Trichotillomania (Hair Pulling) | Psychology Today Singapore

<!DOCTYPE html> <html lang="en-SG" dir="ltr" prefix="og: https://ogp.me/ns#" itemscope="" itemtype="https://schema.org/FAQPage"> <head> <title>Trichotillomania (Hair Pulling) | Psychology Today Singapore</title> <meta charset="utf-8" http-equiv="Content-Type" content="text/html" /> <script>window.dataLayer = window.dataLayer || []; window.dataLayer.push({"":"Psychology Today","entityLangcode":"en","page_type":"node","drupal_node_type":"reference","drupal_node_nid":"1110933","drupal_node_title":"Trichotillomania (Hair Pulling)","userUid":0,"event":"drupal_node_view","ContentWeb":"Conditions"});</script> <meta name="description" content="Trichotillomania is a condition characterized by a compulsive urge to pull out one’s hair. It is commonly referred to as “trich” or “hair-pulling disorder” and is sometimes shortened to “TTM.” Hair-pulling can occur anywhere on the body—though it most often affects the scalp, eyebrows, and eyelashes—and can range from mild to severe." /> <link rel="canonical" href="https://www.psychologytoday.com/sg/conditions/trichotillomania-hair-pulling" /> <meta property="og:site_name" content="Psychology Today" /> <meta property="og:url" content="https://www.psychologytoday.com/sg/conditions/trichotillomania-hair-pulling" /> <meta property="og:title" content="Trichotillomania (Hair Pulling)" /> <meta property="og:description" content="Trichotillomania is a condition characterized by a compulsive urge to pull out one’s hair. It is commonly referred to as “trich” or “hair-pulling disorder” and is sometimes shortened to “TTM.” Hair-pulling can occur anywhere on the body—though it most often affects the scalp, eyebrows, and eyelashes—and can range from mild to severe." /> <meta property="og:image" content="https://cdn2.psychologytoday.com/assets/styles/magazine_384x504/public/magazine/2024-10/2024-11.png.jpg?itok=MK2t-Nce" /> <meta property="fb:app_id" content="220580041311284" /> <meta name="viewport" content="width=device-width, initial-scale=1.0, maximum-scale=1.0, user-scalable=0" /> <meta http-equiv="X-UA-Compatible" content="IE=edge,chrome=1" /> <meta http-equiv="x-dns-prefetch-control" content="on" /> <meta name="theme-color" content="#191C1F" media="(prefers-color-scheme: dark)" /> <meta name="theme-color" content="#F2F2F2" media="(prefers-color-scheme: light)" /> <meta name="alexaVerifyID" content="ruuD3Gzrr-EaY185APFbxF69Va4" /> <meta name="google-site-verification" 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href="/sg/conditions#obsessive-compulsive-spectrum-disorders">Obsessive-Compulsive Spectrum Disorders</a></span>  >  <span class="breadcrumb-trail">Trichotillomania (Hair Pulling)</span> </div> </div> </div> </header> <div class="outer-layout-container"> <main class="layout-content layout-container" > <div class="layout-content-full"> <div> <div data-drupal-messages-fallback class="hidden"></div> </div> </div> <div class="layout-container--grid layout-container--primary-left-rail--single"> <div class="layout-content-main"> <div> <div id="block-pt-content" class="block">     <article data-history-node-id="1110933" role="article" class="basics-full"> <div class="content-header d-flex reference-header"> <div class="content-header--text"> <h1 class="reference__title section-title">Trichotillomania (Hair Pulling)</h1> <p class="reference__review-info fine-print"> <a href="/sg/docs/editorial-process" class="reference__review-info-link"> <span class="reference__review-info-icon"></span> <span class="reference__review-info-text">Reviewed by Psychology Today Staff</span> </a> </p> </div> </div> <div> <div class="reference__body"> <div class="field-name-body"> <p><span><span><span><span><span><span>Trichotillomania is a condition characterized by a compulsive urge to pull out one’s hair. It is commonly referred to as “trich” or “hair-pulling disorder” and is sometimes shortened to “TTM.” Hair-pulling can occur anywhere on the body—though it most often affects the scalp, eyebrows, and eyelashes—and can range from mild to severe.