When the Mind Pulls the Hair: A Narrative Case Study of Stress-Induced Alopecia Areata in a Medical Resident
February 2026
in “
Psychiatria
”
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Studysummary This narrative case study examined a 28-year-old medical resident and found that occupational stress and emotional suppression might contribute to the physical manifestation of alopecia areata. Addressing psychological aspects alongside medical treatment could help manage the condition more effectively, especially in high-pressure professions.
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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 occupational stress. Through clinical assessments and a semi-structured interview analyzed using thematic analysis, 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 stress and emotional suppression can manifest physically, emphasizing the need for a biopsychosocial approach in managing AA, particularly in high-pressure professions, to facilitate early recognition of stress-related triggers and support holistic recovery.