Alopecia
I have a habit of pulling the hair at the back of my head, which has caused significant hair loss in that area, while the hair on the sides has become thicker.
I can now clearly see a large bald spot at the back.
I'm afraid to see a doctor.
Can you tell me what solutions are available? Do shampoos on the market help? Please help me! P.S.
I really dislike washing my hair.
billy, 10~19 year old female. Ask Date: 2000/12/21
Dr. Zheng Lizhen reply Dermatology
Based on your description, your issue is hair loss caused by "trichotillomania." Stopping the pulling of your hair is essential for it to have a chance to regrow.
"Trichotillomania" is generally associated with psychological stress and emotional pressure.
If you or your friends are unable to help resolve this, consider speaking with a psychiatrist who can assist you.
Reply Date: 2000/12/21
More Info
Hair loss can be a distressing experience, and it’s important to understand the underlying causes and potential solutions. Based on your description, it seems that you may be experiencing a condition known as "trichotillomania," which is characterized by the compulsive urge to pull out one’s hair. This behavior can lead to noticeable hair loss, particularly in the areas where you frequently tug or pull at your hair.
Understanding Trichotillomania
Trichotillomania is often associated with psychological factors, including stress, anxiety, or emotional distress. The act of pulling hair can provide temporary relief or a sense of control, but it ultimately leads to hair loss and can exacerbate feelings of shame or embarrassment. It’s crucial to recognize that this is a behavioral issue that may require professional intervention.
Effective Solutions for Managing Hair Loss
1. Stop the Behavior: The first step in addressing your hair loss is to stop pulling at your hair. This may require conscious effort and self-awareness. You might consider keeping your hands busy with fidget toys or stress balls to reduce the urge to pull.
2. Seek Professional Help: If you find it difficult to control the urge to pull your hair, it may be beneficial to consult with a mental health professional. Cognitive-behavioral therapy (CBT) has been shown to be effective in treating trichotillomania by helping individuals understand the triggers for their behavior and develop healthier coping mechanisms.
3. Scalp Care: While you mentioned that you do not enjoy washing your hair, maintaining a clean scalp is essential for overall hair health. Consider using a gentle shampoo that suits your scalp type. Regular washing can help remove any buildup of oils or products that may irritate the scalp.
4. Nutritional Support: A well-balanced diet rich in vitamins and minerals can support hair health. Nutrients such as biotin, zinc, and vitamins A, C, D, and E play a crucial role in maintaining healthy hair. Consider incorporating foods like nuts, seeds, leafy greens, and fish into your diet.
5. Stress Management: Since stress can exacerbate hair loss and compulsive behaviors, finding effective ways to manage stress is vital. Techniques such as mindfulness, meditation, yoga, or even regular physical exercise can help reduce stress levels.
6. Consider Hair Products: While over-the-counter shampoos may not directly address the underlying issue of hair pulling, some products are formulated to strengthen hair and promote scalp health. Look for shampoos that contain ingredients like biotin, keratin, or essential oils known for their nourishing properties.
7. Support Groups: Connecting with others who experience similar challenges can provide emotional support and practical advice. Consider joining a support group for individuals dealing with hair loss or trichotillomania.
8. Avoiding Triggers: Identify situations or feelings that trigger your hair-pulling behavior. Keeping a journal may help you track these triggers and develop strategies to cope with them.
Conclusion
While it may be tempting to seek quick fixes through hair products, the most effective approach to managing your hair loss involves addressing the underlying behavioral issues. Stopping the hair-pulling habit, seeking professional help, and adopting a holistic approach to scalp and hair care can lead to significant improvements over time. Remember, you are not alone in this struggle, and seeking help is a strong and positive step toward recovery.
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