What to know about hair-pulling disorder:
- Hair-pulling disorder is also known as trichotillomania (pronounced tricko-tillo-may-nee-uh)
- It is characterized by the repetitive pulling of one’s hair, commonly from the scalp or eyebrows, but can occur on any part of the body that grows hair.
- It’s not a choice. It’s an irresistible urge to pull and even when trying to resist, they feel like they cannot stop.
- Some people with trich, have shame about pulling. Being especially welcoming and gentle is important as it takes a lot of courage to seek professional services and walk through your doors.
What to say:
- Thanks for letting me know, and thank you for trusting me with your hair.
- This is a safe space. I have several clients with trich. (Only if appropriate)
- Lets a take a look and talk about your options
- That sounds tough. Is it something you want to talk about or would you rather not?
- Look at all this regrowth, it’s really filling in (Only if appropriate)
- I noticed this thin spot, are you aware of it? (If you’re unsure the client has trich)
What not to say:
- Your hair is getting bad, you should really quit soon or I won’t be able to help you.
- If you don’t stop pulling, this bald spot is just going to get worse.
- Why do you do this to yourself?
- Wow, your hair is getting so thin here.
- Just stop pulling.
- What happened here?
Bottom line: If you’re unsure about what to say, think about approaching it as you would another sensitive topic. When in doubt, always be gentle and kind.
Credit: Laura Hope Hobson, PA-C, Hope and Healing Coach, LLC