07/09/2026
TRICHOTILLOMANIA:
WHEN HAIR PULLING BECOMES DIFFICULT TO CONTROL
Do you find yourself pulling your hair without fully realising you're doing it?
Perhaps you pull when you're stressed.
When you're concentrating.
When you're watching television.
When you're alone.
Or when you're experiencing difficult emotions.
You may have promised yourself:
“I'm going to stop.”
But somehow, you find yourself doing it again.
This can be a sign of trichotillomania, also known as hair-pulling disorder.
Trichotillomania involves recurrent urges to pull out hair and difficulty resisting those urges.
For some people, the behaviour can create a temporary sense of relief, release or satisfaction.
And that temporary response can reinforce the behaviour.
A typical pattern might look like this:
Tension builds.
An urge appears.
Hair pulling happens.
There is temporary relief.
And then there may be regret, frustration or shame.
The cycle can then repeat.
It's important to understand that this isn't simply a matter of lacking willpower.
Compulsive behaviours can involve powerful interactions between emotions, habits, attention and reward.
So rather than simply telling yourself:
“Stop pulling.”
It can be more useful to understand when and why the urge appears.
A useful coaching technique is to become a pattern detective.
Notice:
When does the urge happen?
What are you doing?
What are you feeling?
Where are your hands?
What happened immediately beforehand?
And what do you experience after pulling?
You can then begin developing alternative responses for those situations.
For example, creating a physical interruption between the urge and the behaviour can give you a moment to choose a different response.
From a neuroscience perspective, repeated behaviours can become increasingly automatic because the brain learns associations between triggers, actions and consequences.
But automatic doesn't mean permanent.
With repeated practice, new responses can be developed.
Coaching can help with awareness, trigger identification, behavioural strategies and accountability.
Hypnotherapy may also help some people explore underlying emotional patterns, stress responses and beliefs associated with the behaviour.
However, trichotillomania is a recognised mental health condition, and evidence-based psychological treatment, particularly approaches designed for body-focused repetitive behaviours, may be appropriate.
So if you're struggling with hair pulling, don't shame yourself.
You're not weak.
And you're not failing because you've found it difficult to stop.
Instead, start by becoming curious about the behaviour.
Ask:
“What happens just before the urge?”
Understanding the pattern is an important part of changing it.
And if the behaviour is causing distress, hair loss, skin damage or affecting your everyday life, professional support can help.
You don't have to fight the urge alone.
The goal is not simply to stop a behaviour.
It's to understand what drives it — and learn healthier ways to respond.
Call Stuart - 07825 599340 in confidence to discuss how a personalised programme will help control hair pulling
[email protected]
Best addiction counsellor and specialist in Harley Street, London. Therapy for gambling, drugs, smoking, cannabis, alcohol and PTSD.