</span></span></span></span></span></span></p> <p><span><span><span><span><span><span>Trichotillomania is one of several <a href="https://www.psychologytoday.com/sg/basics/body-focused-repetitive-behaviors" title="Psychology Today looks at body-focused repetitive behaviors" class="basics-link" hreflang="en-SG">body-focused repetitive behaviors</a> (BFRBs) currently classified in the <a href="https://www.psychologytoday.com/sg/basics/dsm" title="Psychology Today looks at DSM-5" class="basics-link" hreflang="en-SG">DSM-5</a> as <a href="https://www.psychologytoday.com/sg/basics/ocd" title="Psychology Today looks at Obsessive Compulsive" class="basics-link" hreflang="en-SG">Obsessive Compulsive</a> and Related Disorders. The disorder is also thought to share characteristics with impulse-control disorders. Trichotillomania affects up to 2 percent of the population, though only about half of those are thought to receive some form of treatment.</span></span></span></span></span></span></p> </div> </div> <div class="table-of-contents border-top"> <h4 class="table-of-contents--title">Contents</h4> <ul> <li class="table-of-contents--item"> <a href="#symptoms"> Symptoms </a> </li> <li class="table-of-contents--item"> <a href="#causes"> Causes </a> </li> <li class="table-of-contents--item"> <a href="#treatment"> Treatment </a> </li> </ul> </div> <div class="reference__sections"> <div> <div> <div class="section section--separator"> <div id="symptoms" class="section-anchor skip-inline-link-filter"></div> <div class="h2 section-title"> Symptoms </div> <div class="section__body"> <p><span><span><span><span><span><span>The onset of trichotillomania often coincides with the onset of <a href="https://www.psychologytoday.com/sg/basics/adolescence" title="Psychology Today looks at puberty" class="basics-link" hreflang="en-SG">puberty</a>, and symptoms typically first appear between the ages of 10 to 13. However, symptoms may also manifest in infants, younger children, older teens, or adults.</span></span></span></span></span></span></p> <p><span><span><span><span><span><span>According to the <a href="https://www.psychologytoday.com/sg/basics/dsm" title="Psychology Today looks at DSM-5" class="basics-link" hreflang="en-SG">DSM-5</a>, the primary symptoms of trichotillomania include: </span></span></span></span></span></span></p> <ul><li><span><span><span><span><span><span>an urge to pull hair from the scalp, eyebrows, eyelashes, pubic area, legs, or elsewhere on the body</span></span></span></span></span></span></li> <li><span><span><span><span><span><span>repeated attempts to stop or decrease pulling</span></span></span></span></span></span></li> <li><span><span><span><span><span><span>clinically significant distress or impairment due to the hair-pulling, which can interfere with social, academic, or occupational functioning</span></span></span></span></span></span></li> </ul><p><span><span><span><span><span><span>The behavior is compulsive and may even occur without conscious notice; it often results in significant hair loss that can lead to alopecia or bald spots. To warrant a TTM diagnosis, the hair loss must not be attributable to other medical conditions. The behavior must also not be better explained by another mental health disorder; individuals with body dysmorphic disorder, for example, may pull out their hair in order to correct a perceived “imperfection,” rather than as the result of a compulsive need to pull.</span></span></span></span></span></span></p> <p><span><span><span><span><span><span>The distress associated with the disorder can be severe and debilitating and may lead someone with trich to:</span></span></span></span></span></span></p> <ul><li><span><span><span><span><span><span>Feel acute <a href="https://www.psychologytoday.com/sg/basics/shame" title="Psychology Today looks at shame" class="basics-link" hreflang="en-SG">shame</a>, <a href="https://www.psychologytoday.com/sg/basics/anxiety" title="Psychology Today looks at anxiety" class="basics-link" hreflang="en-SG">anxiety</a>, <a href="https://www.psychologytoday.com/sg/basics/depression" title="Psychology Today looks at depression" class="basics-link" hreflang="en-SG">depression</a>, or <a href="https://www.psychologytoday.com/sg/basics/embarrassment" title="Psychology Today looks at embarrassment" class="basics-link" hreflang="en-SG">embarrassment</a> related to their condition</span></span></span></span></span></span></li> <li><span><span><span><span><span><span>Avoid developing close relationships</span></span></span></span></span></span></li> <li><span><span><span><span><span><span>Refrain from attending social events, getting one’s hair cut, or engaging in other activities that could result in