Trichotillomania (trick-o-till-o-may-nee-uh) (TTM or “trich”), also known as Hair Pulling Disorder, is characterized by the repetitive pulling out of one's hair. Trichotillomania is one of a group of behaviors known as Body-Focused Repetitive Behaviors (BFRBs), self-grooming behaviors in which individuals pull, pick, scrape, or bite their hair, skin, or nails, resulting in damage to the body.
Research indicates that about 1 or 2 in 50 people experience trichotillomania in their lifetime. It usually begins in late childhood/early puberty. In childhood, it occurs about equally in boys and girls. By adulthood, 80-90% of reported cases are women. Hair pulling varies greatly in its severity, location on the body, and response to treatment. Without treatment, trichotillomania tends to be a chronic condition; that may come and go throughout a lifetime.
Some solutions for women with hair loss due to trichotillomania, range from full wigs to hair pieces to different types of hair extensions. Many clients say that the harder it is to get to the hairs, the less they can pull, and is helpful to wear something. There are special techniques for bonding in hair extensions and hair pieces, for women with trichotillomania. Some types of hair extensions like ‘tape ins’, sticker hair, strand bonds, micro beads, and fusion extensions are great options for replacing some of the missing hair as long as there is some hair to attach to.