep your hands busy is another method to managing trichotillomania. This technique will keep you occupied and reduce the urge to pull out your hair.
Treatment for Trichotillomania
An expert physician or mental health professional can help individuals understand the disorder and recommend treatment options. The best thing you can do if you suffer from trichotillomania is to seek professional help to get an accurate diagnosis and a treatment plan that will work for you.
Cognitive Behavioral Therapy (CBT)
CBT is one of the most effective treatments for trichotillomania. It’s a goal-oriented, short-term therapy that focuses on changing your negative thought patterns and behaviors. Your therapist will help you identify the triggers that lead you to pull your hair and teach you coping skills to deal with them. You’ll also learn relaxation techniques and other strategies to manage your stress and anxiety.
Habit Reversal Training (HRT)
HRT is another effective treatment for trichotillomania. It’s a behavioral therapy that focuses on replacing the habit of pulling your hair with a more positive behavior. Your therapist will help you identify the triggers that lead you to pull your hair and teach you alternative behaviors to replace hair pulling. These can include clenching your fists, holding a stress ball, or doing a relaxation exercise.
Acceptance and Commitment Therapy (ACT)
ACT is a form of psychotherapy that focuses on mindful self-awareness. It helps individuals to identify their thoughts and feelings about their hair pulling, and then use a combination of behavioral and cognitive techniques to reduce the distress caused by the disorder. ACT is particularly helpful in people who feel burdened by guilt or shame related to their hair pulling behaviors.
Hair Pieces and Wigs
In some cases, people with trichotillomania choose to wear hair pieces or wigs as a way to manage the embarrassment caused by hair loss. It can help individuals regain their confidence and self-esteem while their natural hair grows back.
Medication
If your trichotillomania is severe and you’re struggling to manage it with therapy alone, your doctor may prescribe medication. Some of the medications used to treat trichotillomania include antidepressants, anti-anxiety medications, and antipsychotics. These medications can help alleviate symptoms of depression, anxiety, and obsessive-compulsive disorder (OCD), which are often associated with trichotillomania.
Mindfulness and Meditation
Mindfulness-based interventions can be helpful for those struggling with trichotillomania. Mindfulness is the practice of being present and aware of one’s internal and external experiences, such as bodily sensations and thoughts. Mindfulness and meditation can teach you to better recognize and monitor the urge to pull your hair out. With practice, the urge gets weaker over time.
Physical Activity and Healthy Lifestyle
Regular exercise can have a positive effect on mental health. A study showed that people who exercise at least three times a week for 20 minutes can decrease hair-pulling. Exercise reduces stress, helps to lowers anxiety, and improves mood. Engaging in activities you enjoy such as yoga, swimming, or simply walking outdoors can be an excellent self-care activity and help decrease symptoms of trichotillomania.
Practice Self-Compassion
Finally, it’s important to practice self-compassion and be patient with yourself as you work towards recovery. Trichotillomania can be a difficult disorder to overcome, and setbacks are common. But with the right mindset, support, and strategies, it is possible to take control and stop trichotillomania for good.
Support Groups
Joining a support group can also be helpful in managing trichotillomania. These groups offer a safe, non-judgmental space to share your experiences. Learn from others who are going through the same thing. You’ll also get emotional support and encouragement from others in the group. Learn new strategies to manage your hair pulling.
Can You Stop Trichotillomania?
If your trichotillomania is severe and affecting your quality of life, it’s important to seek professional help. A mental health professional who specializes in this disorder can help you develop coping strategies and provide support as you work towards recovery. Therapy, medication, and support groups can all be effective treatments for trichotillomania.
Can Trichotillomania Cause Permanent Hair Loss?
Trichotillomania is not a condition that typically causes baldness. Although hair pulling can cause scarring on the scalp, hair usually grows back once the pulling stops. However, constant pulling can cause hair strands to become damaged and break off at the roots. As a result, people with trichotillomania may notice thinner hair or uneven patches of hair growth. If pulling continues over an extended period, it can lead to permanent hair loss. But keep in mind, this is not common in most trichotillomania patients, especially those who seek treatment.
If you’re struggling with chronic hair loss, you should see a dermatologist or a trichologist. They will examine your scalp and determine the root cause of your hair loss. In many cases, hair loss is a result of an underlying medical condition, such as thyroid disease or alopecia areata. If you have trichotillomania and hair loss is a significant issue, it’s best to see an experienced hairstylist who can work with you on hair care and maintenance.
Trichotillomania Supplements
As always, consuming certain supplements, maintaining a diet and following remedies will help deal with the condition better. Some of the supplements are as follows:
Inositol
This is a B-vitamin that helps: regulate levels of serotonin, a chemical in the brain that regulates mood, and anxiety; reduce symptoms of depression, OCD, and anxiety; regulate the production of hair cells, and therefore strengthens hair growth. Individuals with trichotillomania tend to have low levels of inositol in the brain, and inositol supplementation can help reduce its symptoms. Inositol can be taken in powder or capsule form, with a recommended daily dose of 2-3 grams.
Biotin
Biotin is a B-vitamin that is essential for healthy hair growth. It helps to strengthen hair follicles, prevent breakage, and increase elasticity. This essential B vitamin helps your body convert food into energy and is vital for healthy hair, skin, and nails. When taken in supplement form, biotin may help reduce the urge to pull hair by supporting the growth of healthy hair. Recommended daily dose of biotin supplements is 5000-10,000 mcg.