exposure</span></span></span></span></span></span></li> <li><span><span><span><span><span><span>Practice secrecy to hide pulling behavior from others</span></span></span></span></span></span></li> <li><span><span><span><span><span><span>Use scarves, wigs, alternative hairstyles, or makeup to cover up areas of the body with noticeable hair loss</span></span></span></span></span></span></li> </ul><p><span><span><span><span><span><span>Trichotillomania can cause physical damage to skin tissue that may lead to infection, especially if tweezers, scissors, or other sharp objects are used to help facilitate hair pulling. The repetitive motions involved may also, in some cases, trigger joint injury or muscle pain. </span></span></span></span></span></span></p> <p><span><span><span><span><span><span>In some cases, people engage in “rituals” after pulling, such as rolling the hair between their fingers, touching it to their lips or face, or inspecting the end to look at the root. Other people with trichotillomania eat their pulled hairs, a condition known as trichophagia. While the exact prevalence of trichophagia is not well understood, some studies estimate it occurs in 20 to 30 percent of those with trichotillomania. Trichophagia can be dangerous or even deadly, as it can result in the development of hairballs that obstruct the intestines.</span></span></span></span></span></span></p> <p><span><span><span><span><span><span>In general, trichotillomania often co-occurs with other psychological problems, such as anxiety, OCD, or eating, mood, and <a href="https://www.psychologytoday.com/sg/basics/personality-disorders" title="Psychology Today looks at personality disorders" class="basics-link" hreflang="en-SG">personality disorders</a>.</span></span></span></span></span></span></p> </div> <div class="faqs"> <div class="faq faq--1"> <div itemscope itemprop="mainEntity" itemtype="https://schema.org/Question"> <div class="faq--title d-flex"> <div itemprop="name" class="h3 faq--question"> How is trichotillomania diagnosed? </div> <div class="faq--control-container"> <button class="faq--control"> <div class="faq--control-icon"> <svg width="13px" height="8px" viewBox="0 0 13 8" version="1.1" xmlns="http://www.w3.org/2000/svg" xmlns:xlink="http://www.w3.org/1999/xlink">  <desc>Created with Sketch.</desc> <defs></defs> <g id="-small" stroke="none" stroke-width="1" fill="none" fill-rule="evenodd"> <g id="Tests---Listing-Page---SM" transform="translate(-490.000000, -597.000000)" fill="#2C2D30"> <g id="Left-col" transform="translate(74.000000, 162.000000)"> <g id="Table" transform="translate(0.000000, 426.000000)"> <polygon id="navigatedown" points="422.310547 16.3125 428.621094 10.0019531 427.62793 9 422.310547 14.3173828 416.993164 9 416 10.0019531"></polygon> </g> </g> </g> </g> </svg> </div> </button> </div> </div> <div itemscope="" itemprop="acceptedAnswer" itemtype="https://schema.org/Answer" class="faq--answer"> <div itemprop="text"> <p>When seeking a diagnosis, most people with trichotillomania will acknowledge that they feel a compulsive need to pull out their own hair; beyond this query, clinicians may also ask about drug use and other mental health symptoms to eliminate other possible causes of hair-pulling (such as body dysmorphia or <a href="https://www.psychologytoday.com/sg/basics/addiction" title="Psychology Today looks at substance abuse" class="basics-link" hreflang="en-SG">substance abuse</a>). In some cases, clinicians will examine patterns of hair loss to determine the disorder’s severity or rule out other possible causes.</p> </div> </div> </div> </div> <div class="faq faq--2 faq--last"> <div itemscope itemprop="mainEntity" itemtype="https://schema.org/Question"> <div class="faq--title d-flex"> <div itemprop="name" class="h3 faq--question"> Does trichotillomania ever go away? </div> <div class="faq--control-container"> <button class="faq--control"> <div class="faq--control-icon"> <svg width="13px" height="8px" viewBox="0 0 13 8" version="1.1" xmlns="http://www.w3.org/2000/svg" xmlns:xlink="http://www.w3.org/1999/xlink">  <desc>Created with Sketch.