Trichotillomania: Understanding Hair-Pulling Disorder and How to Find Support
Summary
Trichotillomania is a body-focused repetitive behaviour where people compulsively pull hair from the scalp, brows, lashes, and elsewhere, causing patches, irritation, occasional scarring, uneven regrowth, and infection risk. Triggers can include stress, anxiety or boredom; research also points to neurological differences, genetics and sensory relief. It often overlaps with OCD and ADHD traits. There is no single cure, yet progress is possible with a tailored plan that pairs habit change techniques, practical coping tools, and focused scalp and hair care. At Shuna Hammocks Trichology in Forest Row, I offer calm, non-judgmental assessment, dermoscopic scalp review, regrowth strategies, and ongoing check-ins. Serving Sussex, Kent, and Surrey. Book a consultation for compassionate, expert support.

Trichotillomania, also known as hair-pulling disorder, is a complex condition that causes people to pull out their own hair compulsively. This can affect the scalp, eyebrows, eyelashes, and other body hair, often leading to noticeable hair loss, distress, and frustration. At Shuna Hammocks Trichology, I support individuals experiencing Trichotillomania with compassionate, expert advice. I can help stimulate hair growth and improve the condition of over-twiddled hair, even giving coping strategies to reduce and eventually cease hurting your hair. You do not need to hide away any longer.
What Causes Trichotillomania?
Trichotillomania is considered a body-focused repetitive behaviour (BFRB), which involves an irresistible urge to perform a repetitive action—in this case, hair-pulling. The exact causes are still being studied, but research suggests a combination of:
- Emotional triggers – Stress, anxiety, or boredom can lead to hair-pulling as a coping mechanism.
- Neurological factors – Some individuals with Trichotillomania have different brain activity related to impulse control.
- Genetics – A family history of Trichotillomania, OCD, or ADHD may increase the likelihood of developing the condition.
- Sensory satisfaction – Many people describe feeling a sense of relief or pleasure when pulling their hair, making the behaviour hard to stop.
Trichotillomania and Mental Health Conditions
There is often a link between Trichotillomania, OCD (Obsessive-Compulsive Disorder), and ADHD (Attention Deficit Hyperactivity Disorder). While Trichotillomania is not strictly classified as OCD, it shares characteristics with compulsive behaviours. Similarly, people with ADHD may find themselves engaging in hair-pulling as a way to manage restlessness or sensory-seeking behaviours.
Understanding these connections can be key to managing the condition effectively.
Effects of Trichotillomania on Hair and Scalp
Hair-pulling can lead to:
- Thinning or bald patches on the scalp, eyebrows, and eyelashes.
- Irritated or damaged follicles, sometimes resulting in scarring.
- Uneven hair regrowth, where some areas recover while others remain sparse.
- Infections or inflammation from persistent pulling.
While the emotional impact of Trichotillomania is significant, the physical consequences on hair health are also important to address. This is my area of expertise, and I want you to learn to love your hair again and put an alternative focus elsewhere.

Treatment and Management of Trichotillomania
There is no single cure for Trichotillomania, but a combination of approaches can help manage it; these will be discussed individually relevant in your hour consultation with me.
- Techniques to avoid touching the hair so habitually.
- Scalp and hair care.
- Practical coping strategies.
Trichology Support for Trichotillomania
As a Consultant Trichologist, I work with clients experiencing Trichotillomania-related hair loss to assess scalp health, advise on hair regrowth strategies, and provide non-judgemental, expert support. If you’re concerned about hair loss from Trichotillomania, I can help you understand the current condition of your hair and scalp and offer practical solutions to encourage recovery.
Book a Consultation
If you are experiencing Trichotillomania related hair loss and searching for a trichologist near me, I invite you to book a consultation. Every case is unique and a professional assessment helps determine the best next steps for your hair and scalp health.
At Shuna Hammocks Trichology in Forest Row, you will find a calm, confidential space to talk openly and receive a personalised plan for regrowth support, scalp care and practical coping strategies. We welcome clients from East Sussex, West Sussex, Kent and Surrey, including East Grinstead, Tunbridge Wells, Haywards Heath, Crawley, Uckfield, Crowborough, Lewes, Brighton and Horsham.If you are looking for a Trichotillomania specialist in Sussex or hair pulling disorder support in Forest Row, get in touch today to arrange your appointment.
📍 Located in Forest Row – Easily Accessible for Clients in Sussex, Kent, and Surrey
Willow Treatments Suite,
Lower Road,
Forest Row, RH18 5HE (dark green shop front)
Phone: 07860387332
👉 Get in touch today to start your journey towards healthier hair.
FAQ of Trichotillomania
What is trichotillomania, and how do I know if I have it?
Trichotillomania is a hair pulling disorder where you feel a strong urge to pull hair from the scalp, brows, lashes or body. Signs include repeated pulling, visible patches, short broken stubble, and relief or satisfaction after pulling.
What causes trichotillomania?
It is a body focused repetitive behaviour linked to a mix of factors, including stress or anxiety triggers, differences in impulse control, genetics and sensory relief. It commonly overlaps with traits seen in OCD and ADHD.
How can I stop pulling my hair?
Progress is possible with habit change techniques, stimulus control, keeping hands busy, short nails, barrier methods, and structured support such as CBT with habit reversal training. A personalised plan works best.
Will my hair grow back after trichotillomania?
Often yes if follicles are intact. Brows and lashes may regrow in weeks to months and scalp hair in months. Long term repetitive pulling can slow or limit regrowth. A trichology assessment can check follicle activity.
Trichotillomania or alopecia areata, what is the difference?
Trichotillomania shows broken hairs of different lengths, stubble and possible scabs. Alopecia areata presents smooth patches with little scale and sometimes exclamation mark hairs. An in person assessment confirms the diagnosis.
Where can I get help near me in Sussex?
Shuna Hammocks Trichology in Forest Row offers calm, non-judgemental consultations, dermoscopic scalp review, regrowth strategies, and practical coping advice, with optional follow-ups online. We welcome clients from East and West Sussex, Kent and Surrey. Book a consultation for personalised support.

