Hair Pulling: A Baffling Disorder

It isn't yet known what causes hair-pulling, but research has uncovered structural differences in the brains of sufferers, specifically in the areas associated with motor actions. Genetics may also play a role, as is the case with obsessive-compulsive disorder and Tourette's Syndrome, both of which may involve neurological disturbances similar to trichotillomania. Stress often exacerbates the condition, and most experts consider it to be closely related to body-focused problems such as skin-picking and nail-biting.

Despite increasing knowledge about trichotillomania, ignorance about the disorder remains one of the most overwhelming problems. It wasn't even officially labeled a disorder until 1987. Still, resources are improving. With proper help, people are often able to reduce or eliminate hair-pulling, but there is no single treatment that works for everyone.

For me, recovery requires daily effort. To better cope, I began a support group with three friends in New York City, where I've met hundreds of women and men with trichotillomania. The associated shame has at times controlled their lives, impacting decisions both large and small, from whether to venture outside on a windy day to whether to marry. Greater self-awareness (I call it "hand awareness"), fostered by reporting weekly to my support group, has helped me most. Though I continue to feel the urge to pull nearly every day, I have not caused noticeable damage in more than eight years.

For many, having trichotillomania remains their biggest secret. And for good reason: Responses to the disorder range from disgust to laughter. Still, I've also noticed that these reactions are almost inevitably followed by, "Come to think of it, I know someone who does that."

Tags: admonitions, anxiety, birthday candles, black dot, disorder, eyebrows, eyelash, eyelashes, eyelids, impulse, lash, lashes, mittens, naked eyes, ocd, pep talks, pigment, self consciousness, self discipline, sixth grade teacher, strange behavior, Trichotillomania, vaseline, watching television

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