</desc> <defs></defs> <g id="-small" stroke="none" stroke-width="1" fill="none" fill-rule="evenodd"> <g id="Tests---Listing-Page---SM" transform="translate(-490.000000, -597.000000)" fill="#2C2D30"> <g id="Left-col" transform="translate(74.000000, 162.000000)"> <g id="Table" transform="translate(0.000000, 426.000000)"> <polygon id="navigatedown" points="422.310547 16.3125 428.621094 10.0019531 427.62793 9 422.310547 14.3173828 416.993164 9 416 10.0019531"></polygon> </g> </g> </g> </g> </svg> </div> </button> </div> </div> <div itemscope="" itemprop="acceptedAnswer" itemtype="https://schema.org/Answer" class="faq--answer"> <div itemprop="text"> <p>The disorder is usually chronic and lifelong, but its severity may ebb and flow with time. However, with treatment and/or effective <a href="https://www.psychologytoday.com/sg/basics/self-help" title="Psychology Today looks at self-help" class="basics-link" hreflang="en-SG">self-help</a> strategies, many individuals are able to successfully manage the urge to pull; many are able to go months or even years without pulling, although the urge may never fully dissipate. </p> </div> </div> </div> </div> </div> </div> </div> <div class="pt-ad pt-ad--300x250 d-block d-none d-md-block d-lg-none block" id="block-ad-subpage-300x250-programmatically-rendered"> <div class="pt-ad--container pt-ad-show-text"> <div class="pt-ad--text"> <span>article continues after advertisement</span> </div> <div id="div-gpt-ad-1404853927369-9" class="pt-ad--content"> <script type="text/javascript"> if (window.googletag && googletag.apiReady) { googletag.cmd.push(function () { googletag.display('div-gpt-ad-1404853927369-9'); }); } </script> </div> </div> </div> <div> <div class="section section--separator"> <div id="causes" class="section-anchor skip-inline-link-filter"></div> <div class="h2 section-title"> Causes </div> <div class="section__body"> <p><span><span><span><span><span><span>The exact cause of trichotillomania is not fully understood, though experts suggest that, as with other mental health disorders, a mix of <a href="https://www.psychologytoday.com/sg/basics/genetics" title="Psychology Today looks at genes" class="basics-link" hreflang="en-SG">genes</a> and environment are the likely culprits. Some people appear to have an inherited tendency to pull their hair; these individuals also have a higher-than-average number of first-degree relatives with mood and anxiety disorders. TTM may also be associated with <a href="https://www.psychologytoday.com/sg/basics/perfectionism" title="Psychology Today looks at perfectionism" class="basics-link" hreflang="en-SG">perfectionism</a>. It can be used as a means of avoiding <a href="https://www.psychologytoday.com/sg/basics/stress" title="Psychology Today looks at stressful" class="basics-link" hreflang="en-SG">stressful</a> events or releasing the tension that builds up as a result of emotions such as impatience, frustration, dissatisfaction, and even <a href="https://www.psychologytoday.com/sg/basics/boredom" title="Psychology Today looks at boredom" class="basics-link" hreflang="en-SG">boredom</a>. </span></span></span></span></span></span></p> </div> <div class="faqs"> <div class="faq faq--1"> <div itemscope itemprop="mainEntity" itemtype="https://schema.org/Question"> <div class="faq--title d-flex"> <div itemprop="name" class="h3 faq--question"> Is trichotillomania genetic? </div> <div class="faq--control-container"> <button class="faq--control"> <div class="faq--control-icon"> <svg width="13px" height="8px" viewBox="0 0 13 8" version="1.1" xmlns="http://www.w3.org/2000/svg" xmlns:xlink="http://www.w3.org/1999/xlink">  <desc>Created with Sketch.</desc> <defs></defs> <g id="-small" stroke="none" stroke-width="1" fill="none" fill-rule="evenodd"> <g id="Tests---Listing-Page---SM" transform="translate(-490.000000, -597.000000)" fill="#2C2D30"> <g id="Left-col" transform="translate(74.000000, 162.000000)"> <g id="Table" transform="translate(0.000000, 426.000000)"> <polygon id="navigatedown" points="422.310547 16.3125 428.621094 10.0019531 427.62793 9 422.310547 14.3173828 416.993164 9 416 10.0019531"></polygon> </g> </g> </g> </g> </svg> </div> </button> </div> </div> <div itemscope="" itemprop="acceptedAnswer" itemtype="https://schema.org/Answer" class="faq--answer"> <div itemprop="text"> <p>Individuals with trichotillomania are more likely than others to have first-degree relatives with the condition, suggesting that the disorder runs in families and has a genetic element. But experts believe that while a tendency to pull out one’s hair may be inherited to some extent, genes are not solely responsible for the development of trichotillomania.