Typical symptoms of trichotillomania
Trichotillomania is usually noticeable by bald patches on the head of those affected. In some cases, however, they also pull hair from other hairy areas of the body, such as the eyelashes and eyebrows.
The urge to pull your hair out can increase in phases: The compulsive behavior often occurs in stressful life situations – for example in phases of mourning or when those affected are under enormous stress. The inner tension eases with the plucking and gives way to a feeling of satisfaction. In some cases, pulling threads out of fabrics, such as clothing, can also provide a sense of relief.
Typical of trichotillomania: Social withdrawal
Since those affected are usually ashamed of the hair pulling and the visible consequences in the form of bald spots on the head, trichotillomania is often associated with social withdrawal. This often leads to further psychological stress and restrictions in social life: For example, those affected avoid the swimming pool or sauna because the (possibly otherwise hidden) bald spots would be noticeable there.
People with trichotillomania therefore often have a high level of suffering. They also often feel angry at themselves and their loss of control.