I didn't give you an update on the Beauty Beat Event I went to last month!! I truly believe we must all be intentional about businesses that are supporting or trying to support the community!
Anyway! I was on the Beauty Beat hair Panel, doing what I love, speaking on stage with a lively audience and enjoying hearing other experts on the Panel. There wasn't a question from the audience I didn’t have a response to, but I did not expect the last question of the evening to be on Trichotillomania.
This young lady explained that she can't stop the compulsion to pull out her hair. Of course I have written about this before. I even did an Instagram post on it, but I wasn't surprised she asked the question. We don't talk about this issue enough. And I am hearing of it more, two of my clients' children are learning to manage it and I have encountered it, first at secondary school and again at university. So let's remove the stigma and silence that often surrounds this topic - there is no shame and there should be no stigma attached to this compulsive behaviour that one can learn to manage.
What is Trichotillomania?
Trichotillomania, often referred to as hair-pulling disorder, is a compulsive urge to pull out one’s hair, leading to noticeable hair loss and significant distress. This behavior can affect various areas of the body, including the scalp, eyebrows, eyelashes, and other body hair. Understanding trichotillomania is crucial for those affected by it and their loved ones.
How Common is Trichotillomania?
Trichotillomania is more common than many people realise. Studies suggest that about 1-2% of the population may suffer from this disorder at some point in their lives. It often manifests in childhood or adolescence, with the average onset occurring around age 10. As I noted before at least 2 clients have spoken to me about this pattern of behaviour in their child. One was linked to bullying and the child was eventually withdrawn from the school. Trichotillomania undiagnosed and untreated can continue into adulthood, affecting individuals well into their later years. Unfortunately, very few talk about having this issue so its prevalence may be underestimated because of the stigma attached to the disorder, leading many to suffer in silence without seeking help.
Who is Affected by Trichotillomania and what are the causes?
Trichotillomania can affect anyone, but research indicates that it is more prevalent in females than males, with a ratio of approximately 3:1. While it can start in childhood, many individuals do not seek treatment until their late teens or early adulthood. People with a family history of similar disorders, anxiety, or depression may be at higher risk. Also, those who experience high levels of stress or trauma may also be more susceptible to developing trichotillomania. Please note sometimes that the mother of the other child noted that she thinks her child’s hair pulling started after she changed their live-in Nanny. My point is what we may not consider stressful as adults can be super stressful for children depending on their constitution.
Treatment Options for Trichotillomania
Treatment for trichotillomania often involves a combination of therapeutic approaches tailored to the individual's needs:
1. Cognitive Behavioural Therapy (CBT): This is one of the most effective treatment options. CBT focuses on identifying and changing negative thought patterns and behaviours associated with hair-pulling. A specific form of CBT called Habit Reversal Training (HRT) is particularly effective, teaching individuals to recognise the urge to pull hair and replace the behavior with healthier alternatives.
2. Medication: In some cases, medications like selective serotonin reuptake inhibitors (SSRIs) or other psychiatric medications may be prescribed to help manage symptoms, especially if there is co-occurring anxiety or depression. However, medication is typically considered when therapy alone is not sufficient.
3. Support Groups: Joining a support group can be beneficial for individuals with trichotillomania. Sharing experiences with others who understand the challenges can provide emotional support and coping strategies.
4. Mindfulness and Relaxation Techniques: Practices such as mindfulness meditation, yoga, and deep-breathing exercises can help reduce stress and promote relaxation, which may decrease the urge to pull hair.
How to Get Help
If you or someone you know is struggling with trichotillomania, it’s essential to seek help. Here are steps to take:
1. Consult your doctor
Source: Freepik
You should nag them for a referral because a psychologist or psychiatrist experienced in treating body-focused repetitive behaviors can provide a proper diagnosis and develop an effective treatment plan.
2. Educate Yourself and Others
Understanding trichotillomania can help reduce stigma and foster a supportive environment for those affected. Share information with friends and family to encourage understanding and empathy.
3. Practice Self-Compassion
Source: Freepik
Acknowledge that trichotillomania is a real disorder, and that seeking help is a sign of strength, not weakness. Celebrate small victories in the journey toward recovery.
Conclusion
I have one regret, I asked the young lady to speak to me after the session and I did speak to her, sharing what I know about Trichotillomania with her, but I fear that asking her to speak to me afterwards may have inadvertently added to the stigma, I just didn’t want her to feel that I was calling out what she was describing as a disorder that needed medical treatment – should in case she had never even considered it as such. The truth is this disorder is often linked to stress, trauma, anxiety or depression – this can be hard for some to confront, and I wanted to be very gentle.
My approach has played on my mind since because I felt that in that moment, I also could have taken the opportunity to educate others. But as I type now, I think no, I did the right thing. Perhaps in that moment what she needed, and my sole focus ought to have rightly been her wellbeing and emotional safety.
Beauty Beat was amazing and what made it so delightfully special were the people! Mingling, sipping prosecco, laughing, learning and sharing – a beautiful highlight of my year.