Signs & Symptoms

  • Recurrent pulling out of one’s hair resulting in noticeable hair loss
  • An increasing sense of tension immediately before pulling out the hair or when resisting the behavior
  • Pleasure, gratification, or relief when pulling out the hair
  • The disturbance causes significant distress or impairment in social, occupational, or other important areas of functioning
  • Other associated behaviors may include nail biting, thumb sucking, head banging, or compulsive scratching. Frequently, hair pullers also find they compulsively pick at their skin, which may also cause physical and emotional scarring