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The Daily Insight

How can I help my child with trichotillomania?

Author

Sarah Cherry

Updated on March 15, 2026

Before you start pulling out your own hair in frustration, try these eight practical tips to manage your child's trichotillomania.
  1. Have Greater Awareness.
  2. Use Open Communication.
  3. Look to Celebrity Examples.
  4. Try Activities for Fidgety Fingers.
  5. Set up a De-Stress Time.
  6. Cover the Hands.
  7. Experiment with Beauty Products and Makeup.

Regarding this, how do I stop my child from pulling hair?

Keep these tips in mind if you want to end baby hair pulling:

  1. Stay calm. Any kind of reaction from you yields the effect he's looking for; aim for a no-nonsense "no."
  2. Show and tell.
  3. Offer a positive with the negative.
  4. Distract and conquer.
  5. Be consistent.
  6. Say it again.

One may also ask, can you outgrow trichotillomania? Usually, BFRBs which typically begin at the age of 12, are a chronic disorder, that may wax and wane over time. Are BFRBs lifelong disorders? Since there is currently no cure, and little research on treatment for trich and other BFRBs, there isn't much information out there about the longevity of these disorders.

Besides, what is the best treatment for trichotillomania?

Types of therapy that may be helpful for trichotillomania include:

  • Habit reversal training. This behavior therapy is the primary treatment for trichotillomania.
  • Cognitive therapy. This therapy can help you identify and examine distorted beliefs you may have in relation to hair pulling.
  • Acceptance and commitment therapy.

What causes trichotillomania in child?

The cause of this disorder is not known. Experts think it may be caused by differences in the brain or nervous system. It might also be related to things such as child abuse or a family history of mental illness. It may be related to certain chemical messengers between the nerve cells in parts of the brain.

Related Question Answers

Is pulling hair out a sign of autism?

Repetitive Movements and Behaviors

Repeating certain movements, such as purposely shaking the head, a leg or arm, making intentional facial expressions or pulling hair may be symptoms of autism. Repetitive behaviors are also common.

What does it mean when your child pulls their hair out?

Trichotillomania: What Is It

Trichotillomania is a disorder characterized by the urge to pull out hair from the scalp or other parts of the body, including the eyelashes, brows, genitals, back, arms and legs. Children are more likely to pull hair out from the scalp.

Is trichotillomania related to anxiety?

Background. Trichotillomania appears to be a fairly common disorder, with high rates of co-occurring anxiety disorders. Many individuals with trichotillomania also report that pulling worsens during periods of increased anxiety.

Why is my daughter pulling her eyelashes out?

It can be aggravated by stress and anxiety, though it is not usually started or caused by an anxious event. Frequently, it starts out as a benign habit that developed from a sensory event, for example an itchy eyelash that your child gets into the habit of rubbing or pulling, even after the original itchiness is gone.

How do you help someone with trichotillomania?

Trichotillomania is commonly treated with a combination of psychotherapy, or talk therapy, and medication. The most common form of therapy or treatment for trichotillomania is cognitive behavioral therapy (CBT). Many mental health practitioners view CBT as the most effective treatment for this disorder.

What causes trichotillomania?

Causes of trichotillomania

your way of dealing with stress or anxiety. a chemical imbalance in the brain, similar to obsessive compulsive disorder (OCD) changes in hormone levels during puberty. a type of self-harm to seek relief from emotional distress.

Is Trichotillomania a form of OCD?

Co-occurring Conditions. Trichotillomania is on the obsessive-compulsive spectrum, which means that it shares many symptoms of obsessive-compulsive disorder (OCD), such as compulsive counting, checking, or washing.

Is trichotillomania hereditary?

A new study suggests mutations in a gene called SLITKR1 may play a role in the development of trichotillomania in some families. The mental disorder causes people to compulsively pull their hair out, resulting in noticeable hair losshair loss and bald spots.

Is Trichotillomania a mental illness?

Trichotillomania (trik-o-til-o-MAY-nee-uh), also called hair-pulling disorder, is a mental disorder that involves recurrent, irresistible urges to pull out hair from your scalp, eyebrows or other areas of your body, despite trying to stop.

What should you not say to someone with trichotillomania?

Worst things to say to someone with Trichotillomania
  1. JUST STOP! THE worst thing to say!!
  2. WHY DO YOU PULL YOUR HAIR OUT? I literally have no idea.
  3. YOU SHOULD STOP, YOU CAN SEE BALD PATCHES.
  4. THAT'S SO WEIRD.
  5. JUST RELAX.
  6. YOU'LL GROW OUT OF IT.
  7. YOU WILL END UP COMPLETELY BALD.

Is trichotillomania linked to ADHD?

As such, trichotillomania is regarded by some researchers as a 'body focused repetitive behavior'. Trichotillomania can occur in conjunction with a variety of conditions including depression, anxiety disorders, obsessive compulsive disorder (OCD), or attention deficit hyperactivity disorder (ADHD).

What type of disorder is Trichotillomania?

Trichotillomania is currently classified under “Obsessive-Compulsive and Related Disorders” in the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition. The DSM-5 diagnostic criteria include: Recurrent hair pulling, resulting in hair loss. Repeated attempts to decrease or stop the behavior.

Can you self diagnose trichotillomania?

There are no tests—such as X-rays or blood tests—to diagnose trichotillomania, although tests might be used to rule out any medical cause for the hair loss.

Why does hair pulling feel good?

Experts think the urge to pull hair happens because the brain's chemical signals (called neurotransmitters) don't work properly. This creates the irresistible urges that lead people to pull their hair. Pulling the hair gives the person a feeling of relief or satisfaction.

Why do I twist my hair and pull it out?

Trichotillomania, also known as “hair-pulling disorder,” is a type of impulse control disorder. People who have trichotillomania have an irresistible urge to pull out their hair, usually from their scalp, eyelashes, and eyebrows. They know they can do damage but often can't control the impulse.

Are you born with trichotillomania?

Most people aren't born with trichotillomania. It's something that can develop in childhood and adolescence, and it's usually in response to some sort of trigger of anxiety or stress.

How does trichotillomania affect the brain?

The results of the analysis, published in Brain Imaging and Behaviour in June, show that patients with trichotillomania have increased thickness in regions of the frontal cortex involved in suppression of motor responses: the right inferior frontal gyrus (rIFG) and other nearby brain regions.

How long does it take for hair to grow back from trichotillomania?

Guidance on the regrowth of hair after pulling. Permanent damage to hair roots from compulsive hair pulling (trichotillomania) is VERY rare, but may occur after 20+ years of pulling. Full regrowth for scalp hair may take up to 6 years but in someone under 30, usually takes place within a year pull free.