TLDR Group behavior therapy reduces hair-pulling symptoms more than supportive therapy but has limited long-term effectiveness.
In this randomized controlled trial, 24 adult outpatients with trichotillomania (TTM) were assigned to either group behavior therapy (BT) or group supportive therapy (ST). Participants in the BT group showed significantly greater reductions in self-reported hair-pulling symptoms and clinician-rated hair loss severity compared to those in the ST group. However, despite these improvements, TTM severity remained problematic posttreatment, with few participants achieving clinically significant change and some experiencing relapse over a 6-month follow-up. The study suggested partial short-term efficacy for group BT but recommended exploring individual therapy or a combination of group and individual formats for better outcomes.
417 citations,
March 1991 in “American Journal of Psychiatry” Most adult chronic hair pullers are women who started in their early teens, often have other mental health issues, and may pull hair due to underlying psychiatric conditions.
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January 2016 in “Springer eBooks” The conclusion is that using the 5W1H method can improve diagnosis and management of childhood hair-pulling disorder.
21 citations,
April 2015 in “Psychology Research and Behavior Management” Cognitive-behavioral therapy is the best treatment for hair-pulling disorder, and combining it with other therapies could improve results.
20 citations,
August 2015 in “Behaviour change” Cognitions significantly influence Trichotillomania, suggesting cognitive therapies could help.
[object Object] 119 citations,
February 2009 in “Neuroscience & Biobehavioral Reviews” Trichotillomania involves hair pulling and can be treated with therapy and medication.
28 citations,
January 2015 in “Skin appendage disorders” Children with trichotillomania often pull hair from their scalp, and parents may not notice; stress can trigger it, and asking detailed questions helps in diagnosis and treatment.
