Understanding the Association Between Mental Health and Hair Loss

May 2025 in “ Cureus ”

Mauri Malta, German Corso

alopecia areata telogen effluvium trichotillomania immune dysregulation inflammatory pathways neurobiological dysfunctions gut-brain-skin axis psychiatric medications cognitive-behavioral therapy CBT

TLDR Mental health and hair loss are linked, and treating both can improve well-being.

The review examines the bidirectional relationship between mental health and hair loss, noting that psychological stress can trigger or worsen hair loss, while hair loss can exacerbate psychiatric symptoms. It discusses conditions like alopecia areata, telogen effluvium, and trichotillomania, highlighting the roles of immune dysregulation, inflammatory pathways, and neurobiological dysfunctions. The review emphasizes the gut-brain-skin axis and the impact of psychiatric medications on hair health. It underscores the importance of integrated care between dermatology and psychiatry, suggesting that interventions like cognitive-behavioral therapy and lifestyle changes can improve outcomes. The study, based on a narrative review of 45 articles, calls for holistic treatment models that address both psychological and dermatological aspects to enhance patient outcomes and quality of life.

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Research cited in this study

24 / 24 results

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Personality traits and anxiety affect hair loss patients' quality of life.

research New Insight Into the Pathophysiology of Hair Loss Trigger a Paradigm Shift in the Treatment Approach

8 citations , November 2017 in “PubMed”

New research suggests treating hair loss should focus on common inflammation rather than individual molecules.

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Trichotillomania is different from OCD and is best treated with habit reversal therapy and specific medications.

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Hair loss from mood stabilizers is common but can be managed without stopping the medication.

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Hair loss can cause low self-esteem, anxiety, and depression in men.

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