In daily life, it is common to play with our hair and pluck the ends when we are stressed. However, if this behaviour becomes repetitive over time and starts to disrupt the quality of life of the individual, Trichotillomania (Hair Plucking Disorder), a psychiatric disorder, comes to the fore.

What is Trichotillomania?

Trichotillomania is a disorder defined by the inability of a person to stop his/her behaviour of repeatedly plucking his/her own hair (or body hair such as eyebrows, eyelashes, eyelashes) and is classified as Obsessive-Compulsive and Related Disorders according to DSM-5 Diagnostic Criteria.
1. Repeated hair plucking behaviour: The person plucks the hair and this leads to hair loss.
2. Repeated attempts to stop plucking: The person wants to stop this behaviour, but is unable to do so.
3. Significant distress or loss of functioning: The hair plucking behaviour causes impairment in social, occupational or other important areas of functioning.
4. It is not related to another medical condition: It is not related to another medical condition, e.g. a dermatological disease.
5. It is not better explained by another mental disorder: For example, it should be distinguished from other psychiatric disorders, such as body perception disorder.

Why does trichotillomania occur?

Although the exact cause of this disorder is unknown, it is thought to be caused by the interaction of biological, psychological and environmental factors. The presence of similar behaviours in the family may indicate a genetic predisposition. In addition, emotional strains such as stress, trauma and anxiety may trigger or increase these behaviours.

Who Does It Affect?

Trichotillomania usually starts in adolescence, but it can also start in childhood or adulthood. It is more common in women than in men. It can lead to secondary problems such as social withdrawal, self-esteem problems and depression.

Treatment Methods

Treatment of trichotillomania involves both psychotherapy and medication. Mindfulness and stress management activities can also help to reduce this behaviour.

Trichotillomania is a disorder that is out of the person's control, causes feelings of shame, can lead to social withdrawal and negatively affects the quality of life. However, it is possible to cope with the right approach and expert support. Receiving professional support will significantly improve the quality of life.