Trichotillomania

What is Trichotillomania?

Trichotillomania is as an OCD Disorder of which hair loss occurs from repeated urges to pull or twist the hair until it breaks off. Many patients are unable to stop this behavior, even as their hair becomes thinner.

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Trichotillomania Causes, incidence, and risk factors

Trichotillomania is a type of impulsive control disorder. Its causes are not clearly understood. It may affect as much as 4% of the population. Women are four times more likely to be affected than men.

Symptoms usually begin before age 17. The hair may come out in round patches or across the scalp. The effect is an uneven appearance. The person may pluck other hairy areas, such as the eyebrows, eyelashes, or body hair. These symptoms are usually seen in children:

  • An uneven appearance to the hair
  • Bare patches or all around (diffuse) loss of hair
  • Bowel blockage (obstruction) if people eat the hair they pull out
  • Constant tugging, pulling, or twisting of hair
  • Denying the hair pulling
  • Hair regrowth that feels like stubble in the bare spots
  • The increasing sense of tension before the hair pulling
  • Other self-injury behaviors
  • Sense of relief, pleasure, or gratification after the hair pulling

Most people with this disorder also have problems with:

  • Feeling sad or depressed
  • Anxiety
  • Poor self-image

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The Right Treatment For You

The right treatment for you starts with understanding the true cause of your hair loss—whether it’s genetic, hormonal, stress-related, medical, or the result of lifestyle changes or trauma. At Guci Image, we don’t believe in one-size-fits-all solutions. Every scalp, every strand, and every story is different. That’s why we combine advanced technology, personalized diagnostics, and decades of expertise to create a custom plan that targets the root of the problem—not just the symptoms. Real results begin with the right answers—and we’re here to help you find them.

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