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Lorraine Hawkins
Conditions/Trichotillosis
Scalp & Hair Condition

Trichotillosis

A self-inflicted hair condition caused by repeated pulling, twisting or rubbing of the hair, often linked to stress and compulsive behaviour.

What is it?

Trichotillosis (also referred to as trichotillomania) is a self-inflicted condition that arises from repeated pulling, twisting or rubbing of strands of hair. The most common site of hair loss is the scalp, where hair looks twisted and fragmented. It may also affect eyelashes and eyebrows.

Signs & Symptoms

  • Twisted and fragmented hair on the scalp
  • Patchy hair loss from repeated pulling
  • Hair loss to eyelashes and eyebrows
  • Sense of pleasure or relief after hair is pulled

Causes & Risk Factors

  • Stress-related and compulsive behaviour
  • Psychological factors — especially in children
  • Linked to stress reduction, emotional regulation and sensory stimulation

Treatment Options

  • Seeking treatment for depression, anxiety or poor self-image
  • Psychological or behavioural therapy to address underlying triggers

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Trichologist reviewing scalp diagnostics with a client in a calm studio.