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Symptoms of Trichotillomania

Trichotillomania Symptoms

These are the general signs of trichotillomania. Nobody has all these symptoms but these are among the many reported by people we studied.

Hair pulling varying from non-perceptible to complete baldness of the affected area.

Physical symptoms of Trichotillomania:

3 young people

Hairs of varying lengths and textures.

Sores on the scalp – also related to dermatillomania  (compulsive skin picking or CSP).

Unwillingness to be seen without make-up or having spent a lot of time styling hair to cover signs.

Reluctance or refusal to visit hairdressers or opticians.

Eye infections in cases of eyelash pulling.

Shy appearance, for example looking down, difficulty making eye contact.

Avoiding activities like swimming and running.

Ingrown hairs – particularly in relation to leg hair pulling.

Ingestion of the hair can result in the formation of hairballs and lead to gastrointestinal or other medical problems.

Emotional symptoms of Trichotillomania:

Social & Generalised Anxiety

Problems with working memory and sleep

Low self-esteem



Social anxiety, shyness, anxiety about getting close or losing people

Difficulty expressing emotions like anger

Obsessions about the passage of time

Obsession with appearance and self worth

Low self-esteem

Related Conditions: (comorbitity)

Trichotillomania may co-exist with other conditions, such as:

Social anxiety

Dermatillomania (skin picking)

Generalized Anxiety Disorder

Obsessive Compulsive Disorder (OCD)


Eating Disorders