Our phone lines are open and we look forward to welcoming you back



“I thought about my hair all the time and I always felt down about myself, which isn’t nice.”

Laura, 36

People with Trichotillomania (often referred to as Trich), have an irresistible urge to pull out their hair, usually from their scalp, eyelashes, and eyebrows. It is often caused by stress and is most common in girls and young women. The urge to pull hair can be overwhelming, or it can be something which is done subconsciously. This makes it an extremely frustrating and depressing condition, affecting confidence and self-esteem.

Our Enhancer System can be highly effective for women struggling with compulsive hair pulling, because it helps to reduce the urge to pull hair, can protect new hair while it grows and get you back to a positive way of life. The Enhancer solution uses a combination of hair extensions and a scalp mesh to create a solution to your hair loss from Trichotillomania. It works on complete hair loss as well as partial hair loss to increase the natural look of the remaining hair. The enhancer system can be combined with a form of behaviour therapy called reversal training.

Symptoms of trichotillomania

People with trich feel an intense urge to pull their hair out and they experience growing tension until they do. After pulling their hair out, they can feel a sense of relief. A person may sometimes pull their hair out in response to a stressful situation, or it may be done without really thinking about it. Most people with trich pull out hair from their scalp, but also other areas including eyebrow and eyelashes.

Bald patches left on the head tend to have an unusual shape and may affect one side more than the other. Trich may cause feelings of shame and low self-esteem. Those affected may try to keep their condition to themselves.

Causes of trichotillomania

It’s not entirely clear what causes trich. It could be:

  • your way of dealing with stress or anxiety
  • a chemical imbalance in the brain, similar to obsessive compulsive disorder (OCD)
  • changes in hormone levels during puberty
  • a type of self-harm to seek relief from emotional distress
  • For some people, hair pulling can be a type of addiction. The more they pull their hair out, the more they want to keep doing it. (NHS Choices)

Read Laura’s story

Back to conditions

Talk to us