Trichotillomania (Hair Pulling Disorder)

~ Understanding Hair Pulling Disorder

Trichotillomania is a chronic disorder involving compulsive hair pulling that results in noticeable hair loss. It is classified as an OCD-related disorder and affects people of all ages. Hair may be pulled from the scalp, eyebrows, eyelashes, or other areas of the body. People with Trichotillomania often describe a building tension or urge before pulling, followed by temporary relief or gratification.

~ More Common Than Most People Know

Trichotillomania affects approximately 1–2% of the population. Many sufferers struggle in isolation, feeling profound shame and concealing the disorder for years. The condition can begin in childhood or adolescence and, if untreated, can persist throughout adulthood — affecting academic performance, relationships, and self-esteem.

~ Treatment Outcome

Comprehensive Cognitive Behavioral Therapy (CBT) and Habit Reversal Training (HRT) are highly effective treatments for Trichotillomania. HRT teaches awareness of pulling urges and develops competing responses that interrupt the cycle. Many patients experience significant reduction in pulling with consistent treatment.

Dr. Henry Srednicki specializes in Trichotillomania and body-focused repetitive behaviors. With practices in Upper Montclair, NJ and New York City, and telehealth across 42+ states via PSYPACT, expert care is accessible.