</p> </div> </div> </div> </div> <div class="faq faq--2"> <div itemscope itemprop="mainEntity" itemtype="https://schema.org/Question"> <div class="faq--title d-flex"> <div itemprop="name" class="h3 faq--question"> Does anxiety lead to hair-pulling? </div> <div class="faq--control-container"> <button class="faq--control"> <div class="faq--control-icon"> <svg width="13px" height="8px" viewBox="0 0 13 8" version="1.1" xmlns="http://www.w3.org/2000/svg" xmlns:xlink="http://www.w3.org/1999/xlink">  <desc>Created with Sketch.</desc> <defs></defs> <g id="-small" stroke="none" stroke-width="1" fill="none" fill-rule="evenodd"> <g id="Tests---Listing-Page---SM" transform="translate(-490.000000, -597.000000)" fill="#2C2D30"> <g id="Left-col" transform="translate(74.000000, 162.000000)"> <g id="Table" transform="translate(0.000000, 426.000000)"> <polygon id="navigatedown" points="422.310547 16.3125 428.621094 10.0019531 427.62793 9 422.310547 14.3173828 416.993164 9 416 10.0019531"></polygon> </g> </g> </g> </g> </svg> </div> </button> </div> </div> <div itemscope="" itemprop="acceptedAnswer" itemtype="https://schema.org/Answer" class="faq--answer"> <div itemprop="text"> <p>Anxiety is a common trigger for pulling episodes; for many with trich, pulling can be soothing and may provide temporary relief from feelings of anxiety (though such relief is rarely long-lasting). Trichotillomania and diagnosable anxiety disorders also frequently co-occur. Trich is currently classified in the DSM as an <a href="https://www.psychologytoday.com/sg/basics/ocd" title="Psychology Today looks at obsessive-compulsive" class="basics-link" hreflang="en-SG">obsessive-compulsive</a> or related disorder, which is itself closely related to anxiety.</p> </div> </div> </div> </div> <div class="faq faq--3 collapsed"> <div itemscope itemprop="mainEntity" itemtype="https://schema.org/Question"> <div class="faq--title d-flex"> <div itemprop="name" class="h3 faq--question"> Is hair-pulling caused by trauma? </div> <div class="faq--control-container"> <button class="faq--control"> <div class="faq--control-icon"> <svg width="13px" height="8px" viewBox="0 0 13 8" version="1.1" xmlns="http://www.w3.org/2000/svg" xmlns:xlink="http://www.w3.org/1999/xlink">  <desc>Created with Sketch.</desc> <defs></defs> <g id="-small" stroke="none" stroke-width="1" fill="none" fill-rule="evenodd"> <g id="Tests---Listing-Page---SM" transform="translate(-490.000000, -597.000000)" fill="#2C2D30"> <g id="Left-col" transform="translate(74.000000, 162.000000)"> <g id="Table" transform="translate(0.000000, 426.000000)"> <polygon id="navigatedown" points="422.310547 16.3125 428.621094 10.0019531 427.62793 9 422.310547 14.3173828 416.993164 9 416 10.0019531"></polygon> </g> </g> </g> </g> </svg> </div> </button> </div> </div> <div itemscope="" itemprop="acceptedAnswer" itemtype="https://schema.org/Answer" class="faq--answer"> <div itemprop="text"> <p>The connection between trauma and trichotillomania is not fully understood. <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4440428/">Some small studies</a> suggest that people with trichotillomania report a greater number of <a href="https://www.psychologytoday.com/sg/basics/trauma" title="Psychology Today looks at traumatic" class="basics-link" hreflang="en-SG">traumatic</a> events and are <a href="https://pubmed.ncbi.nlm.nih.gov/16897695/">more likely to be diagnosed with PTSD</a> than the general population, but experts warn that more longitudinal research is needed to determine if the relationship is causal. <a href="https://www.sciencedirect.com/science/article/abs/pii/S2211364916301543">Other studies</a> suggest that experiencing trauma may increase the severity of hair-pulling, even if the former doesn’t necessarily cause the latter.</p> </div> </div> </div> </div> <div class="faq faq--4 collapsed faq--last"> <div itemscope itemprop="mainEntity" itemtype="https://schema.org/Question"> <div class="faq--title d-flex"> <div itemprop="name" class="h3 faq--question"> How does trichotillomania manifest in the brain? </div> <div class="faq--control-container"> <button class="faq--control"> <div class="faq--control-icon"> <svg width="13px" height="8px" viewBox="0 0 13 8" version="1.1" xmlns="http://www.w3.org/2000/svg" xmlns:xlink="http://www.w3.org/1999/xlink">  <desc>Created with Sketch.