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Obsessive-compulsive and related

Trichotillomania (hair-pulling)

Repeatedly pulling out hair (scalp, eyebrows, eyelashes) with failed attempts to stop, often to relieve tension or automatically.

Common signs

Patches with less hairDoes it without noticing or when tenseShame and hiding it

Tips

For you

  1. Habit reversal training
  2. Identify high-risk times and places
  3. Use barriers: gloves, a cap, fidget toys

For family and friends

  1. Don't scold them: it increases tension
  2. Help them notice high-risk moments

When to ask for help

  1. If there are visible bald patches
  2. If there is a lot of shame or isolation

Guidance test

Answer thinking about the last few weeks. There are 8 questions and you get your result straight away. Your answers are not saved or sent.

0 of 8
1. I pull out my hair (head, eyebrows or eyelashes)
2. Sometimes I do it without realising
3. I do it when I'm tense or bored
4. I feel relief when I pull it out
5. I have tried to stop without success
6. I have patches with less hair
7. I try to hide it
8. I feel ashamed

Free resources

Downloadable PDF sheetSigns, tips and resources to print or saveFull article: TrichotillomaniaFree resource from Clínica VivaldiAll our free guidesFree resource from Clínica Vivaldi

Related disorders

Obsessive-compulsive disorder (OCD)Obsessive-compulsive and relatedBody dysmorphic disorderObsessive-compulsive and relatedHoarding disorderObsessive-compulsive and relatedExorcism disorder (scratching the skin)Obsessive-compulsive and related

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Reviewed by María Teresa Fernández Vicente, health psychologist and neuropsychologist (registration no. CV17304), in November 2026. Educational information prepared by the Clínica Vivaldi team based on the DSM-5-TR classification. It does not replace a professional assessment and cannot be used to diagnose.