Trichotillomania or hair pulling disorder affects 2% of the world’s population. It is a mental condition that is characterized by constant and irresistible urges to pull hair from the scalp, eyebrows, eyelashes, and other parts of the skin despite the dictates of the mind to stop. It results in patches where the pulled hairs once grew. When these are seen or witnessed by other people, even his own family, overwhelming embarrassment is caused.
The cause of this disorder is still not very clear until these days, although it may a result of genetic and environmental factors. Individuals with trichotillomania usually have a relative with the same disorder. It is also connected with other mental conditions like depression and anxiety. It is also noted that stress can trigger the symptoms.
Dealing with a person with this disorder is always challenging to the direct family. But even then, it should not prevent them from trying the following options. Some of these alternatives have helped patients of this disorder to battle their condition with significant positive results.
Habitual Reversal Training
This is a behavioral therapy wherein some actions are substituted for the hair pulling act. Training patients to scratch their skin or to clench their fists when they feel the urge to pull some hair was successful to some patients.
Acceptance and Commitment Therapy
Through counselling, the patient will be able to accept his condition and is trained to resist his hair pulling urges. This can be challenging to achieve unless it is combined with habitual reversal training.
Cognitive Therapy
This will help the patient to iron out his distorted beliefs that are resulting in his hair pulling urges. This can only be achieved by interviewing patients to share their ideas about their condition.
Medications
As there is no particular cause of this disorder that has ever been identified, there is still no medication that is specific in the treatment of trichotillomania. Until this time, drugs for depression and anxiety are sometimes prescribed, resulting in significant improvement on some patients.
Support Groups
The family should be educated on the peculiarities of this disorder to be able to understand the condition. But even then, patients with trichotillomania will always feel alone. Finding other people who are experiencing the same condition will help a pulling disorder patient to relate, share his experiences, and learn from others.…