</desc> <defs></defs> <g id="-small" stroke="none" stroke-width="1" fill="none" fill-rule="evenodd"> <g id="Tests---Listing-Page---SM" transform="translate(-490.000000, -597.000000)" fill="#2C2D30"> <g id="Left-col" transform="translate(74.000000, 162.000000)"> <g id="Table" transform="translate(0.000000, 426.000000)"> <polygon id="navigatedown" points="422.310547 16.3125 428.621094 10.0019531 427.62793 9 422.310547 14.3173828 416.993164 9 416 10.0019531"></polygon> </g> </g> </g> </g> </svg> </div> </button> </div> </div> <div itemscope="" itemprop="acceptedAnswer" itemtype="https://schema.org/Answer" class="faq--answer"> <div itemprop="text"> <p>Brain imaging studies have found that people with trichotillomania show increased thickness in areas of the frontal cortex related to the development of habitual behaviors. Differences in this brain area have also been observed in individuals with OCD, suggesting a close relationship between the two conditions. Other studies have found evidence of decreased amygdala volume in people with trich, which may be related to difficulties in <a href="https://www.psychologytoday.com/sg/basics/emotion-regulation" title="Psychology Today looks at emotion regulation" class="basics-link" hreflang="en-SG">emotion regulation</a> also observed in this population.</p> </div> </div> </div> </div> </div> </div> </div> <div> <div class="section section--separator"> <div id="treatment" class="section-anchor skip-inline-link-filter"></div> <div class="h2 section-title"> Treatment </div> <div class="section__body"> <p><span><span><span><span><span><span>Shame and other negative feelings prevent many people from seeking treatment specifically for TTM. Because the disorder is not widely known or understood, many who struggle with it are not aware that it's a mental health condition for which they can seek treatment. While some have speculated that those who do not pursue treatment may have less severe symptoms and fewer negative feelings about the condition than those who do, research results indicate that the severity and duration of hair pulling is similar for those who seek treatment and those who do not. </span></span></span></span></span></span></p> <p><span><span><span><span><span><span>Individuals with co-occurring mental health disorders may be more likely to seek treatment, evidence suggests. People with both TTM and depression, for example, may be inclined to seek help for their depressive symptoms; this may, in turn, lead to help with hair pulling. </span></span></span></span></span></span></p> <p><span><span><span><span><span><span>While no treatment has been found to be universally effective, some show great promise and may deliver lasting relief. <a href="https://www.psychologytoday.com/sg/basics/cognitive-behavioral-therapy" title="Psychology Today looks at Cognitive behavioral" class="basics-link" hreflang="en-SG">Cognitive behavioral</a> <a href="https://www.psychologytoday.com/sg/basics/therapy" title="Psychology Today looks at therapy" class="basics-link" hreflang="en-SG">therapy</a> (<span><span>CBT</span></span>), coupled with habit reversal training (<a href="https://www.psychologytoday.com/sg/basics/estrogen" title="Psychology Today looks at HRT" class="basics-link" hreflang="en-SG">HRT</a>), is currently thought to be the most effective approach for treating TTM. Researchers have found that individuals who are reluctant to seek conventional treatment may benefit from Internet-based interventions or support groups. While no medications are approved as a first-line treatment for TTM, some <a href="https://www.psychologytoday.com/sg/basics/ssris" title="Psychology Today looks at antidepressants" class="basics-link" hreflang="en-SG">antidepressants</a>, antipsychotic medications, and cannabinoid agonists have shown promise in limited studies.</span></span></span></span></span></span></p> </div> <div class="faqs"> <div class="faq faq--1"> <div itemscope itemprop="mainEntity" itemtype="https://schema.org/Question"> <div class="faq--title d-flex"> <div itemprop="name" class="h3 faq--question"> When should someone seek treatment for trichotillomania? </div> <div class="faq--control-container"> <button class="faq--control"> <div class="faq--control-icon"> <svg width="13px" height="8px" viewBox="0 0 13 8" version="1.1" xmlns="http://www.w3.org/2000/svg" xmlns:xlink="http://www.w3.org/1999/xlink">  <desc>Created with Sketch.