Research on treatment of trichotillomania is limited. However, some treatment options have helped many people reduce their hair pulling or stop entirely. There are a lot of treatment options to deal with trichotillomania, some may not work for you as much as they work for others. 

Though trichotillomania is a mental health disorder with physical ramifications, it can result in consequences that affect every aspect of your well-being. Hair pulling disorder can hurt a person emotionally, physically, and socially. In addition to feeling shame and embarrassment, people with hair pulling disorder can have other psychological problems like depression and anxiety. Trichotillomania can also interfere with social life, school, and/or work. Engaging in conversations about compulsive behavior with a child is not an easy task. As a parent you can feel helpless and feelings of guilt is common. Recognizing that it is neither yours or your child's fault and understanding trichotillomania and the painful challenges is the first step to tackle when you have a child that has the disorder.

Recognizing the social effects on your child

Because of low self-esteem persons with trichotillomania may also experience the following social effects

Bipolar disorder, also known as manic depression, is an mood disorder that causes emotional instability that brings extreme high and low moods and changes in sleep, vitality, thinking, and conduct. Individuals who have bipolar can have periods in which they feel excessively cheerful and stimulated and different times of feeling exceptionally sad, miserable, and languid. In the middle of those periods, they us usually feel normal. You can think about the highs and the lows as two "poles" of state of mind and mood which is the reason it's called "bipolar" disorder. "Manic" depicts the circumstances when somebody with bipolar disorder feels excessively energized and happy. These sentiments can likewise include crabbiness and hasty or careless decision making. About half the portion of individuals during mania can likewise have dreams (believing things that aren't true and that they can't be talked out of) or pipedreams (seeing or hearing things that aren't there).

Nail biting, also known as onychophagy or onychophagia, is an oral compulsive habit. It is in some cases depicted as a parafunctional activity, the common use of the mouth for an action other than speaking, eating, or drinking. Nail biting is very common, particularly amongst children. Severe forms of nails biting are viewed as a body focused repetitive behavior (BFRB) in the DSM-IV-R and are ordered under obsessive-compulsive and related disorders in the DSM-5. The ICD-10 characterizes the practice as "other specified behavioural and emotional disorders with onset usually occurring in childhood and adolescence. Other body-focused repetitive behaviors include excoriation disorder (skin picking), dermatophagia (skin biting), and trichotillomania (the urge to pull out hair), and all of them tend to coexist with nail biting. However, not all nail biting is pathological, and the difference between harmful obsession and normal behaviour is not generally clear