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Published on: 3/5/2025

Is Trichotillomania Self Harm?

Trichotillomania is a condition where a person pulls out their hair, and while it sometimes appears as act of self-harm when used to manage strong feelings, it is not always classified strictly as self-harm.

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Explanation

Trichotillomania means pulling out your hair on purpose. Some research shows that when people pull their hair, it can be a way to deal with big feelings, much like other forms of self-harm. In these cases, it helps ease or change strong negative emotions, which is similar to how some people hurt themselves on purpose. However, hair pulling disorder is usually seen as its own condition. Not everyone who pulls their hair does it to hurt themselves the same way self-harm might be defined. For some, hair pulling feels like a compulsive habit or a way to relieve stress, rather than a deliberate attempt to injure themselves. Researchers have found similarities between trichotillomania, skin picking, and other forms of self-injury, including issues with emotion control. Still, it is important to remember that everyone’s experience is different. If you or someone you know feels overwhelmed by these actions, talking to a trusted person or mental health professional can help find better, healthier ways to cope with difficult feelings.

(References)

  • Lochner C, Simeon D, Niehaus DJ, Stein DJ. Trichotillomania and skin-picking: a phenomenological comparison. Depress Anxiety. 2002;15(2):83-6. doi: 10.1002/da.10034. PMID: 11891999.

  • Grant JE, Collins M. Non-suicidal self-injury in trichotillomania and skin picking disorder. CNS Spectr. 2024 Aug;29(4):268-272. doi: 10.1017/S1092852924000294. Epub 2024 May 17. PMID: 38757168.

  • Grant JE, Collins M, Chamberlain SR. Borderline personality disorder in Trichotillomania and skin picking disorder: a survey study. BMC Psychol. 2024 Dec 18;12(1):745. doi: 10.1186/s40359-024-02258-8. PMID: 39696661; PMCID: PMC11658322.

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