What is Trichotillomania?

Here at Simone Thomas hair loss clinic in Bournemouth we see many people suffering with Trichotillomania. Most people play with their hair. You may twirl your hair between your fingers when you watch TV, read, concentrate and also when you are stressed or worried. Usually the habit is harmless, but it can sometimes turn into a serious condition called trichotillomania – a self-inflicted hair loss where hair ‘twiddling’ reaches the ‘hair pulling’ stage.

Pulling hair out can cause thin or bald patches, which can cover quite a large area depending on the severity of the disorder. If hair grows back, but continues to be pulled out over many years, you can damage your follicles and get permanent hair loss. Trichotillomania can also be present on eyelashes and eyebrows, but this is less common.

Trichotillomania can be an extremely emotionally distressing and upsetting condition and it is best to consult an expert for help.


Trichotillomania causes are often complex. It is more common in women than men and mainly occurs around puberty and often at menopause. In some cases, it’s unintentional and you may not realise you are doing it. However, often there are underlying causes – from anxiety and as a means to cope with stress, to depression, a cry for help and a traumatic experience. This can be especially true with regards to children and young persons.

The act of pulling out a hair can also initially feel quite satisfying, so you keep doing it, not realizing the damage you’re causing, and once you do it’s hard to stop.


Trichotillomania is frequently misdiagnosed as alopecia areata – another hair loss that occurs in patches. There are two reasons for this. Firstly, both conditions look similar to the untrained eye, and secondly, people are often ashamed and fearful to tell their doctor that they’re pulling out their own hair. This is also an issue in diagnosing children and young teenagers with trichotillomania, who might be pulling their hair out in secret without their parents’ knowledge. There is, nevertheless, a predominant diagnostic feature of trichotillomania – uneven hair breakage. When you pull your hair out, you can’t pull it all at the same angle so it snaps off, and at different lengths.

However, in alopecia hair loss, the little hairs will be roughly the same length. Also, the pattern of hair loss from trichotillomania is usually worse on the right side of the scalp if you are right-handed and vice versa. If you suspect that you, or a friend or family member, suffers from trichotillomania, or alopecia areata, please consult with an expert.


The first and most important part of recovery from trichotillomania is getting help either for yourself, a friend or family member. Occasionally, psychological therapy is needed. Please remember there is nothing to be ashamed or embarrassed about – we have seen many individuals with trichotillomania ranging from young children to highly successful women and men. Just like recovery from any other condition or disorder, external support is essential.

Other treatments include:

  • Wearing thick gloves, especially at night, when the temptation to pull your hair out is at its peak.
  • Cutting your hair short so that it’s impossible to get hold of it.
  • Covering your hair with a slippery cream or oil.
  • Wearing a scarf over your head.
  • Playing with worry beads to take your mind off the impulses.

All treatments for trichotillomania take time and patience, but the good news is that your hair can grow back. If it’s been going on for a long time, less will do so, or your hair may grow back a different texture – but you will see an improvement. If you find that your hair just simply is not growing back or you are suffering from thinning patches on your head then there are several hair loss treatments available for you here at Simone Thomas Hair loss clinic. We have a vast array of wigs available, from synthetic wigs to human hair wigs. We also offer non surgical hair replacement with our revolutionary hair volumizers that can be custom made to help cover the noticeable thin or bald patches and we also offer non glue hair extensions.

For a hair loss consultation, please call The Simone Thomas hair loss clinic in Bournemouth  on 01202 760003 .

Report an issue.

Sometimes website display issues can be fixed with a hard refresh. If this does not resolve the problem, please complete a bug report below.

By submitting this form a screenshot will be taken of this website as YOU currently see it which include sensitive information. You also agree to diagnostic information being taken including but not limited to: Browser type (Chrome/Firefox, IE etc), Operating System and IP Addresss. We may attempt to contact you in order to help resolve the issue you are reporting to us.

Thank you! Our technical team will look at this issue shortly.