Trichotillomania - How to Stop it.

How to Stop Trichotillomania: Life Beyond Hair Pulling

Trichotillomania, known as the hair-pulling disorder, can be emotionally and physically distressing. If you or a loved one struggles with this, you're not alone, and there's hope. Diving into how to stop trichotillomania reveals a world of support, understanding, and practical steps.

Stopping Trichotillomania. Uncovering the Cause

Trichotillomania isn't merely a habit but a mental health disorder. People with trichotillomania often pull out hair from the scalp, eyebrows, eyelashes, beard, and other body areas. Beyond the physical manifestations, there's an emotional toll – feelings of guilt, shame, and isolation often accompany the physical scars.

What Causes It?

While the exact cause remains unknown, factors like genetics, stress, and certain chemical imbalances in the brain might play roles. Remember, it's not a sign of weakness, nor is it something one just "grows out of." Understanding this can foster compassion, both for oneself and others.

Comprehensive Strategies to Combat Trichotillomania

1Habit Reversal Training (HRT)

Habit Reversal Training (HRT) is an evidence-based treatment and a subset of Cognitive Behavioral Therapy (CBT). There are three main steps to Habit Reversal Training.

  • Awareness Training: You learn to recognize when you are about to perform a tic or habit behavior. 
  • Competing Response Training: Once you identify the urge to engage in a problematic behavior, such as hair-pulling in trichotillomania, you’re taught to perform an action that is physically incompatible with the unwanted behavior.
  • Support Training: This aspect involves enlisting the help of close family members or friends to assist in recognizing and addressing unwanted behavior.

HabitAware incorporates the triad of HRT principles to aid in recovery. The Keen2 bracelet is designed to heighten awareness, detecting specific movements associated with habitual behaviors and sending subtle reminders when actions like hair-pulling, skin-picking, or nail-biting are detected. Additionally, our digital course guides you in effectively countering and substituting these habits with more beneficial strategies and our online community provides ongoing motivational support. 

2. Physical Barriers

Physical barriers offer an immediate, tactile response to the urges associated with trichotillomania. By creating a literal barrier between the hands and potential hair-pulling sites, these methods can serve as a helpful reminder to redirect the compulsion.


Wearing gloves, especially those made of textured or thick materials, reduces the tactile sensation, making hair pulling less satisfying. Depending on personal preferences, individuals might opt for light cotton gloves during the day and heavier, padded gloves at night.

Bandages and Finger Cots

Wrapping fingers with bandages or wearing finger cots can limit dexterity, making hair grasping more challenging. Besides serving as a barrier, the presence of a bandage can serve as a visual and tactile reminder of one's commitment to reduce pulling.

Hats, Scarves, and Headbands

For those primarily pulling from the scalp, wearing hats or scarves provides a dual benefit. It acts as a barrier while also covering any bald patches, thus reducing self-consciousness. Similarly, headbands can cover specific areas like the hairline, where some might pull frequently.

3. Support Groups: Strength in Unity

While personal strength plays a significant role in managing trichotillomania, there's an undeniable power in shared experiences. Support groups, whether online or in-person, provide an environment of understanding, devoid of judgment.

In-person Support Groups

These gatherings allow individuals to meet others who understand their journey firsthand. Sharing stories, discussing challenges, and celebrating victories in a face-to-face setting can foster deep connections and provide tangible support.

Online Communities and Forums

The digital age has made connecting easier than ever. Through online communities and forums dedicated to trichotillomania, individuals can seek advice, share experiences, and access resources 24/7. These platforms often provide anonymity, allowing many to open up without fear of judgment.

Beyond the immediate camaraderie, these groups often introduce members to new coping strategies, resources, and professional avenues they might not have discovered on their own. By witnessing others' progress, individuals can find inspiration and hope in their own journey.

Remember, while the journey with trichotillomania is deeply personal, no one has to navigate it alone. The collective strength and wisdom of those who understand can be a beacon of hope and a wellspring of resilience.

Lifestyle Adjustments to Aid the Journey

Stress Reduction

Stress often exacerbates trichotillomania. Consider:

  • Mindful Meditation: Focus on the present, acknowledging and releasing intrusive thoughts.
  • Journaling: Documenting feelings can be therapeutic.
  • Exercise: Physical activity releases endorphins, natural mood lifters.

Hair and Skin Care

Feeling good about one's hair and skin might deter pulling. Try:

  • Moisturizing lotions to reduce skin irritations.
  • Regular hair conditioning for smooth, tangle-free hair.
  • Scalp massages to increase blood flow and relaxation.

Setting Realistic Goals

Create a progress journal. Celebrate small victories. Maybe it's a day without pulling, or perhaps it's noticing when you feel the urge and choosing a different action.

Creating Safe Spaces

Have designated areas in your home where you feel relaxed and safe. Fill these spaces with calming items such as soft lighting, comforting blankets, or your favorite books.

The Role of Loved Ones

Your journey might be personal, but you don't have to walk it alone.

Educate and Advocate

The more friends and family understand trichotillomania, the better they can support you. Consider sharing resources about trichotillomania or inviting them to a therapy session.

Establish Safe Communication

Let loved ones know what's helpful and what's not when it comes to stopping hair pulling. Perhaps you'd prefer they distract you when they notice pulling, or maybe you just want them to listen. Here’s an article with some tips on how to let loved ones in to support you.

Remember, They're Learning Too

Loved ones might feel helpless or frustrated at times. Maintaining open communication ensures everyone feels heard and understood.

Moving Forward: Embracing Hope and Growth

Overcoming trichotillomania doesn't mean never pulling again – it's about reducing the frequency, understanding triggers, and cultivating self-love. Celebrate every step, no matter how small. Seek professional guidance, lean on support systems, and remember: you are more than your condition. In embracing the journey and the lessons it brings, you pave the way for a life of understanding, resilience, and hope.

At HabitAware, we’re here to help. We offer a rich support community, resource, and our habit-breaking Keen2 Awareness Bracelet to help guide you to healthier habits.


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