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Coping and support
By Mayo Clinic staffMany people with trichotillomania can learn to control it or to live an enjoyable life in spite of the disorder.
Here are some steps that may make dealing with trichotillomania easier:
- Be aware of situations that typically lead to pulling, such as watching television, driving or reading.
- Engage in activities that keep your hands busy — knitting or sketching, for instance.
- Wear gloves on your hands to discourage pulling.
- Join a support group to connect with others who face the same challenges. Support groups aren't for everyone, but some people find them extremely valuable.
- Get expert advice on purchasing a wig or applying makeup if you're bothered by your hair loss.
- Keep your hair short and take good care of it.
- Ask family and friends to alert you when you're unconsciously pulling your hair.
- Learn stress-reduction techniques other than pulling.
References
- Woods DW, et al. Trichotillomania: An ACT-enhanced Behavior Therapy Approach Therapist Guide. New York, N.Y.: Oxford University Press; 2008.
- Fact sheet: Trichotillomania. Mental Health America. http://www.nmha.org/index.cfm?objectid=C7DF9926-1372-4D20-C88C1DDD5A71D709. Accessed Dec. 1, 2008.
- About trichotillomania. Trichotillomania Learning Center. http://www.trich.org/about_trich. Accessed Dec. 1, 2008.
- Trichotillomania in childhood: Case series and review. Pediatrics. 2004;113:3494.
- Trichotillomania. In: Diagnostic and Statistical Manual of Mental Disorders DSM-IV-TR. 4th ed. Arlington, Va.: American Psychiatric Association; 2000. http://www.psychiatryonline.com. Accessed Dec. 1, 2008.
- Alternative treatments. Trichotillomania Learning Center. http://www.trich.org/treatment_resources/Alternative.asp. Accessed Dec. 1, 2008.
- Chamberlain SR, et al. Lifting the veil on trichotillomania. American Journal of Psychiatry. 2007;164:568.
- Walsh KH, et al. Trichotillomania. Presentation, etiology, diagnosis and therapy. American Journal of Clinical Dermatology. 2001;2:327.
- Zuchner S et al. SLITRK1 mutations in Tricholtillomania. Molecular Psychiatry. 2006;11:888. http://www.nature.com/mp/journal/v11/n10/full/4001865a.html. Accessed Dec. 29, 2008.
- Woods DW et al. Understanding and Treating Trichotillomania: What We Know and What We Don't Know. Psychiatric Clinics of North America. 2006;29:487. http://www.mdconsult.com/das/article/body/114970872-3/jorg=journal&source=MI&sp=16170821&sid=786898514/N/532552/1.html?issn=0193-953X. Accessed Dec. 29, 2008.
