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Cognitive behavioral therapy—either on its own or combined with a specific type known as habit reversal training (HRT)—is often the approach of choice, as it targets the thoughts, emotions, and habit cycles that lead to pulling behaviors. Other kinds of therapy such as ACT and dialectical behavioral therapy (DBT) have also shown promise, especially when combined with HRT. Individuals with co-occurring mental health disorders may be more likely to seek treatment, evidence suggests.
Trichotillomania: Compulsive Hair Pulling
Shame and other negative feelings prevent many people from seeking treatment specifically for TTM. Because the disorder is not widely known or understood, many who struggle with it are not aware that it's a mental health condition for which they can seek treatment. Anyone who feels distressed about their hair-pulling or feels that they are unable to control the behavior on their own could benefit from seeking treatment.
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While the exact prevalence of trichophagia is not well understood, some studies estimate it occurs in 20 to 30 percent of those with trichotillomania. Trichophagia can be dangerous or even deadly, as it can result in the development of hairballs that obstruct the intestines. Other studies suggest that experiencing trauma may increase the severity of hair-pulling, even if the former doesn’t necessarily cause the latter. The behavior is compulsive and may even occur without conscious notice; it often results in significant hair loss that can lead to alopecia or bald spots.
Panic Attacks and Panic Disorder
At the Westwood Institute for Anxiety Disorders, we also treat a range of other clinical conditions, especially anxiety and compulsive disorders. Trichotillomania is one of several body-focused repetitive behaviors (BFRBs) currently classified in the DSM-5 as Obsessive Compulsive and Related Disorders. The disorder is also thought to share characteristics with impulse-control disorders.
Trichotillomania (hair pulling) Therapists in Los Angeles, California
This subreddit is a place to share videos, images, and gifs of doggy style and hair pulling. Individuals with trichotillomania are more likely than others to have first-degree relatives with the condition, suggesting that the disorder runs in families and has a genetic element. But experts believe that while a tendency to pull out one’s hair may be inherited to some extent, genes are not solely responsible for the development of trichotillomania. Due to the current pandemic (COVID-19), we are extending our services to full online and phone therapy to our clients. Therapists have been vetted by the Zencare team for clinically rigorous, quality care.
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People with both TTM and depression, for example, may be inclined to seek help for their depressive symptoms; this may, in turn, lead to help with hair pulling. In some cases, people engage in “rituals” after pulling, such as rolling the hair between their fingers, touching it to their lips or face, or inspecting the end to look at the root. Other people with trichotillomania eat their pulled hairs, a condition known as trichophagia.
Other Disorders That We Treat
Therapy, combined with self-help strategies and social support, can greatly reduce pulling behaviors, help manage shame, and improve quality of life. Trichotillomania (TTM) is the pulling out of one's own hair that results in noticeable hair loss. The body area that hair is pulled from can vary, and commonly include the scalp, eyebrows, and eyelashes.
Trichotillomania (hair pulling) Therapists in Los Angeles, California
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To warrant a TTM diagnosis, the hair loss must not be attributable to other medical conditions. The behavior must also not be better explained by another mental health disorder; individuals with body dysmorphic disorder, for example, may pull out their hair in order to correct a perceived “imperfection,” rather than as the result of a compulsive need to pull. Trichotillomania is a condition characterized by a compulsive urge to pull out one’s hair.
Other Disorders That We Treat
Visit their profiles to watch an introductory video and book a free initial call to find a good fit. Trichotillomania can cause physical damage to skin tissue that may lead to infection, especially if tweezers, scissors, or other sharp objects are used to help facilitate hair pulling. The repetitive motions involved may also, in some cases, trigger joint injury or muscle pain. The worrying is not realistic for the likelihood or actual effects of the event that the sufferer fears. GAD sufferers are often needlessly anxious about day-to-day activities such as traveling to work on time or taking care of chores. Panic attacks occurs suddenly and build to a peak very quickly, normally in 10 minutes or less.
However, with treatment and/or effective self-help strategies, many individuals are able to successfully manage the urge to pull; many are able to go months or even years without pulling, although the urge may never fully dissipate. The Westwood Institute for anxiety Disorders is extending our services to online and telephone therapy to clients around the world struggling with OCD and related disorders. This method is cost-effective, which benefits clients with restrictions that do not allow them to leave their homes. The American Psychological Association has provided distance therapy to be safe and reliable.
Cognitive behavioral therapy (CBT), coupled with habit reversal training (HRT), is currently thought to be the most effective approach for treating TTM. Researchers have found that individuals who are reluctant to seek conventional treatment may benefit from Internet-based interventions or support groups. While no medications are approved as a first-line treatment for TTM, some antidepressants, antipsychotic medications, and cannabinoid agonists have shown promise in limited studies. Therapy is considered the front-line treatment for all BFRBs, including trich.
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