Trichotillomania is officially classified as an impulse control disorder, along the lines of pyromania, kleptomania, and pathological gambling. If you suffer from trichotillomania, you may act or react in certain ways when hair-pulling. These might include:  Chewing or eating pulled-out hair. Rubbing pulled-out hair across your lips or face. An increasing sense of tension immediately before pulling out the hair or when resisting the behavior. Pleasure, gratification, or relief when pulling out the hair. Catching yourself pulling hair without even noticing (this is called “automatic” or unintentional hair-pulling). Knowing that you’re pulling hair deliberately (this is called “focused” hair-pulling).  Using tweezers or other tools to pull out hair. There are some tell-tale signs that a person may be suffering from trichotillomania. These include:  Noticeable hair loss caused by recurrent pulling out of the hair. Patchy bald areas on the scalp or other areas of the body. Sparse or missing eyelashes or eyebrows. Infected hair follicles. Some hair pullers may find that they nail bite, thumb suck, head bang, and compulsively scratch or pick at their skin. Keep track of these types of behaviors over several days to see if they are habitual. Notice when you’re doing them and how often you’re doing them. Determine if trichotillomania is the only disorder that's affecting you. Compulsive hair pullers may suffer from depression, obsessive-compulsive disorder, Tourette's disorder, bipolar disorder, phobias, personality disorders, and in some cases, exhibit suicidal tendencies.  Visiting your doctor or mental health professional can be helpful in determining whether you have other disorders.  However, it is complicated to say which disorder is causing which. Is the loss of hair causing the depression through the desire to isolate yourself from others and avoiding enjoyable activities because you feel deep shame?   Often, successful recovery from Trichotillomania requires treatment for any co-existing disorders as well. Someone who believes that she suffers from Trichotillomania should be examined by a qualified doctor to rule out other hair follicle disorders. Some disorders include alopecia or tinea capitis, both of which can cause hair loss. When a doctor examines you, he will look for evidence of irregularly broken hairs, coiled hairs, and other hair abnormalities as signs of trichotillomania. The first thing to realize is that this can be treated; it is a disorder, not something due to willpower or lack thereof.  The disorder arises as a result of genetic makeup, moods, and your background. When it kicks in, it's a condition in need of treating, not something to beat yourself up over. Brain scans have shown that people with trichotillomania have differences in their brain from persons not suffering from the disorder. Don't convince yourself that nothing is wrong; that your hair pulling is "normal.” Trichotillomania can be considered a form of self-harm, even though it isn't as talked about as other forms of self-injury. Like all forms of self-harm, trichotillomania can become an addictive behavior. With time, it becomes harder and harder to stop; that is why it's best to bring it under control as soon as possible.
راقب بعض الأفعال أو ردود الفعل المعينة التي تشير إلى هذا الاضطراب. مراقبة الإشارات الجسدية الدالة على هذا الاضطراب. راقب إذا كان لديك أي سلوكيات جسدية قهرية أخرى. قيم إذا ما كنت مصابًا بأي اضطرابات أخرى. تحدث مع طبيبك حول الأمراض المسببة لفقدان الشعر. أدرك أن نتف الشعر القهري مرض نفسي. أدرك أن هذا الاضطراب شكل من أشكال أذية النفس.