TRICHOTILLOMANIA (HAIR-PULLING DISORDER)

 

Trichotillomania Treatment in Texas ~ Wellness Point Psychiatry

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Trichotillomania is a body-focused repetitive behavior disorder characterized by recurrent hair pulling, leading to noticeable hair loss and distress or impairment in daily functioning.

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Causes

• Genetic predisposition

• Neurobiological factors affecting impulse control

• Emotional triggers such as stress, anxiety, or boredom

• Trauma or developmental factors

 

Risk Factors

• Family history of OCD or anxiety disorders

• Childhood or adolescent onset

• Co-occurring depression, anxiety, or OCD

• Emotional regulation difficulties

 

Diagnosis

Diagnosis is based on DSM-5 criteria, clinical interviews, and evaluation of hair-pulling behaviors and distress level.

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Medication Management

Common medication options may include:

• SSRIs (fluoxetine, sertraline)

• N-acetylcysteine (off-label evidence-based option)

• Antipsychotic augmentation in severe or resistant cases

 

Therapy Options

• Habit Reversal Training (HRT)

• Cognitive Behavioral Therapy (CBT)

• Acceptance and Commitment Therapy (ACT)

 

Prognosis

Many individuals improve with behavioral therapy and supportive medication management, especially when treatment begins early.

 

Frequently Asked Questions About

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Is trichotillomania an anxiety disorder?
It is classified as an obsessive-compulsive and related disorder, though anxiety often plays a role.

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Can hair grow back after pulling?
Hair often regrows if pulling stops, though chronic pulling can cause scarring in severe cases.

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What is the best treatment for hair-pulling disorder?
Behavioral therapy such as Habit Reversal Training is considered first-line treatment.

 

Contact Wellness Point Psychiatry to schedule an appointment today.

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