Trichotillomania in Teens

If you’re a parent, teacher, or caregiver noticing that a teen is frequently pulling out their hair—whether it’s from their scalp, eyebrows, or eyelashes—you may be witnessing signs of a condition called trichotillomania. While it might seem like a bad habit or a form of stress relief, trichotillomania is a recognized mental health disorder that falls under the category of body-focused repetitive behaviors (BFRBs). For teenagers navigating the already challenging landscape of adolescence, dealing with trichotillomania can be isolating, embarrassing, and deeply distressing.

At Hillcrest Adolescent Treatment Center in Agoura Hills, California, we understand how mental health disorders like trichotillomania can impact a teen’s self-esteem, relationships, and overall well-being. In this article, we’ll explore what trichotillomania is, what causes it, how it manifests in teenagers, and what support and treatment options are available.

Learn more about our teen treatment programs in California or call us now at 800-275-1707.

What is Trichotillomania?

Trichotillomania, often shortened to “trich,” is a compulsive hair-pulling disorder. It’s characterized by an uncontrollable urge to pull out one’s own hair, often leading to noticeable hair loss. For teens, this behavior can become a way to cope with anxiety, boredom, or other emotional distress. Despite knowing the consequences, they may feel powerless to stop.

Trichotillomania is more than a habit—it is considered a mental health condition and is categorized under Obsessive-Compulsive and Related Disorders in the DSM-5 (Diagnostic and Statistical Manual of Mental Disorders). While it can affect people of all ages, it often begins during adolescence, making it especially important to recognize in teens.

Signs and Symptoms in Teenagers

Identifying trichotillomania in teens can be tricky, especially since many go to great lengths to hide their behavior. Here are some of the common signs:

• Bald patches or thinning areas on the scalp, eyebrows, or eyelashes
• Repeatedly pulling hair from the same areas
• A ritualistic or focused manner of hair pulling
• Feelings of tension before pulling and relief or pleasure afterward
• Anxiety, depression, or shame related to their appearance
• Avoidance of social situations, especially those that might reveal hair loss (like swimming or windy environments)

Some teens may even develop infections or skin irritation from the repeated trauma to the skin. Emotional symptoms such as guilt, embarrassment, or frustration are also common, often compounding the issue.

What Causes Trichotillomania in Teens?

There is no single cause for trichotillomania, but it is believed to be the result of a combination of genetic, neurological, and environmental factors. Some teens may have a family history of similar compulsive behaviors or other mental health disorders like OCD or anxiety.

Stressful life events—such as bullying, academic pressure, or family conflicts—can also trigger or worsen the condition. In many cases, teens describe the hair-pulling behavior as a way to self-soothe or gain a sense of control when they feel overwhelmed.

Additionally, hormonal changes during puberty might play a role, making adolescence a common time for trichotillomania to surface.

The Mental Health Impact of Trichotillomania

Beyond the physical symptoms, trichotillomania can take a serious toll on a teen’s mental and emotional well-being. Many teens with trich struggle with low self-esteem, social anxiety, and even depression. The effort to hide their behavior can lead to isolation, disrupted relationships, and academic challenges.

Left untreated, trichotillomania can also contribute to more serious mental health issues down the road. It is crucial to approach the condition with understanding, support, and a treatment plan tailored to the teen’s unique needs.

How is Trichotillomania Diagnosed?

A diagnosis is usually made by a mental health professional after a thorough evaluation. This includes interviews with the teen and their family, as well as assessments to rule out other conditions. According to the DSM-5, for a diagnosis of trichotillomania, the following criteria must be met:

• Recurrent pulling out of one’s hair, resulting in hair loss
• Repeated attempts to decrease or stop the behavior
• The behavior causes significant distress or impairment in social, occupational, or other important areas
• The hair pulling is not attributable to another medical condition or mental disorder

Once diagnosed, a treatment plan can be put into place.

Treatment Options for Teens with Trichotillomania

Effective treatment typically involves a combination of therapeutic approaches. At Hillcrest, we often tailor treatment to the individual, using evidence-based practices that include:

Cognitive Behavioral Therapy (CBT): The most commonly recommended therapy for trichotillomania, especially a form known as Habit Reversal Training (HRT). CBT helps teens identify triggers and develop alternative coping mechanisms.

Medication: While there is no medication approved specifically for trichotillomania, some antidepressants and antipsychotics may help reduce symptoms, particularly if the teen also struggles with anxiety or depression.

Mindfulness and Stress Reduction: Mindfulness-based practices, such as meditation, yoga, or journaling, can help teens become more aware of their urges and develop healthier responses.

Family Therapy: Involving family members in therapy can be incredibly beneficial. It helps create a supportive home environment and educates loved ones about how to respond constructively.

Why Early Intervention Matters

Catching trichotillomania early in a teen’s life can significantly improve their chances of recovery. Early intervention helps prevent long-term emotional scars and the development of additional mental health challenges. The earlier a teen receives support, the easier it becomes to manage the condition and rebuild confidence.

Supportive therapy, understanding caregivers, and a nurturing environment can go a long way in helping a teen heal and thrive.

Contact Us For Support

If your teen is showing signs of trichotillomania, know that help is available. At Hillcrest Adolescent Treatment Center, we specialize in adolescent mental health and behavioral challenges, offering comprehensive, compassionate care designed to guide your child toward healing and resilience.

Our team of experts understands the complexities of conditions like trichotillomania and provides personalized treatment plans tailored to each teen’s emotional, psychological, and developmental needs.

Contact us today to learn more about our programs and how we can support your family on the path to recovery. Together, we can help your teen overcome the challenges of trichotillomania and move forward with confidence.

To learn more about our comprehensive adolescent mental health treatment in California call us now at 800-275-1707 or verify your insurance.