Psychological Aspects of Hair Disorders: Considerations for Dermatologists, Cosmetologists, Aesthetic, and Plastic Surgeons

    November 2021 in “ Skin appendage disorders ”
    Cameron R. Moattari, Mohammad Jafferany
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    TLDR Hair loss can cause stress and mental health issues, so treatments should address both the physical and psychological aspects, involving a team of dermatologists, psychologists, and hair specialists.
    The document discusses the psychological impact of hair loss disorders and the importance of an individualized treatment approach that addresses both medical and psychological aspects. It highlights the role of stress in hair loss disorders such as alopecia areata and trichotillomania, an obsessive-compulsive disorder characterized by hair pulling. The document also emphasizes the higher prevalence of depression, anxiety, and obsessive-compulsive disorders in patients with alopecia areata. It suggests the importance of incorporating psychodermatology and psychotrichology in dermatology and psychiatry residency programs. The document also describes three types of hair loss disorders: Telogen Effluvium, Anagen Effluvium, and Cicatricial Alopecia, each with unique characteristics and triggers. It underscores the need for psychological support and a multidisciplinary approach in treatment, involving dermatologists, psychologists, and community hair and beauty specialists.
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      in Female  443 upvotes 1 year ago
      A 29-year-old woman is experiencing gradual hair thinning since age 15, suspects Androgenic Alopecia, and has tried 5% minoxidil with little success. She has purchased various hair loss treatments including minoxidil, dutasteride, finasteride, and spironolactone, but is cautious about starting them due to potential interactions with her ADHD medication.

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      in Treatment  2 upvotes 3 years ago
      A user with alopecia totalis, borderline universalis, seeks advice on getting into a Xeljanz trial or appealing insurance for coverage. They experienced significant hair regrowth but are now seeing hair loss again and want to try Xeljanz.

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      A 19-year-old male has been using topical finasteride and minoxidil for 8 months with no progress and is considering seeking a second opinion due to potential misdiagnosis. The discussion revolves around whether the hair loss is due to male pattern baldness, alopecia areata, or a vitamin deficiency.

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