The Compulsive Urge to Pull Hair

Wig Medical provides personal telehealth sessions with a Cranial Prosthesis Specialist to help you manage Trichotillomania and reach your hair goals.

What is Trichotilllomania?

Trichotillomania, often referred to as hair-pulling disorder, is a complex mental health condition characterized by an irresistible urge to pull out one's hair, leading to noticeable hair loss and distress. 


This compulsive behavior can have a significant impact on an individual's emotional well-being and self-esteem. While the condition can be life-altering, there is hope for those that are suffering with the condition. 

We Work with Your Insurance

Most of our clients who need a medical wig or hair prosthetic are covered by insurance.

Risk Factors for Trichotillomania

These risk factors may affect an individual’s likelihood of developing the condition.


Family history. If an individual has a close relative with the condition, that person may be more likely to experience trichotillomania. Genetics may play a role in the development of the condition.


Health conditions. Those that experience various health conditions, such as dry skin or psoriasis, may be more likely to pull their hair or pick their scalp.


Stress. Individuals that have experienced continuing stress or very stressful situations may trigger the condition. 

“The Wig Medical team of Cranial Prosthesis Specialists are dedicated to helping solve your hair loss challenges.”

Symptoms of Trichotillomania

Symptoms of the condition can vary, but the hallmark symptom is repeatedly pulling out hair. 


This can either be automatic or deliberately. An individual may also feel an increased amount of tension and anxiety, especially if they haven’t pulled out their hair for an extended period of time. 


Ritualistic hair pulling may also be a symptom, as well as chewing on the pulled out hair strands. 


The condition may also involve a person picking or chewing on their skin, especially on the areas around their fingernails. 

Treatment and Management Strategies

While there is no one-size-fits-all approach to treating trichotillomania, various strategies and interventions can help individuals manage their symptoms and regain control over their behavior:

Cognitive-Behavioral Therapy (CBT)

CBT, particularly habit reversal training (HRT), is considered the gold standard treatment for trichotillomania. HRT involves identifying triggers for hair pulling and learning alternative behaviors to replace the urge to pull.


Selective serotonin reuptake inhibitors (SSRIs), such as fluoxetine (Prozac) or clomipramine (Anafranil), may be prescribed to help manage underlying anxiety or depression.

Stress Management Techniques

Practicing stress-reduction techniques such as mindfulness, meditation, deep breathing exercises, or progressive muscle relaxation can help individuals cope with triggers and reduce the urge to pull hair.

Telogen Effluvium FAQs

Trichotillomania is a psychological condition classified under obsessive-compulsive and related disorders. 


Individuals with this disorder have an irresistible urge to pull out their hair, whether it be from the scalp, eyebrows, eyelids, or other parts of the body. 


This behavior can result in noticeable hair loss and can significantly affect an individual’s self-esteem and social functioning.

The exact cause of Trichotillomania is not well understood, but it is believed to be the result of a combination of genetic, neurological, and environmental factors. 


Some research suggests that abnormalities in the brain pathways linked to habits, impulse control, and emotional regulation may contribute to the condition. 


Stressful or traumatic events may also trigger or exacerbate hair-pulling behavior.

Trichotillomania is diagnosed based on criteria outlined in the Diagnostic and Statistical Manual of Mental Disorders (DSM-5).

Treatment for Trichotillomania often involves a combination of therapy and medication. 


The most effective treatment is cognitive-behavioral therapy (CBT), particularly a technique known as habit reversal training (HRT), which focuses on identifying triggers, learning coping strategies to resist urges, and replacing the hair-pulling behavior with a less harmful action. 


Medications, such as selective serotonin reuptake inhibitors (SSRIs) or antipsychotic drugs, may also be prescribed to help manage symptoms, especially in cases where Trichotillomania is associated with anxiety or depression.

Managing Trichotillomania requires a personalized approach, often involving engaging in treatment, stress management, support groups, and seeking professional advice. 

Wig Medical educates individuals about Trichotillomania and provide supportive care whcih can significantly improve their quality of life, even though the journey to overcoming the disorder may be challenging.

Comprehensive Cranial Prosthetic Services at Wig Medical

Empower yourself with personalized care and expertise tailored to your unique needs at Wig Medical. 


Our team is dedicated to guiding you through the process of finding the perfect cranial prosthetic solution, ensuring comfort, confidence, and peace of mind. Whether you're navigating insurance coverage or seeking specialized assistance, we're here to support you every step of the way.


Take the first step towards reclaiming your self-esteem and schedule an appointment with us today. Contact our team to discover how Wig Medical can transform your hair restoration journey. 

Take your next step towards getting help!

Let us help you with your Trichotillomania challenges.

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