What is Trichotillomania?

By Judith Zaher, M.A.Ed., LPCC, LSW

Trichotillomania is a lesser-known, but not uncommon disorder affecting both males and females of all ages. It is characterized by repetitive pulling out of one’s hair. Trichotillomania is classified as a body-focused repetitive behavior. Research indicates that 2-4% of individuals experience “trich” in their lifetime. Onset is typically in early puberty. By adulthood, trich is more common in females. It is a “cousin” of Obsessive-Compulsive Disorder.

Treatment for trichotillomania typically includes a combination of therapy, education, and medication. Often times, hair pulling can occur as a focused, deliberate behavior in response to an urge. At times it is described as mindless and automatic, as the individual is less aware of the behavior.

This disorder offers many challenges as it is often embarrassing for the individual. They may try to conceal missing hair which can result in avoiding sports or other activities that would “expose” the missing hair (ex: swimming, sleepovers, intimacy).