Trichotillomania — often called “trich” — is a mental health disorder marked by compulsive hair pulling, typically from the scalp, eyebrows, or eyelashes. It is classified as a body-focused repetitive behavior (BFRB) and falls within the obsessive-compulsive spectrum.
What causes it
Trich usually arises from a mix of factors: genetic predisposition, neurotransmitter imbalances, emotional triggers like stress and trauma, and behavioral reinforcement — pulling can temporarily relieve tension, which encourages the cycle to continue.
Effects on hair
Repeated pulling can damage follicles and create bald patches. In mild cases, hair often regrows once pulling stops. But when the behavior continues for years — or if scarring develops — hair loss may become permanent.
Treatment and transplant eligibility
A hair transplant will not be effective if the underlying cause — active trichotillomania — has not been addressed first. So treatment begins with the behavior itself.
- Cognitive Behavioral Therapy, medications, and mindfulness techniques
- Peer support groups for accountability
- Transplant candidates are typically pull-free for 12–24 months
- No visible scalp scarring and well-managed behavior
Talk to a physician
For those recovering from trich-related hair loss, our Acworth and Marietta team offers hair restoration consultations once the condition is well managed.