</desc> <defs></defs> <g id="-small" stroke="none" stroke-width="1" fill="none" fill-rule="evenodd"> <g id="Tests---Listing-Page---SM" transform="translate(-490.000000, -597.000000)" fill="#2C2D30"> <g id="Left-col" transform="translate(74.000000, 162.000000)"> <g id="Table" transform="translate(0.000000, 426.000000)"> <polygon id="navigatedown" points="422.310547 16.3125 428.621094 10.0019531 427.62793 9 422.310547 14.3173828 416.993164 9 416 10.0019531"></polygon> </g> </g> </g> </g> </svg> </div> </button> </div> </div> <div itemscope="" itemprop="acceptedAnswer" itemtype="https://schema.org/Answer" class="faq--answer"> <div itemprop="text"> <p>Many people with trichotillomania mistakenly believe that the behavior is due to their own lack of <a href="https://www.psychologytoday.com/sg/basics/self-control" title="Psychology Today looks at willpower" class="basics-link" hreflang="en-SG">willpower</a> and that they could stop on their own if they just tried a little harder; others believe that the condition is not that serious, “all in their head,” or too embarrassing to seek help for. None of these beliefs are accurate. Anyone who feels distressed about their hair-pulling or feels that they are unable to control the behavior on their own could benefit from seeking treatment. Therapy, combined with self-help strategies and social support, can greatly reduce pulling behaviors, help manage shame, and improve quality of life.</p> </div> </div> </div> </div> <div class="faq faq--2"> <div itemscope itemprop="mainEntity" itemtype="https://schema.org/Question"> <div class="faq--title d-flex"> <div itemprop="name" class="h3 faq--question"> What is the most effective treatment for hair-pulling disorder? </div> <div class="faq--control-container"> <button class="faq--control"> <div class="faq--control-icon"> <svg width="13px" height="8px" viewBox="0 0 13 8" version="1.1" xmlns="http://www.w3.org/2000/svg" xmlns:xlink="http://www.w3.org/1999/xlink">  <desc>Created with Sketch.</desc> <defs></defs> <g id="-small" stroke="none" stroke-width="1" fill="none" fill-rule="evenodd"> <g id="Tests---Listing-Page---SM" transform="translate(-490.000000, -597.000000)" fill="#2C2D30"> <g id="Left-col" transform="translate(74.000000, 162.000000)"> <g id="Table" transform="translate(0.000000, 426.000000)"> <polygon id="navigatedown" points="422.310547 16.3125 428.621094 10.0019531 427.62793 9 422.310547 14.3173828 416.993164 9 416 10.0019531"></polygon> </g> </g> </g> </g> </svg> </div> </button> </div> </div> <div itemscope="" itemprop="acceptedAnswer" itemtype="https://schema.org/Answer" class="faq--answer"> <div itemprop="text"> <p>Therapy is considered the front-line treatment for all BFRBs, including trich. Cognitive behavioral therapy—either on its own or combined with a specific type known as habit reversal training (HRT)—is often the approach of choice, as it targets the thoughts, emotions, and habit cycles that lead to pulling behaviors. Other kinds of therapy such as ACT and dialectical behavioral therapy (DBT) have also shown promise, especially when combined with HRT.</p> </div> </div> </div> </div> <div class="faq faq--3 collapsed faq--last"> <div itemscope itemprop="mainEntity" itemtype="https://schema.org/Question"> <div class="faq--title d-flex"> <div itemprop="name" class="h3 faq--question"> Which medications can help with trichotillomania? </div> <div class="faq--control-container"> <button class="faq--control"> <div class="faq--control-icon"> <svg width="13px" height="8px" viewBox="0 0 13 8" version="1.1" xmlns="http://www.w3.org/2000/svg" xmlns:xlink="http://www.w3.org/1999/xlink">  <desc>Created with Sketch.</desc> <defs></defs> <g id="-small" stroke="none" stroke-width="1" fill="none" fill-rule="evenodd"> <g id="Tests---Listing-Page---SM" transform="translate(-490.000000, -597.000000)" fill="#2C2D30"> <g id="Left-col" transform="translate(74.000000, 162.000000)"> <g id="Table" transform="translate(0.000000, 426.000000)"> <polygon id="navigatedown" points="422.310547 16.3125 428.621094 10.0019531 427.62793 9 422.310547 14.3173828 416.993164 9 416 10.0019531"></polygon> </g> </g> </g> </g> </svg> </div> </button> </div> </div> <div itemscope="" itemprop="acceptedAnswer" itemtype="https://schema.org/Answer" class="faq--answer"> <div itemprop="text"> <p>Currently, no medications are specifically approved for the treatment of trichotillomania. However, some patients have benefited from antidepressants—especially if <a href="https://www.psychologytoday.com/sg/basics/comorbidity" title="Psychology Today looks at comorbid" class="basics-link" hreflang="en-SG">comorbid</a> anxiety or depression are present—or other <a href="https://www.psychologytoday.com/sg/basics/psychiatry" title="Psychology Today looks at psychiatric" class="basics-link" hreflang="en-SG">psychiatric</a> medications, including atypical <a href="https://www.psychologytoday.com/sg/basics/psychopharmacology" title="Psychology Today looks at antipsychotics" class="basics-link" hreflang="en-SG">antipsychotics</a>. Supplementing with the amino acid N-acetylcysteine has proven effective at reducing hair-pulling behaviors in some small studies.