When the Mind Pulls the Hair: A Narrative Case Study of Stress-Induced Alopecia Areata in a Medical Resident

This narrative case study explores the psychological factors contributing to the onset of alopecia areata (AA) in a 28-year-old medical resident experiencing significant stress. Through thematic analysis of her experiences, four themes were identified: professional identity and competence, the body reflecting emotional burden, feeling alone and holding back distress, and recovery as a process of reconnection. These findings suggest that occupational stress and emotional suppression can manifest physically as AA. The study concludes that addressing both psychological and medical aspects is crucial in managing AA, particularly in high-pressure professions, and advocates for a biopsychosocial approach to support early recognition of stress-related triggers and promote holistic recovery.