Trichotillomania hair pulling replacementTrichotillomania: What is it? What can be done about it?  Trichotillomania can be a misunderstood condition for those affected by it and their families and friends. It is pronounced trick-oh-till-oh-MAY-nee-ah, the long official name is often shortened to its more common place name, Trich or TTM. The disorder is characterized by the repetitive behavior of hair pulling. The specifics of the location of the hair, the extensiveness of the pulling, disruptiveness of the urges, and the duration of the symptoms can vary to each affected individual. Just for an example, Trichotillomania can involve pulling hairs from the scalp, eyebrows, arms, pubic area or legs. Often these individuals are unaware that they are pulling and find treatment quite manageable but some find the urges to incredibly difficult to ignore that they can’t think of anything else.

Some experience this disorder only temporary for a short term, although this is extremely rare. These and other factors come together in a number of combinations to produce a wide array of answers to the question, what does Trichotillomania look like?

Awareness of trichotillomania is relatively new. Classification and definition are still evolving as experts in the field continue to gain knowledge with Trich and put in to place specialized interchanges about the disorder with other professionals. Categorizing Trichotillomania as a BFRB (body-focused repetitive behavior) is a unique way of approaching a subset of impulse control disorders that are specifically, consistently, and compulsively damaging to one’s body such as nail biting and skin picking. This classification acknowledges the side of the disorders that often resembles habits, addictions, and tics while separating them from the broader obsessive-compulsive disorder and other externally impacting impulse disorders such as kleptomania and pyromania.

Trichotillomania Can Affect Anyone

Trichotillomania can affect a person of any age, gender, ethnicity, or background.  It can occur in happy, well adjusted individuals as well as those experiencing a high amount of anxiety or stress. According to, “preliminary evidence indicates TTM is a neuro-biological disorder and that genetics plays a role in its development.” They describe this susceptibility as a self-soothing mechanism that can be triggered by simple sensory events or stressful life events. Indeed, with such a broad base of impacted individuals, early stage research doesn’t eliminate the probable scenario in which the causes of Trich are multiple and varied either. In the United States alone, some 2 to 4 percent of the population suffers from Trichotillomania and while the distribution between males and females is essentially balanced in childhood, prevalence of reported cases swings heavily to women by adulthood.

Trichotillomania: Help is Available

At Hair Restoration Institute in Fort Worth/Dallas, we have years of experience working with women, men, and children that have been diagnosed with trichotillomania. We have taken that experience and combined it with the most advanced technology in hair replacement and custom made wigs in the Fort Worth Dallas area. This means we can offer the most comfortable and realistic hair loss solutions available.

If you have questions or concerns about options for dealing with Trichotillomania, we encourage you to contact us. A professional hair loss specialist with work with you privately, one-on-one to address all your concerns and help you find the hair replacement solution that is right for you.