A disorder that involves recurrent, irresistible urges to pull out body hair.
The urges involve pulling out hair from the scalp, eyebrows, or other areas of the body.
Symptoms include compulsive hair pulling and hair loss, such as bald patches on the scalp. Social and work functioning may be affected.
Treatment options include counseling and medications, such as antidepressants.


Cluster Number:
Wiki Number: PW220
Diagnosis: Trichotillomania
US Patients: 0.6% to 4%
World Patients:
Sex Ratio: B;G10; M;F3
Age Onset: childhood or 9-13 and then continues into adulthood if there are underlying psychiatric causes
Brain Area: basal ganglia develop a habit and the frontal lobes don’t stop them; extra gray matter (interpretation)
Symptoms: Compulsive hair-pulling from scalp, eyebrows, eyelashes, face, arms and legs – and rarely, elsewhere,may also eat the hair
Progression: Can result in low self-esteem and fear of socializing
Causes: hereditary, pulls triggered by anxiety, depression, obsessive-compulsive disorder
Medications: clomipramine may help; naltrexone and fluoxetine, also ; some medications increase hair-pulling
Therapies: CBT- habit-reversal training, biofeedback, hypnosis; electronic hand-tracking equipment may help, support groups


The world-wide medical research
reports chosen for each diagnosis 

Clicking each title opens the
PubMed article’s summary-abstract.

  • Stress and Skin: An Overview of Mind Body Therapies as a Treatment Strategy in Dermatology
    by Rachel Graubard on October 11, 2021

    Stress has multiple and wide-ranging physiologic and clinical impacts on skin disease. This has led to an interest in mind body therapies as potential adjunct treatments for skin disease. The stress response results in the activation of the endocrine, neurologic, and immune systems, with a resulting cascade of impacts, that are both systemic and cutaneous. The 2 main arms of the stress response are the sympathetic nervous system and the hypothalamic-pituitary-adrenal axis. The resultant release...

  • Parental Bonding in Trichotillomania and Skin Picking Disorder
    by Stephanie Valle on October 6, 2021

    BACKGROUND: One means of understanding the effect of environmental factors on psychiatric disorders is by examining perceived parenting behavior in the childhood of individuals with trichotillomania and skin picking disorder (i.e. body focused repetitive behaviors (BFRBs)). We hypothesized that adults with BFRBs would show higher scores on dimensions of "care" and "overprotection". Specifically, we predicted that adults with BFRBs would have parents in the "affectionate constraint" quadrant,...

  • Trichotillomania or Tic d'Epilation?
    by Ralph M Trüeb on October 4, 2021

    No abstract

  • Pharmacotherapy for trichotillomania
    by Jacob Hoffman on September 28, 2021

    BACKGROUND: Trichotillomania (TTM; hair-pulling disorder) is a prevalent and disabling disorder characterised by recurrent hair-pulling. Here we update a previous Cochrane Review on the effects of medication for TTM.