Trichotillomania.

Trichotillomania, also known as “trich”, is a mental health disorder characterised by the repetitive pulling of one's own hair. This condition can cause distress, embarrassment, and even physical damage to the person's scalp, face, and other body parts.

Trichotillomania is diagnosed using the criteria outlined in the Diagnostic and Statistical Manual of Mental Disorders (DSM-5). It is a condition that is listed within the “Obsessive and Compulsive Related Disorders” chapter. The criteria for trichotillomania include a recurrent pulling out of one's own hair often resulting in noticeable hair loss, an increasing sense of tension before pulling out the hair, or pleasure or relief when the hair is pulled out, and the inability to resist the impulse to pull hair. Other criteria include significant distress or difficulty in important areas of functioning, as well as the exclusion of medical explanations for the hair loss.

In most cases, people with trichotillomania pull out their hair without realising it. This is why it’s often referred to as an “automatic” behaviour. People with trichotillomania typically pull out their hair in times of stress, boredom, or anxiety. It’s usually a repetitive, compulsive behavior that can be difficult to control. People with trichotillomania may pull out their hair from any area of their body, but it’s most common on the scalp, eyelashes, eyebrows, and pubic area. Some people will also pull out their facial hair, such as the hair on their chin and upper lip. The hair is often pulled out in small bunches or individual strands, but some people will pull out large clumps.

Treating trichotillomania can be a challenge. While medications may help some people manage their symptoms, the most effective treatments are usually behavioural therapies. These therapies help people learn to identify their triggers and replace the compulsion to pull out their hair with healthier behaviours. Cognitive-behavioural therapy, habit-reversal therapy, and family therapy are all techniques that may be used to help people with trichotillomania.

Trichotillomania can be a debilitating disorder, but it is possible to manage it with the right treatment and support. If you or someone you care about is struggling with trichotillomania, it’s important to seek help from a qualified mental health professional. With the right help, people with trichotillomania can learn to cope with their condition and lead a healthy, fulfilling life.