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Understanding Trichotillomania: Causes, Symptoms, and Coping Strategies

Updated: Oct 2, 2023

Trichotillomania, often referred to as "hair-pulling disorder," or “Trich” is a challenging condition that affects many individuals worldwide. While it may not be widely discussed, understanding trichotillomania is crucial to provide support, encouragement, and solutions for those who are affected by it. In this blog post, we'll delve into what trichotillomania is, why it happens, and what you can do to manage it. At CURLiD, we are committed to helping our customers navigate their hair care journey, which includes providing guidance on conditions like trichotillomania.


What is Trichotillomania?

Trichotillomania is a condition where the sufferer cannot resist the urge to pull out their own hair. It can affect people of all ages, but it often develops between the ages of 10-13. It leads to emotional distress, social isolation, and reduced self-esteem. There are two types of hair pulling, focused and automatic. During focused pulling there is awareness of the pulling, automatic pulling happens outside of awareness. Other hair baring sites such as eyebrows, eyelashes and pubic hair are often also pulled.

Why Does Trichotillomania Happen?

While the exact causes of trichotillomania are not fully understood, several factors can contribute to its development:

  1. Neurobiological Factors: Imbalances in certain neurotransmitters, such as serotonin and dopamine, may play a role in the development of trichotillomania.

  2. Genetic: There may be a genetic factor as it can affect more than one member of the family.

  3. Stress and Anxiety: Triggers like stress, anxiety, or tension can exacerbate the urges to pull hair.

  4. Emotional Coping Mechanism: For some, trichotillomania may serve to cope with negative emotions or stressful situations.

  5. Sensory Gratification: The sensation of pulling hair can be oddly satisfying for individuals with trichotillomania.

What to Do About Trichotillomania Living with trichotillomania can be challenging, but there are steps you can take to manage and cope with this condition:

  1. Seek Professional Help: The first and most crucial step is to consult a Gp as to what is the correct treatment path.

  2. Cognitive-Behavioural Therapy (CBT): CBT is considered the most effective form of therapy for trichotillomania. It helps individuals identify triggers and develop strategies to resist the urge to pull hair. Acceptance and commitment therapy (ACT) is also shown to help in the management of trichotillomania.

  3. Medication: In some cases, medication, such as selective serotonin reuptake inhibitors (SSRIs), may be prescribed to manage symptoms.

  4. Getting Support: Joining a support group for trichotillomania can be immensely helpful. Connecting with others who understand your struggles can provide a sense of belonging and encouragement. There is also lots of support from groups such as Alopecia uk and Anxiety UK

  5. Stress Management: Learning stress-reduction techniques like mindfulness, meditation, or yoga can help reduce the triggers for hair-pulling.

  6. Alternative Coping Mechanisms: Replace hair-pulling with alternative activities like fidget toys, stress balls, or crafts to keep your hands occupied. Idle hands can lead to hair-pulling behaviour to pass the time.


Trichotillomania is a challenging condition, but it is manageable with the right support and strategies. Remember that you are not alone, and there is help available. Seeking professional guidance and connecting with a supportive community can make a significant difference in your journey towards managing trichotillomania.

What CURLiD Recommends

At CURLiD, we understand that hair care is deeply personal, and trichotillomania can add an extra layer of complexity. We recommend the following:

  1. Gentle Hair Care: Be mindful of your hair care routine to minimize any potential damage. Use gentle, nourishing products that promote hair health.

  2. Consultation with Hair Experts: Our team of hair experts is here to help. If you have questions about hair care and trichotillomania, don't hesitate to reach out. We can provide personalized advice to support your unique needs.

  3. Confidence and Self-Care: Remember that your beauty and confidence go beyond your hair. Focus on self-care and self-acceptance as you navigate your journey towards managing trichotillomania.

We are committed to supporting you in your hair care journey, no matter your unique circumstances. If you have any questions or need guidance, please feel free to contact us. You're not alone, and together, we can help you look and feel your best.

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Oct 08, 2023
Rated 5 out of 5 stars.

I have been doing this for years and now I know why. I'll contact you directly for some advice x


Oct 02, 2023
Rated 5 out of 5 stars.

Would love to set up a discovery call!

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