Skip to content

Trichotillomania Hair Pulling Disorder


Updated:
image

Characterized by the irresistible urge to pull hair from the scalp, eyebrows and other areas of the body, Trichotillomania, also known as hair pulling disorder or hair picking disorder is a mental disorder. 

Also known as compulsive hair pulling or high hair pulling, Trichotillomania causes long term urge to pull one’s hair despite attempts to stop this behaviour and is accompanied by a brief positive feeling after pulling the hair. Although hair pulling can happening anywhere, the scalp and the area around the eyes are most commonly affected. It is seen that people suffering from this disorder can go to great lengths to disguise the loss of hair due to this compulsive behaviour. 

Trichotillomania hair pulling disorder is estimated to affect one to four percent of the world’s population. It begins mostly in childhood or adolescence. Some people suffer from it only mildly but in some cases, it can be severe.

What Cause Trichotillomania?

Trichotillomania hair pulling disorder may result from a complex combination of genetic and environmental factors, the exact cause is still unclear. Factors that increase this risk are –

  • Family History
  • Genetics play a part in the development of hair pulling disorder. It can run in families and if you have a close relative with this disorder, it may occur in you.


  • Age
  • For most people, Trichotillomania hair pulling disorder develops just before adolescence, mostly during early teens, often between the age of 10 -13 years and might go on lifelong.


  • Comorbidities
  • Comorbid psychiatric conditions such as depression, anxiety, obsessive compulsive disorder are extremely common in trichotillomania. It also occurs frequently with skin picking disorder.


  • Stress
  • Trichotillomania may be triggered in some people under stressful situations. It also overlaps highly with Post traumatic stress disorder.

    Hair pulling action in people suffering from trichotillomania hair pulling disorder can be dependent on your state of mind; sometimes it’s simple a method to cope with mood swings otherwise, a method to attain peace of mind.  

    The hair pulling action can either be focused and intentional or even automatic and unintentional in others. The same person could be doing both intentional and unintentional hair pulling, depending on how the surrounding environment is affecting their mood:-

    • Focused - Pulling hair intentionally to relieve any kind of stress. Some people might even calculate the number of hairs pulled out in order to avoid overdoing it! 
    • Automatic - Some people might be involuntarily pulling their hair when involved in everyday activities such as watching TV or when they’re bored without even realizing it.

    Trichotillomania hair pulling disorder might even be related to various emotions and could be a tool that the person is using to cope in certain situations - 

    • Positive emotions - Hair pulling might feel satisfying and relieving. To remain positive, the behavioural hair pulling continues.
    • Negative emotions - To deal with stress, anxiety, tension or frustration, hair pulling might be a way out for some people. It could be their way of dealing with an uncomfortable and negative frame of mind such as loneliness or boredom.

    Certain positions such as brushing of hair or resting the hair on the hand may trigger trichotillomania. It has been seen that women suffer from this disorder more than men. However, at younger ages, both boys and girls are seen to be equally affected. Trichotillomania in toddlers is also not uncommon. Trichotillomania beard hair pulling is rather an uncommon and very rare phenomenon since the beard hair cannot be easily plucked.

    Diagnoses of Trichotillomania 

    The primary characterization of trichotillomania hair pulling disorder is the constant urge to pull one’s hair. Though hair pulling can happen in any region, the most commonly impacted sites are the scalp, eyebrows and eyelashes. Other symptoms of trichotillomania hair pulling disorder may include – 

    • Repeated attempts to decrease or stop the behaviour often unsuccessfully.
    • Distress in social and occupational situations.
    • Increasing tension when trying to resist pulling hair or before pulling hair.
    • Feeling relief and pleasure after pulling hair.
    • After pulling the hair, biting, chewing or eating it.
    • Noticeable hair loss, visible bald patches, thinned and shortened hair on the scalp and sparse eyebrows.  Trichotillomania eyelashes might be missing hair strands and look discontinuous.
    • Playing with pulled hair.
    • Pulling hair of only a certain type or texture. Having rituals and preferences around the hair pulling behaviour.
    • Pulling hair in private and trying to hide this behaviour from others.
    • Trichotillomania is also accompanied by skin pulling, nail biting, lips chewing in many people.
    • Pulling hair from pets and dolls, clothes and blankets may also be a sign of trichotillomania.

