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First published: October 2000
Trichotillomania
by
Michael Sones
This
is a condition which involves pulling out body hairs to the point
where there is significant hair loss. Hair from any part of the
body may be targeted, including the scalp, eyebrows, eyelashes,
pubic and perirectal areas. People with this condition usually notice
that they feel either tension before the hair-pulling, or that they
feel tension when they try not to give in to the impulse. Usually
trichotillomaniacs feel significant distress about their conditions.
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People
have been known to have removed all the hairs from their heads.
It is thought that as many males as females have the condition in
childhood. Hair-pulling often peaks in the 5-8 year old population
and then again at 13. Adults who have the condition report that
the onset was in childhood and most adults with the condition are
apparently women.
It
is difficult to know for sure as male pattern baldness is more socially
acceptable in men. Women are often more willing to seek help for
their condition. Hair pulling is often done in secret or in the
company of family members. It may be denied and efforts made to
conceal it as in the wearing of a hat or a hairpiece. Many children
indulge in hair-pulling on a temporary basis, and this would not
be classified as trichotillomania.
For
it to be classified as such the hair-pulling needs to be over time,
causing significant distress or impairment in important areas of
functioning.
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Information
in this article is purely for educational purposes. If you suspect
you may be suffering from trichotillomania please seek appropriate
help from your doctor or a properly qualified mental health clinician.
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