Trichotillomania

Also called Hair pulling disorder

Trichotillomania is when someone cannot resist the urge to pull out their own hair, from the scalp, eyebrows, eyelashes or other parts of the body. It often starts in the teenage years. It may be a way of dealing with stress, anxiety or boredom, and people may not notice they are doing it. It can lead to patches of hair loss.

Last updated Nov 9, 2026

What it is

It is a body-focused repetitive behaviour, linked to other conditions such as anxiety and OCD.

Habit reversal training and cognitive behavioural therapy (CBT) are the main treatments. Support groups can also help.

Common signs

  • Repeatedly pulling out hair
  • Patches of hair loss
  • Feeling tension before pulling and relief after
  • Trying and failing to stop
  • Playing with or chewing pulled-out hair

How it is usually diagnosed

  • Talking with a GP
  • Assessment by a mental health professional

Records worth keeping

Keeping these together makes each appointment easier, especially when you see a new doctor:

  • GP notes
  • Therapy plans
  • Dermatology notes if needed

Questions to ask your doctor

  • Which therapy could help me?
  • Can I refer myself?
  • Will my hair grow back?

When to get help right away

Call 112 or go to the nearest emergency department if you have:

  • Thoughts of harming yourself, or severe tummy pain and vomiting after swallowing hair: get urgent help, call 112 if in danger

This page is general information. It is not a diagnosis and does not replace a doctor who knows your history. Medfold keeps your records organised; it does not interpret them.

Sources