People with trichotillomania experience multiple levels of psychosocial dysfunction, exacerbated by the visible nature of the condition. When hairpulling compulsions increase in severity, it means noticeable hair loss. People see that. They comment. They ask questions.
A study conducted in 2016 through the Department of Psychiatry and Behavioral Neuroscience at the University of Chicago looked at the levels of dysfunction that people with trichotillomania and excoriation disorder experience. While the disabling nature of each condition is recognized by researchers and those who live with the disorders, this study sought to quantify levels of impairment and compare them with symptom severity to see if there was anything to learn.