While we don’t know exactly what causes trichotillomania, studies have shown that there is a link between anxiety and hair pulling. Many hair pullers report that the urge to pull often occurs at times of high stress, tension or anxiety. However, despite the fact that the act of hair pulling brings short term relief, the situation gets worse as one gets anxious when large portions of his or her hair that get lost due to the pulling. This creates a cycle of hopelessness as the sufferers try to resist the impulsive behavior without success. Overall, despite hair pulling being a way to relieve anxiety, it also creates more stress to the sufferers. The most effective form of treatment for body-focussed repetitive behaviours (BFRBs) is cognitive behavioural therapy (CBT).
Thanks to the efforts of research and advocacy groups such as the Trichotillomania Learning Centre have made huge strides in growing awareness of body-focussed repetitive behaviours (BFRBs) and encourages those suffering in silence to come forward and seek help and support. More and more we are seeing stories of individuals suffering with trichotillomania featured in mainstream media.
Although awareness about body-focussed repetitive behaviors (BFRBs) such as trichotillomania is still very poor among health professionals, this is slowly changing, thanks to the efforts of advocacy and support organizations such as the Trichotillomania Learning Centre (TLC) and the Canadian BFRB Support Network (CBSN). TLC in particular has been and remains at the forefront of BFRBs research, and the development and training of professionals. This is achieved not only by disseminating important updates on research in the field, but also conducting or facilitating their own research, as well as the training if health practitioners.
An itching or tingling sensation in your fingers is a precursor to the urge you have to pull out the hair from your own head or other parts of your body. You use your fingertips to seek out the perfect hair, rubbing it between your fingers and sometimes smelling it or chewing on it before pulling it out. Whilst it may seem that you are the only person afflicted with this strange disorder, globally there are thousands of people suffering from Trichotillomania, also known as Hair Pulling Disorder.
There are five criteria for a person to be diagnosed with Trichotillomania, as set out in the Diagnostic and Statistic Manual (DSM5)
1. Repetitive pulling resulting in noticeable hair loss.
2. Tension prior to pulling or when trying to resist the urge to pull.
Although trichotillomania seems to be more common in children than adults, severity of presentation appears to be higher in adolescence and prognosis becoming poorer as onset age approaches adulthood. This means that adolescent to young adult sufferers usually has a more long-lasting form of the disorder and do not respond as well to treatment. The transition between adolescence and being a young adult is a very stressful time as there are many life stage transitions that occur during this period, one of them being the transition into college. This can be particularly stressful if you are moving away from home to attend college and are living in shared accommodation such as a dorm environment. These sentiments were shared by a trichotillomania learning centre (TLC) member and DC areas trich support group facilitator, Ellen.
The Heart and Soul Academy for Body Focused Repetitive Behaviours (BFRBs), based in Colorado, USA, was founded in 2013 by Christina Pearson, founder of the Trichotillomania Learning Centre (TLC). Christina herself was a sufferer of both hair pulling and skin picking disorder from a very young age, and she found that there were little or no resources for sufferers of BFRBs. She formed the Heart and Soul Academy, a non-profit organization, as a direct response to a growing community need for people suffering from BFRBs. Christina is involved in serving the community and has devoted her life to raising public awareness and developing resources that aid in reducing the suffering of those afflicted with Trichotillomania and other obsessive compulsive disorders. In addition to founding the organization, Christina lectures and does media presentations on BFRB’s.
Overwhelming feelings of stress, tension and anxiety in Trichotillomania sufferers can lead to them fearing that there is no escape from this seemingly unusual disorder. As much as the actual act of hair pulling needs to be acknowledged and treated, a sufferer’s next most obvious concern is to have his or her hair grow back. Trich sufferer Hannah Bunker unpacks tips for hair growth in her you tube video.
A person suffering from a hair pulling disorder needs to implement a daily routine to ease the anxiety they feel before pulling. Hannah offers six tips that trich sufferers can make use of for hair regrowth:
BFRB awareness week is approaching! Every year from 1-7 October those involved in the advocacy and awareness of BFRBs such as hair pulling and skin picking disorder, observe BFRB awareness week. This year a group called the TLC Millennial Task force have come up with an engaging online awareness campaign designed to show the many faces of BFRBs. BFRBs affect people from many different walks of life—people of different races, genders, socio-economic statuses, and locations—in both obvious and subtle ways. #thisisme is a way for the global BFRB community to reach out and get that message across, and hopefully raise awareness in all communities.
Trichotillomania can be a debilitating condition and the road to recovery is long and ongoing. Although cognitive behavioral therapy (CBT) has shown to be the most effective type of treatment approach for trichotillomania, many people ask about the availability of a medicinal cure. To date there is no single pharmacological treatment that has been seen to be an effective 'cure' for trichotillomania. There are however a number of medications that have shown to reduce the urge to pull in hair pullers, which greatly increases the chance of successful CBT treatment. However not all medications identified for trich will work for everyone and there are different categories of medications that are commonly prescribed. One type of medication known as selective serotonin reuptake inhibitors (SSRIs), commonly prescribed anti-psychotic used to treat depression, is a class of drug also commonly used to augment trichotillomania treatment.
Online Test for Trichotillomania
Find Out The Severity of Your Hair Pulling With This Free Online Test