Episode 32
What is Trichotillomania?
In this episode of HairPod, we shine a light on trichotillomania—also known as trich or TTM—a condition that causes people to compulsively pull out their hair. To better understand this often misunderstood hair condition, we’re honored to welcome Heather Brooke, a licensed professional counselor and an individual with lived experience of TTM. Joining us to discuss her journey with TTM, Heather provides valuable insight for those living with the condition.
At HairClub, we offer more than just solutions for hair loss—we’ve created a hub of knowledge to help you understand every aspect of hair health and wellness. This episode is an essential listen for anyone looking to understand trichotillomania better, whether you or someone you love is affected by this disorder or you’re simply curious about it.
Join us as we explore trichotillomania through the lens of Heather’s experiences—her personal story, professional insight, and strategies for managing TTM.
What is Trichotillomania?
Trichotillomania is a hair-pulling disorder that leads individuals to uncontrollably (and sometimes unconsciously) pull out their hair. The disorder can manifest differently depending on the person—some may pull hair from their scalp, while others may focus on eyebrows, eyelashes, or other body hair. The intensity of the condition varies greatly; some individuals may experience mild episodes, while others may struggle with more severe, daily compulsions. There is also no single age of onset, though it often begins in childhood or adolescence.
Causes of Trichotillomania
The causes of trichotillomania are still not fully understood, and research into the condition is ongoing. However, many experts believe that a combination of factors—including genetics, trauma, anxiety, and stress—could contribute to its development. Heather Brooke believes that her own TTM was triggered by traumatic experiences in her early childhood. At just nine years old, Heather began pulling out her hair and relied on the adults in her life to notice and intervene. Unfortunately, due to a lack of awareness and understanding about the disorder at the time, Heather did not receive the therapeutic help she needed right away.
Despite years of therapy and now being a licensed professional counselor herself, Heather still deals with the effects of trichotillomania. Her personal journey underscores the challenges many face: living with TTM is a continuous process of managing symptoms rather than a quick fix. However, this also means that even though a cure may not be available, there are ways to cope and live a full life despite the condition.
Trichotillomania is a medical condition characterized by the compulsive urge to pull out one’s hair, often resulting in noticeable hair loss. It can affect hair all over the body:
- Scalp
- Eyebrows
- Eyelashes
- Other body hair
There is no single age of onset, but it often begins in childhood or adolescence. For Heather Brooke, it started at just nine years old. There is no clear-cut cause of trichotillomania, and research into the condition is still ongoing. However, experts believe that a combination of factors could cause it.
Biological Factors
Genetics may play a significant role in the development of trichotillomania. Other biological factors, such as changes in hormone levels during puberty, could also contribute.
Psychological Factors
Individuals who experience depression, anxiety, post-traumatic stress disorder (PTSD), and obsessive-compulsive disorder (OCD) are more likely to show signs of TTM.
Environmental Influences
Highly stressful situations and traumatic events may trigger trichotillomania in some people. Heather believes traumatic experiences in early childhood triggered her own TTM.
Symptoms of Trichotillomania
Individuals with trichotillomania may feel an intense urge to pull their hair out. They may feel a growing tension that becomes harder and harder to ignore, with a sense of relief after pulling the hair out. People with TTM may have repeatedly tried to stop or minimize the hair-pulling behavior with no success.
Hair-Pulling Behaviors
Most people with TTM pull hair from their scalp, but some pull from other areas, such as eyebrows, eyelashes, genital hair, and beard or mustache hair. The resulting bald patches may have an unusual shape and affect one side of the head more than the other.
Emotional and Physical Consequences
Constant hair-pulling can cause severe damage to the skin and hair. From bald spots to scarring, this condition can damage the skin of your scalp and even permanently affect hair growth. As the hair loss becomes more and more visible, you may feel frustrated, ashamed, and embarrassed. If you can’t stop hair loss, you may feel like you’ve lost control. Over time, you may develop low self-esteem, depression, and anxiety.
Trichotillomania’s Impact on Daily Life
Trichotillomania can profoundly impact daily life, often making simple tasks seem more challenging. The urge to pull out hair can strike unexpectedly, especially during moments of stress or boredom. This can lead to noticeable hair loss, which in turn can affect self-esteem and body image. Individuals experiencing TTM may avoid social gatherings, work, or school out of fear of being judged or feeling embarrassed by their appearance. Despite years of therapy and now being a licensed professional counselor herself, Heather still deals with the effects of this hair-pulling condition. Her personal journey underscores the challenges many face: living with TTM is a continuous process of managing symptoms rather than a quick fix.
However, managing the condition is possible with the right strategies and support. HairClub’s expert consultation and lasting solutions for trichotillomania treatment offer the personalized strategies you need to reclaim your confidence and find balance in your everyday routines.