    Trichotillomania hair pulling disorder is chronic and if untreated, the symptoms may fluctuate in severity over time, they may come and go. This period of absence of symptoms can last for weeks, months or even years.

    When to See A Doctor?

    Trichotillomania hair pulling disorder may have a serious impact on your life. Some mental and physical complications that the hair pulling condition can lead to include -

  • Emotional distress
  • People report that their trichotillomania behaviour makes them feel shame and embarrassment.  They might be dealing with low self-esteem, anxiety and depression. They might also be dealing with alcohol or drug abuse due to a combination of these distresses which fuels them further.


  • Social and Occupational functioning
  • Hair loss embarrassment may make it difficult for people suffering from trichotillomania hair pulling disorder to face social and occupational life. They might be using wigs or false eyelashes to disguise their looks and thus, lack of self-confidence makes them avoid social activities and even intimacy for fear of the discovery of their condition. 


  • Skin and Hair Damage
  • Persistent hair pulling causes significant damage to the hair and the skin. It can cause scarring and leading to infections. Permanent hair growth can be affected if bald patches start to appear at the site of constant hair pulling.


  • Hairballs
  • Some people suffering from trichotillomania hair pulling disorder tend to consume the pulled hair. This may lead to the formation of large hairballs in the digestive tract over the years and can cause weight loss, vomiting and even fatal intestinal obstructions.


    If you are experiencing negative repercussions in your social and occupational life because of this disorder and are feeling embarrassed by your appearance, do talk to your doctor. You might be trying to get out of this habit but if you have been unsuccessful after repeated attempts, it is time to seek medical advice. Trichotillomania hair pulling disorder is a mental disorder and it can lead to serious mental and even physical complications as we’ve seen above. It is highly unlikely that it will go away by itself, without any treatment.

    Treatment for Trichotillomania

    Treating trichotillomania hair pulling disorder requires time as most of the treatments need a lot of practice. While you try these treatments, the symptoms may come and go. So, you have to be careful and not get discouraged. Some of the techniques that are useful in hair pulling disorder treatment are-  

  • Habit reversal therapy
  • The primary hair pulling treatment is habit reversal. You have to identify the situations and triggers which cause you to pull hair and then substitute other behaviours such as clenching of fists or snapping. Some people use journals to make a list of such triggers and also use other methods to increase the awareness of the possible triggers.


  • Cognitive Therapy
  • The trichotillomania cognitive behavioral therapy can be helpful for people who are pulling hair in response to a negative emotion or an uncomfortable situation. Here, patients are taught to experience these situations and let them pass without pulling hair.


  • Self-awareness training
  • Here, you are required to become more aware of your hair pulling action, track the specific patterns that trigger this behaviour and work towards changing it.


  • Process-oriented therapy
  • This tracks the individual triggers and emotions that occur during the hair pulling and what kind of respite it provides in the underlying condition.


  • Acceptance and commitment therapy
  • In this therapy, the patients are asked to experience the urge to pull the hair and then accept the urge without acting on it. This helps to deal with the negative emotions and learn that the urge does not have to be responded to always.


  • Exposure therapy which can also be called trichotillomania OCD therapy as it is widely used to deal with OCD is also helpful.

  • Family Therapy might help the parents in responding better to the symptoms and manage the disorder better if their kids are suffering from it.

  • Group Therapy is helpful for people who feel isolated when suffering from Trichotillomania. Interacting in a groups can be helpful, especially when you meet people experiencing a similar struggle. In a way, it makes one feel that they aren’t alone and gain moral support from the rest.


  • Deep breathing training can help you cope with stress and enable relaxation and focus.

  • Relaxation Training helps the patients focus better and calm their mind in response to situations that may otherwise trigger hair pulling. 

  • Medication

  • There is no approved medication for treating trichotillomania. A class of drugs known as SSRI (Selective Serotonin Reuptake Inhibitors) and SNRI (Serotonin-Norepinephrine Reuptake Inhibitors) can be used to relieve accompanying anxiety but these have significant side-effects. Trichotillomania therapy through habit reversal and other cognitive therapies is most effective.

