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Hair Loss Open Topic

What are the causes and treatment for Trichotillomania

Trichotillomania is described as an impulse control disorder which involves pulling out ones hair. Impulse control disorders resemble other conditions such as pyromania, kleptomania, and pathological gambling, because the patient feels out of control of his or her own behaviors. In this article, we will discuss the symptoms and treatments for individuals suffering from Trichotillomania.

Treating Trichotillomania is different than treating other forms of hair loss such as androgenic alopeica or  genetic hair loss. Even if treatments such as Rogaine (minoxidil)  or Propecia (finasteride) were to regrow hair, it is likely that the patient suffering from Trichotillomania will continue to pull their hair out.

So what are the symptoms?

*Continously pulling out ones hair that results in hair loss

*An increased sense of tension before pulling out the hair or when trying to resist the urge

*Not due to medical conditions i.e. dermatological conditions and disorders

*Repeated attempts to decrease or stop the hair pulling

When is surgery appropriate?

Patients who have suffered from Trichotillomania for an extended period of time may damage or even remove the hair roots permanently by excessive pulling, which makes non-surgical hair growth impossible. Hair restoration surgery may be an option for Trichotillomania sufferers whose hair roots are too damaged to produce new hair growth.


Surgical hair restoration should be a last resort and reserved for patient's who have sucessfully treated Trichotillomania and no longer suffer from the condition. However, if Trichotillomania is treated early it will reduce the damage done to hair follicles and thus eliminate the need for hair loss treatments and surgery, since the hair should grow back naturally once the condition is treated.

Written and published By,

Melvin-Editorial Assistant and Forum Co-Moderator