Coping with Trichotillomania
Currently, there is no known cure for trichotillomania. However, numerous tools and strategies can help you reduce its impact and manage its symptoms. For Heather, stress and anxiety are key factors that exacerbate her TTM. Like many people with the disorder, she has realized that finding ways to release stress is crucial for managing her compulsions. Regular exercise is one of her primary outlets, and she finds that going to the gym is a powerful way to channel her energy. However, even this form of stress relief might not be enough during particularly stressful times. It’s in these moments that having multiple coping strategies becomes essential. In addition to exercise, Heather emphasizes the importance of therapy. Working with a licensed professional, especially one with experience in TTM, can be incredibly beneficial. A therapist can help individuals identify the triggers that lead to hair-pulling episodes and develop personalized techniques to address them. Cognitive Behavioral Therapy (CBT), mindfulness practices, and even medications may be recommended as part of a holistic approach to managing trichotillomania. Heather also advocates for self-compassion and patience. The path to managing TTM is not linear, and setbacks are part of the process. For those living with the disorder, it’s crucial to learn to forgive oneself and recognize that recovery is a journey.
Supporting Someone with Trichotillomania
One of the most important themes of Heather’s conversation is compassion. For friends, family members, or partners of someone with trichotillomania, understanding and empathy are essential. It can be easy to suggest to someone with TTM to “just stop pulling your hair,” but this kind of response can be damaging. Hair-pulling is not a conscious decision, and the compulsions are often driven by deep-seated psychological factors that require understanding, not criticism.
Educate Yourself
If you’re supporting someone with TTM, start by educating yourself about the condition. Ask questions and listen without judgment. Remember that the person struggling with trichotillomania likely feels a great deal of shame or embarrassment about their behavior, so it’s vital to create a safe and supportive environment for open communication. Rather than focusing on the physical symptoms (like hair loss), show concern for their emotional well-being.
For children with TTM, Heather has written a children’s book called “Where Is My Hair? A Trichotillomania Story For Children.” This book helps kids understand what they’re going through and introduces the idea that they are not alone in their struggles. Whether you are a parent, teacher, or friend, this resource can help foster empathy and understanding for young ones dealing with the condition.
Recommend Resources
Additionally, if trauma or emotional distress seems to be at the root of someone’s TTM, it may be helpful to gently recommend counseling. Healing from trauma can be a key step toward reducing compulsive behaviors. However, it’s important to approach these conversations with care and avoid pushing someone before they are ready to seek help.
Resources for Managing Trichotillomania
If you or someone you know is living with trichotillomania, there are a number of resources available to support you on your journey:
Therapy
Seeking out a licensed professional counselor who specializes in TTM or related disorders can be incredibly helpful. Therapists can offer individualized treatment plans, coping strategies, and emotional support.
Stress-Relief Strategies
Identifying healthy outlets for managing stress is key. Whether it’s exercise, mindfulness, or creative activities, finding what works for you can make a significant difference.
Support Networks:
Connecting with others who have similar experiences can be a source of strength and validation. Consider joining a support group for people with TTM or participating in online forums to share your journey with others who understand.
Educational Materials
Books like “Where Is My Hair? A Trichotillomania Story For Children” by Heather Brooke provide an accessible way for younger audiences to understand the condition. It’s also a great tool for parents and caregivers to start conversations with children about their experience with TTM.
Trichotillomania: Understanding This Hair Pulling Disorder and Its Impact
We hope this episode of HairPod has offered a meaningful and compassionate look at trichotillomania. While living with TTM can be challenging, hearing from people like Heather Brooke reminds us that we can navigate life with this disorder through self-awareness, therapy, and the support of those around us.
If you’re struggling with the effects of trichotillomania, HairClub is here to help. With personalized hair restoration solutions and expert care, we can help you take a step toward regaining confidence and control over your life.
Book a Complimentary Consultation at HairClub Today!
Thanks for listening to HairPod. We hope you enjoyed this episode. If you did, please leave us a rating or review wherever you get your podcasts. If you’d like to connect with us on social media to share your story, check us out on Instagram @HairClub. HairPod is a production of TSE Studios. Our theme music is from SoundStripe.
Episode.32 Transcript
Featured Guests
New Episodes Weekly
Available Every Tuesday @ 9am
Want to Be a Guest?
Related Episodes
Top Hair Replacement Trends for 2025
This week on HairPod, dermatologist and Skin Real Podcast host Dr. Mary Alice Mina shares insights on 2025 hair loss trends and future treatments.
Miracle Hair Loss Cures Debunked
Hair loss ‘miracle cures’ flood social media with unbelievable results. On HairPod, Dr. Phipps reveals what works, what doesn’t, and the science behind it!