    Some individuals learn to manage the symptoms of trichotillomania hair pulling disorder while others need more extensive treatment. Help must be sought as soon as possible and the therapy should be taken uninterrupted since there is a chance of the symptoms relapsing.

    Popular Articles

    Redensyl Side Effects | Ashwagandha For Height | Redensyl | Scalp Psoriasis Vs Dandruff | Summer Hair Care | Monsoon Hair Care Tips | How To Reduce Hair Fall | Vitamin B12 Deficiency Hair Loss | How Often To Wash Hair | Ajwain Powder | Dandruff Solution | Can Ayurveda Reverse Grey Hair | Iron Deficiency Hair Loss Treatment | How Does Vitamin E Help In Hair Growth | Stages Of Receding Hairline | What Is Sulfate Free Shampoo | Chemotherapy Hair Loss | Glycerin For Hair | Operculina Turpethum | Hairfall In Teenagers

     Our Products

    Buy Multivitamin Tablet | Buy Hair Fall Tablets | Buy Herbal Tablets | Buy Minoxidil 5% | Buy Herbal Hair Oil | Buy Hair Fall Shampoo | Buy Anti Dandruff Shampoo | Buy Hair Root Serum | Buy Digestion Tablets | Buy Shatavari Ghrita | Buy Minoxidil 2% |

    Popular Posts

    Hair Loss Has Multiple Root Causes

    root_cause
    Nutrition

    Nutrition

    Eating foods which are not rich in protein, vitamins and minerals blocks hair growth.

    Metabolism

    Metabolism

    Slow metabolism can result in your hair becoming dry, brittle, coarse and even break off.

    Hormones

    Hormones

    DHT hormone attacks your hair follicle thereby causing hair thinning and hair fall.

    Stress

    Stress

    Increased cortisol levels disrupts your hair cycle causing hair loss.

    Environment

    Environment

    Sweat, heat, dust and pollution can lead to poor health of the hair follicle and eventual hair fall.

    root_cause

    TAKE THE HAIR TEST

    The Threefold Way

    TRAYA’S HOLISTIC PLAN FOR HAIR FALL

    AYURVEDA+DERMATOLOGY+NUTRITION

    Our approach combines the goodness of three sciences. With ingredients from the most authentic sources, we personalize your treatment delivering assured results.

    Take The Hair Test TM

    Why do Influencers love Traya?

    Join us to break the hair loss myths and get the right information out.

    Image-1

    Image-2

    Image-3

    Image-4

    Image-5
    X

    DermatologyAyurveda Nutrition Doctors
    build your plan

    files/Prescription_c611d377-6435-4aff-ac10-d7039e587c3c.jpg
    Products verified
    by doctors
    Dosage as per
    your profile
    Personalized
    diet plan

    We are not just doctor-backed;
    we are doctor-recommended.

    files/Prescription_c611d377-6435-4aff-ac10-d7039e587c3c.jpg
    Products verified
    by doctors
    Dosage as per
    your profile
    Personalized
    diet plan
    TAKE THE HAIR TEST

    Our Customers

    Month 1

    Month 5

    Month 6

    Uddeshya Verified review
    4.5

    Reviewed on 15th Nov 2021

    My hair loss started in 2016 after I was diagnosed with tuberculosis. I had consulted a dermatologist and tried many treatments before nearly giving up hope. I liked Traya’s approach of combining three sciences. After I used the recommended product kits, I have seen a lot of benefits like thicker hair and negligible Hair fall. On complete Traya recommended plan. read more

    Month 1

    Month 3

    Month 3

    Arundhati Munje Verified review
    4.5

    Reviewed on 31st Dec 2021

    I had been losing my hair for about two years. I tried to convince myself that it wasn't noticeable but I knew it was and so did everyone else who saw me. I started my treatment with Traya and not only is the problem solved, but people are noticing how much it's grown back. On complete Traya recommended plan. read more

    Month 1

    Month 4

    Month 8

    Rajat Sadh Verified review
    4.5

    Reviewed on 21st Feb 2022

    I didn't want to resort to surgery or any other invasive treatment for my hair loss and I found Traya. They have helped me grow back a full head of hair in just eight months. I'm so happy with the results, thank you so much! On complete Traya recommended plan. read more

