Trichotillomania (TTM) is a disorder frequently diagnosed in late childhood or adolescence. It is estimated that the lifetime prevalence of TTM for adolescents is about 1-3% so it is not an uncommon phenomenon. TTM is also associated with other mental health issues such as anxiety, depression, diminished self-esteem, and impaired social and academic functioning. It is generally accepted that the early intervention can help to manage the effects of TTM.

Trichotillomania (TTM) is a chronic disorder characterized by repetitive hair pulling that results in significant hair loss, emotional distress, and impaired functioning across settings. Because it shares some characteristics with other disorders such as obsessive-compulsive disorder (OCD) and Tourette’s Syndrome, TTM is currently classified as an Obsessive Compulsive-related disorder. However, TTM is not OCD nor is OCD the same as TTM, although they can co-occur. There are distinct differences that create a dilemma for many in the TTM and research community. How significant are these differences and what implications might they have for treatment, if any? There remains quite a debate as to whether TTM and other body-focused repetitive behaviors are correctly classified or should be in a separate category.

Hair pulling is a complex disorder that is characterized by hair-pulling that impedes functioning. The pulling is in response to overwhelming urges that subside once the pulling is done. Not all hair pulling is the same. There are two identified subtypes of hair-pulling disorder – focused and automatic pulling. Some people are quite aware and methodical in their pulling behavior. They may use tools like tweezers or mirrors. 

It is well-established that survivors of domestic violence (DV) often struggle with mental health issues following their abusive experience. They can experience depression, anxiety, post-traumatic disorder and problems with emotional regulation. It is not uncommon for survivors to develop multiple mental health issues including trichotillomania (TTM). However, identifying and treating co-occurring disorders isn’t always a clear path. There are established treatment modalities, such as Dialectical Behavior Therapy (DBT), that are effectively used to treat certain aspects of post-DV trauma and the resulting emotional dysregulation. New research suggests that some of the same treatment modalities used to treat survivors of domestic abuse may in fact, be helpful in addressing those survivors who experience TTM as well.