My name is Andrea Carlson, and I have had Trichotillomania since I was very young. My goal with this blog is to provide some refreshed and updated information on Trichotillomania.

Trichotillomania, often referred to as "trich," is a mental health disorder characterized by the irresistible urge to pull out one's hair. This condition affects people of all ages, genders, and backgrounds, impacting their physical and emotional well-being. In this blog, I will dive into some of the intricacies of trichotillomania, exploring its symptoms, causes, and available treatments.

What is Trichotillomania?

Trichotillomania falls under the category of obsessive-compulsive and related disorders. Individuals with trich experience an overwhelming compulsion to pull out their own hair, leading to noticeable hair loss. The hair-pulling can occur from any part of the body, but it is most commonly associated with the scalp, eyebrows, and eyelashes.


  1. Hair Loss: The most apparent symptom of trichotillomania is noticeable hair loss, often resulting in bald patches. Many of us "Trichsters" will go to great lengths to disguise the effects of their hair-pulling, using wigs, hats, scarves, or makeup to conceal the areas of hair loss.

  2. Bare Patches: Trichotillomania can cause irregular or patchy hair growth due to repeated pulling in specific areas. This can be particularly distressing for those struggling with the condition.

  3. Tension and Relief: Many individuals with trichotillomania experience a build-up of tension or anxiety before pulling out their hair. The act of pulling provides a sense of relief, albeit temporary, from this emotional distress. For me personally, I experience an area of itching or tenderness in the area before I pull. 


The exact cause of trichotillomania is not well understood, but it is believed to result from a combination of genetic, biological, and environmental factors. Some potential contributing factors include:

  1. Genetics: There is evidence to suggest a genetic component in trichotillomania, with a higher likelihood of the disorder occurring in individuals with a family history of obsessive-compulsive disorders. I have a few family members that have Trichotillomania.

  2. Neurological Factors: Differences in brain function and neurotransmitter levels may play a role in the development of trichotillomania. Research suggests that imbalances in serotonin and dopamine, neurotransmitters associated with mood regulation, may contribute to the disorder.

  3. Stress and Trauma: Traumatic experiences or high-stress situations can trigger or exacerbate trichotillomania in some individuals. The act of hair-pulling may serve as a coping mechanism for dealing with overwhelming emotions. 

Treatment Options

  1. Cognitive Behavioral Therapy (CBT): CBT is often considered the most effective treatment for trichotillomania. This therapeutic approach helps individuals identify and change negative thought patterns and behaviors associated with hair-pulling.

  2. Medication: In some cases, medication such as selective serotonin reuptake inhibitors (SSRIs) or habit-reversal training may be prescribed to help manage symptoms.

  3. Support Groups: Connecting with others who share similar experiences can provide valuable support and encouragement. Support groups offer a safe space for individuals with trichotillomania to share their challenges and successes. There are some great support groups on social media. Our support group is called Wig Studio 1 Wig and Topper Support Group. Although this group is about wigs and toppers in general, there are a lot of individuals that share their stories of hair loss. It is a very supportive, uplifting and welcoming group. Another resource is The Trichotillomania Learning Center (also knows as BFRB)


Trichotillomania is a complex and challenging disorder that can significantly impact the lives of those affected. Understanding the symptoms, causes, and available treatments is crucial for promoting empathy, reducing stigma, and supporting yourself or other individuals on their journey to recovery. If you or someone you know is struggling with trichotillomania, seeking professional help is a crucial step toward regaining control and fostering a healthier relationship with oneself. 

November 12, 2023 — Andrea Carlson