    Month 1

    Month 4

    Month 5

    Saumya Verified review
    4.5

    Reviewed on 6th Nov 2021

    I was losing hair due to stress and other things but Traya analyzed everything perfectly and sent me a treatment plan. After such great results, my relatives have also started using Traya. Thank you, Raveena my Hair coach (you are wonderful) for such amazing help. On complete Traya recommended plan. read more

    Month 1

    Month 4

    Month 6

    Swati Verified review
    4.5

    Reviewed on 17th August 2021

    It takes time guys, but you won't regret it. My hair grew back stronger and my overall hair quality improved. Thank you Raveena, my hair coach, she really held me accountable and kept me on track. Super happy customer. On complete Traya recommended plan. read more

    Google Review

    ★★★★★

    I feel much better after taking up the treatment. The treatment does not just include tablets and minoxidil.

    Treatment includes ensuring proper sleep cycle and proper diet. Surely there is notable changes after 9 months of treatment.

    TheCmayil

    google-icon

    Posted onGoogle

    ★★★★★

    As a mother,I was extremely worried about my teenage daughter's hair condition. I chanced upon Traya and approached you.A very helpful team always making sure that a regular follow up is done.The hair health has improved a lot since I started and I am very pleased with the results. Thank you Traya..Thank you Mallika for being just a call away.

    SANJUKTA SANYAL

    google-icon

    Posted onGoogle

    ★★★★★

    I am 25 years old. I have androgenic alopecia. couple of months back I found traya and started its medication. now I am happy with its result. most important thing is patience and consistency. diet is also a key factor. I recommend traya 100%. good customer service.the sooner the better

    jithu thomas

    google-icon

    Posted onGoogle

    ★★★★★

    Before trying traya i had used a lot of other meditation too... Traya was the only one which gave me the best positive results for my hair... Grateful to them

    LOKJEET RANAA..

    google-icon

    Posted onGoogle

    ★★★★★

    I have been following Traya regime since last 9 months now and the results are all to speak for. I had issues regarding hair density and patches. Now I am very much happy and satisfied with the results. In short, Quality & Quantity both have improved for me. Infact, it has been helpful for my body balance as well. Thanks to Sneha for all the help and Cheers to the Traya team👍 👍 👍

    Devarshi Desai

    google-icon

    Posted onGoogle

    ★★★★★

    It's all about patience and consistency. Traya helped me to grow my hair back, as well as to live a healthy lifestyle with the customized diet. Before Traya I lost all my hopes. If a person like me can grow my hairs back., I'm 100℅ sure with the help of Traya everyone who is facing hair fall issues can grow back their hair. Trust me it's worth it.

    Shubham Nikam

    google-icon

    Posted onGoogle

    ★★★★★

    TRAYA'S hairfall treatment has been of great help in reducing my hairfall issue and also regrowing new hair. Also the support staff Poornima who was assigned to me has been very helpful as she checked on my progress, provided diet plans and answering any questions regarding the medication. A great experience overall.

    rohit daz

    google-icon

    Posted onGoogle

    ★★★★★

    TRAYA'S hairfall treatment has been of great help in reducing my hairfall issue and also regrowing new hair. Also the support staff Poornima who was assigned to me has been very helpful as she checked on my progress, provided diet plans and answering any questions regarding the medication. A great experience overall.

    rohit daz

    google-icon

    Posted onGoogle

    ★★★★★

    Since i have started using Traya hair care regime, my hair have really improved a lot. This regime is also helping me in stress management and to get better sleep. I would highly recommend Traya.

    Bhawana Singh

    google-icon

    Posted onGoogle

    ★★★★★

    The product is very good
    The results were visible after 15 itself
    Must try essential hair food

    Sonia Hair Studio

    google-icon

    Posted onGoogle

    ★★★★★

    IT WORKS! I'm not someone who falls for a trap easily so I researched well before taking this treatment! My research, their treatments and efforts have truly shown results. I like their concept of 3 sciences, it was new to me but they proved it by giving me my desired results! Thanks Tatva

    Kiran Rajput

    google-icon

    Posted onGoogle

    Collapsible content

    Disclaimers

    The claims and results mentioned are based on multiple internal studies and customer research surveys that Traya has conducted with a statistically significant sample size of users who were under expert observation and guidance

    93% saw results*

    Traya conducted an internal study over both men and females facing hair fall and 93% saw results* after using the complete Traya treatment consistently for a period of 5 months. This study was conducted in December 2022. 

