What We Treat

Trichotillomania

Learn about trichotillomania symptoms and treatment approaches at Westwood Institute.

About Trichotillomania

Trichotillomania involves recurrent hair pulling that can cause distress, hair loss, and impairment.

Common Symptoms

Symptoms may include urges, pulling rituals, shame, avoidance, and repeated attempts to stop.

Treatment Approach

Treatment may include habit reversal, awareness training, competing responses, and support for triggers.

Your questions, answered

Frequently asked questions about Trichotillomania

What is trichotillomania?

Trichotillomania involves recurrent hair pulling that can lead to hair loss and distress. It can affect hair on the scalp, eyebrows, eyelashes, or other areas.

Can hair pulling happen without noticing?

Yes. Some people pull in response to an urge, while others notice only afterward. Identifying when and where pulling happens helps guide treatment.

What is habit reversal training for hair pulling?

Habit reversal training helps people recognize pulling patterns and practice a different response when an urge occurs. It is commonly used within CBT for trichotillomania.

Is hair pulling simply a lack of willpower?

No. Trichotillomania is a mental health condition, and stopping can be difficult without support. Treatment focuses on understanding triggers and building practical skills rather than blame.