Vitamin D
Known as the sunshine vitamin, vitamin D plays a crucial role in hair growth by stimulating hair follicles. Vitamin D is important for overall health, but it also plays a role in hair growth and hair health. Studies have shown that people with thinning hair and hair loss often have low levels of vitamin D in their blood. By taking vitamin D supplements, you may be able to improve the health of your hair and reduce hair pulling behavior. Recommended daily dose 1000-5000 IU.
NAC (N-Acetyl L-Cysteine)
NAC is recognized for its ability to boost the production of glutathione, an antioxidant that helps fight oxidative stress in the brain. It is an amino acid that has been shown to be effective in treating a variety of compulsive disorders, including trichotillomania. NAC works by increasing the levels of a brain chemical called glutamate, which helps regulate the impulse control centers of the brain. It helps regulate the production of neurotransmitters like glutamate that are involved in trichotillomania. NAC can be taken in supplement form, with a recommended daily dose of 600-1200mg, taken twice a day. By taking NAC supplements, individuals with trichotillomania can manage the habit and re-gain control. However, it would help if you spoke to your doctor before taking NAC supplements.
Ashwagandha
This Ayurvedic herb has amazing anti-anxiety and stress-reducing properties. Ashwagandha relaxes the mind and reduces cortisol levels, which is the stress hormone associated with trichotillomania. Regular use helps calm the overactive mind, thus reducing the urge to pull out hair.
Valerian Root
Valerian root supplements have natural sedative properties that can help those suffering from trichotillomania by reducing feelings of anxiety and stress. This herb also increases levels of gamma-aminobutyric acid (GABA), which is an important neurotransmitter in the brain that helps to regulate anxiety. You can consume valerian root in tincture or capsule form.
Ginkgo Biloba
Ginkgo biloba is a natural herb widely known for its memory-enhancing properties. However, this herb can also help to control the symptoms of trichotillomania. It improves blood flow to the brain and acts as an antioxidant that reduces inflammation and oxidative stress. Ginkgo biloba supplements is available as a tablet or capsule.
Lion’s Mane Mushroom
This medicinal mushroom has been used for centuries in traditional Chinese medicine for its powerful brain-boosting properties. It contains compounds that help stimulate the growth of nerve cells in the brain, which is essential for managing trichotillomania symptoms.
Magnesium
This mineral has been known to alleviate the symptoms of trichotillomania, while also reducing anxiety and panic attacks. Magnesium helps regulate levels of GABA, a neurotransmitter that helps to calm and relax our body. For people with trichotillomania, stress and anxiety can trigger hair pulling episodes. It is known to reduce symptoms of anxiety and depression, which are common in those suffering from trichotillomania. By taking magnesium supplements, you can help reduce feelings of anxiety and tension that may contribute to hair pulling. Recommended daily dose is 400-800 mg.
Iron
Iron is an important mineral for hair growth, as it helps to carry oxygen to the hair follicles, promoting healthy growth. A common cause of hair loss is iron deficiency, especially in females. Low iron levels can also lead to fatigue and weakness. Iron supplements can help to support healthy hair growth, with daily doses of 15-30mg recommended for adults.
Omega-3 Fatty Acids
Omega-3s play a vital role in brain development and function. Found in fatty fish like salmon and flaxseed oil, omega-3s are important for overall health and can also support healthy hair growth. EPA and DHA, two types of omega-3s found in fish oil, can help alleviate symptoms of anxiety, depression, and OCD. EPA and DHA can be taken as supplements, with a recommended daily dose of 1000-2000mg.
Zinc
Zinc is an essential mineral that supports hair health and immune function. Studies have shown that individuals with trichotillomania have lower levels of zinc than the average person. Zinc supplements can be taken in a variety of forms, with a recommended daily dose of 15mg.
The Bottom Line
Trichotillomania is a challenging disorder to overcome, affecting your mental, physical, and social life. The good news is that with the right interventions, it is treatable. It is essential to be patient with yourself. Seek the help of a mental health professional to find a personalized treatment plan that works for you. With a combination of CBT, medication, habit reversal training, mindfulness, and healthy lifestyle choices, you can overcome trichotillomania and live a happier, healthier life. Remember, trichotillomania does not have to define you; with a little bit of help and support, you can take on this disorder and beat it!
Although trichotillomania can cause hair loss, it’s not typically permanent. If you’re struggling with hair loss and think trichotillomania might be the cause, see a medical professional. With treatment, it’s possible to manage the symptoms of trichotillomania and reduce hair loss. By developing healthy coping strategies and working with a therapist, you can learn to manage the urge to pull out hair and live a more fulfilling life. Remember that you’re not alone, and there is help available.
Taking the right supplements, you can help support healthy hair growth, reduce anxiety, and improve your overall mood and well-being. Biotin, magnesium, inositol, N-acetylcysteine, and vitamin D are all powerful supplements that can help address the underlying causes of trichotillomania and promote hair growth. These supplements can help you regain control of your impulses and enjoy a fuller, healthier head of hair. Talk to your doctor to see which supplements are right for you!
These statements have not been evaluated by the Food and Drug Administration. These products are not intended to diagnose, treat, cure or prevent any disease