    5-month money-back guarantee

    Traya’s 100% money-back policy is valid only if you have been regular with the complete treatment plan for a period of 5 whole consecutive months. Each customised hair kit is valid for only 30 days. If any individual has not seen any regrowth or control in hair fall, you can ask for a refund. However, once you apply for the 5-month - money-back policy, the team would then do a thorough check on consumer regularity based on every order date. An exception to this policy is for those customers undergoing serious health conditions like autoimmune diseases and cancer. 

    Traya’s Holistic 3 Science Formula 

    Traya’s 3 Science Formula is a synergistic mix of Ayurveda, Allopathy & Food Science designed specifically to cater to hair loss conditions stemming from multiple root causes. With clinically tested ingredients and adaptogenic herbs, Traya’s Science-Backed formula clears internal blockages and boosts hair regeneration naturally. When blended with a healing dietary plan, it delivers great results in attaining long-term hair growth. 

    Traya Free hair test (™) 

    Traya’s Hair Dx test is powered by a proprietary algorithm to examine a user's hair & health profile. With the help of a distinctive image-capturing technique & physician- formulated examination, it is able to precisely diagnose the type, stage & root causes of a certain hair loss condition. 

    2 lakh+ Indians 

    Traya Free hair test (™) has been taken by more than 2 lakh+ Indians - Data acquired from Traya customers. 

    Ayush Certified  - Digest Boost, Cholest Vati and Consti Clear are Ayush Certified Products.

    Traya’s Ayurvedic Products are based on natural and Ayurvedic formulations. These are completely safe for human use, but it is possible that certain ingredients may cause allergic reactions to some individuals. 

    Accurate hair diagnosis 

    The Traya free hair test (™) is a proprietary algorithm developed with the help of our in-house doctors that provides Accurate hair and health diagnosis, provided you mention all the correct details about yourself. It gives a precise diagnosis about the type, stage and root cause of a specific hair fall condition.

    Long Lasting Visible Hair Results 

    Traya’s complete treatment gives visible and long-lasting results provided you’re on Traya’s hair maintenance kit. Since Traya works on the internal root causes of hair fall and hence our customers have seen long lasting results

    Trusted by 70+ Doctors

    Traya has been tried and loved by over 70 doctors all over India to maintain healthy hair growth. 

    Award Winning Trusted Brand

    India’s Healthcare Excellence initiated by Brands Impact has awarded Traya as the Most Effective Haircare Product of the Year 2022 

    FDA approved ingredients 

    Traya contains hair growth actives like minoxidil and DHT blocker which are FDA approved to treat hair fall. These are completely safe for human use, but it is possible that certain ingredients may cause allergic reactions to some individuals.

     

    Traya Women Santulan (™)

    Traya’s Women Santulan is a unique technology that uses a combination of herbs treated in a specific manner (kalpa) to meet the bio-specific needs of women going through different stages of life. Santulan is a supplementary range to Traya’s 3 Science Formula which balances and nourishes the body inside-out delivering long-lasting hair growth results and overall health.

    Hair Growth Plan starts at Rs 1699 pm* - The price mentioned is for a male of age 23 with stage 1 type hair fall based on the results of the hair test taken on the website. Prices may vary for individual customers depending on the results of the hair test and internal root causes

    Hair Growth Plan starts at Rs 2000 pm* - The price mentioned is for a male of age 25 with stage 1 type hair fall based on the results of the hair test taken on the website. Prices may vary for individual customers depending on the results of the hair test and internal root causes

    What's Causing Your Hair Fall?

    Take Traya's FREE 2-minute hair test, designed by doctors that analyses 20+ factors like genetics, scalp health, lifestyle, and hormones, to identify the root causes of your hair fall.

    Take The Free Hair TestTM