Dealing with Hair Loss: Should I Use Minoxidil for Trichotillomania?

Hair issues?

Hello doctor, I have had a habit of pulling my hair for about 7 years since middle school.
Recently, I've noticed that my hair is becoming increasingly sparse, and I really want to quit this habit.
Should I consider using hair growth products like Rogaine?

Xiao Min, 20~29 year old female. Ask Date: 2019/10/31

Dr. Wu Yuxin reply Dermatology

It can be used, but it still needs to be confirmed by a physician.

Reply Date: 2019/10/31

More Info

When it comes to dealing with hair loss, particularly in the context of trichotillomania (a compulsive hair-pulling disorder), the use of Minoxidil can be a complex decision. Trichotillomania is characterized by the recurrent, irresistible urge to pull out one's hair, leading to noticeable hair loss and distress. While Minoxidil is a well-known topical treatment for androgenetic alopecia (male or female pattern baldness), its effectiveness in treating hair loss due to trichotillomania is not as well established.

Minoxidil works by promoting hair regrowth and slowing hair loss in individuals with androgenetic alopecia. It is thought to increase blood flow to hair follicles, thereby stimulating hair growth. Clinical studies have shown that about 63% of users experience some improvement when using a 2% solution of Minoxidil, with a smaller percentage seeing significant visible changes. However, the mechanism of action of Minoxidil does not directly address the underlying psychological aspects of trichotillomania.

For someone with trichotillomania, the primary concern is not just hair regrowth but also addressing the compulsive behavior that leads to hair pulling. While Minoxidil may help in regrowing hair that has been lost due to pulling, it does not treat the root cause of the disorder. Therefore, it is crucial to consider a comprehensive approach that includes psychological or behavioral therapy. Cognitive-behavioral therapy (CBT) has been shown to be effective in treating trichotillomania by helping individuals develop coping strategies and reduce the urge to pull hair.

If you are considering using Minoxidil, it is advisable to consult with a healthcare professional who can assess your specific situation. They can help determine whether Minoxidil is appropriate for you and discuss potential side effects, such as scalp irritation or unwanted hair growth in other areas. Additionally, they may recommend other treatments or therapies that could be more beneficial in addressing the underlying compulsive behavior associated with trichotillomania.

In summary, while Minoxidil may promote hair regrowth, it is not a standalone solution for trichotillomania. A multifaceted approach that includes behavioral therapy, support groups, and possibly medication for anxiety or depression may be more effective in managing both the hair loss and the underlying compulsive behavior. Always consult with a healthcare provider before starting any new treatment regimen to ensure it aligns with your overall health needs and goals.

Similar Q&A

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Dr. Wu Yuxin reply Dermatology
If it is trichotillomania, as long as you stop pulling, it will return to normal. However, hair loss near the hairline and bangs should be evaluated by a physician, as it may not be the same issue.

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