Managing Trichotillomania: Treatment Options Explained

Trichotillomania, or “trich” as it is commonly known, is a disorder that causes sufferers to pull out their own hair. 

Trichotillomania (trich) is an impulse control disorder, but it is highly correlated with anxiety disorders including Obsessive Compulsive Disorder and Specific Phobias.  Due to its commonly very visible presentation in the eyebrows, eyelashes, and hairline, trich can have a profoundly negative effect on the quality of life of those who suffer from it. 

Fortunately, Kairos Wellness Collective offers treatment options that can help manage trichotillomania and reduce its severity. Let’s take a look at some of these options. 

Cognitive Behavioral Therapy (CBT) 

One of the most effective treatments for trichotillomania is cognitive behavioral therapy (CBT). This type of talk therapy is based on the idea that our thoughts and behaviors are interconnected, and by changing our thoughts, we can change our behaviors. 

During CBT sessions with a clinician, individuals with trichotillomania will learn how to become aware of their triggers for pulling out their hair, and identify if negative thoughts are contributing to their maladaptive coping.  If negative self-talk has a significant role in trichotillomania presentation, the client and therapist will work on augmenting distortions and retraining the brain to eliminate the downward spirals that contribute to loss of impulse control.  In CBT treatment for trich, the client and therapist will also brainstorm alternate ways to cope with stress or anxiety, and replace pulling behavior with healthier alternatives. 

Medication 

In some cases, medication may be used alongside other forms of treatment to provide relief from symptoms associated with trichotillomania. Common medications prescribed for trich include antidepressants such as SSRIs (selective serotonin reuptake inhibitors), SNRIs (serotonin-norepinephrine reuptake inhibitors), and mood stabilizers such as lithium. 

However, it is important to note that these drugs may not be effective in all cases, and it is important to work with a psychiatrist with experience in hair-pulling.  

Natural Remedies 

There are also holistic approaches that may be helpful in managing trichotillomania symptoms. These include relaxation techniques such as mindfulness meditation or deep breathing exercises; exercise; journaling; acupuncture; herbal remedies such as lavender oil; yoga; hypnosis; nutritional supplements like omega-3 fatty acids or B vitamins; essential oils like peppermint or tea tree oil; and lifestyle changes such as getting enough sleep and eating a balanced diet. Some people also find that wearing gloves helps limit their ability to pull out their hair when they feel an urge coming on.

Trichotillomania can have a profound impact on the lives of those who suffer from it but there are treatments available that can help manage its symptoms.

Cognitive behavioral therapy (CBT), medication, natural remedies including lifestyle changes—these are all potential avenues for managing the disorder and its associated symptoms.  If you think you might have trichotillomania, it’s important to seek professional help right away. With the right combination of treatment options tailored specifically to your needs – you can start taking back control today!