</p> </div> </div> </div> </div> </div> </div> </div> </div> </div> <div class="reference__citations section--separator"> <h5>References</h5> <div class="citations"> <div class="citation citation--1"> American Psychiatric Association, Diagnostic and Statistical Manual, Fifth Edition </div> <div class="citation citation--2"> Grant JE, Chamberlain SR. Trichotillomania. Treatment in Psychiatry. September 1, 2016;173(9):868-874. </div> <div class="citation citation--3"> The TLC Foundation for Body-Focused Repetitive Behaviors website. What Is Trichotillomania? </div> <div class="citation citation--4"> Weidt S, Bruehl AB, Delsignore A, et al. Trichotillomania: the impact of treatment history on the outcome of an Internet-based intervention. Neuropsychiatric Disease and Treatment. 2017;13:1153-1162. Published online April 21, 2017. </div> <div class="citation citation--5"> National Institutes of Health </div> </div> <div class="revision-current">Last updated: 08/05/2021 </div> </div> </div> </article> </div> </div> </div> <aside class="layout-content-left-rail--first" role="complementary"> <div> <div id="block-conditionsnavigation" class="block index-page-menu"> <article> <div class="h2 index-page-menu--title"> Diagnosis Dictionary </div> <div class="index-page-menu--image hero--image"> <img src="https://cdn2.psychologytoday.com/assets/styles/index_page_navigation_image/public/2021-06/conditions-shutterstock-1696550344_0.jpg?itok=XiF2PjYS" width="519" height="198" alt="Decorative Image" loading="lazy" /> </div> <div class="index-page-menu--items"> <div class="views-element-container"><div class="js-view-dom-id-c6bc9e7b939d5fed533652ac928dc9960096fc30a346241ae7d4a44d281155d5"> <div class="accordion"> <div class="h2 block-title accordion--title"><span 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href="/sg/conditions/bipolar-disorder" title="Bipolar Disorder ">Bipolar Disorder</a></li> <li><a href="/sg/conditions/cyclothymic-disorder" title="Cyclothymic Disorder ">Cyclothymic Disorder</a></li> </ul> </div> <div class="accordion"> <div class="h2 block-title accordion--title"><span class="title-text">Child/Adolescent</span></div> <ul class="list-unstyled accordion--content accordion--content--closed"> <li><a href="/sg/conditions/aspergers" title="Asperger's Syndrome ">Asperger's Syndrome </a></li> <li><a href="/sg/conditions/attention-deficit-hyperactivity-disorder-children" title="Attention-Deficit/Hyperactivity Disorder, Children ">Attention-Deficit/Hyperactivity Disorder, Children</a></li> <li><a href="/sg/conditions/autism-spectrum-disorder" title="Autism Spectrum Disorder ">Autism Spectrum Disorder</a></li> <li><a href="/sg/conditions/child-abuse" title="Child Abuse ">Child Abuse</a></li> <li><a href="/sg/conditions/child-neglect" title="Child Neglect ">Child Neglect</a></li> <li><a href="/sg/conditions/childhood-onset-fluency-disorder" title="Childhood-Onset Fluency Disorder ">Childhood-Onset Fluency Disorder</a></li> <li><a href="/sg/conditions/communication-disorders" title="Communication Disorders ">Communication Disorders</a></li> <li><a href="/sg/conditions/conduct-disorder" title="Conduct Disorder ">Conduct Disorder</a></li> <li><a href="/sg/conditions/disinhibited-social-engagement-disorder" title="Disinhibited Social Engagement Disorder ">Disinhibited Social Engagement Disorder</a></li> <li><a href="/sg/conditions/disruptive-mood-dysregulation-disorder-children-and-adolescents" title="Disruptive Mood Dysregulation Disorder (Children and Adolescents) ">Disruptive Mood Dysregulation Disorder (Children and Adolescents)</a></li> <li><a href="/sg/conditions/dyscalculia" title="Dyscalculia ">Dyscalculia</a></li> <li><a href="/sg/conditions/dysgraphia" title="Dysgraphia ">Dysgraphia</a></li> <li><a href="/sg/conditions/dyslexia" title="Dyslexia ">Dyslexia</a></li> <li><a href="/sg/conditions/dyspraxia" title="Dyspraxia ">Dyspraxia</a></li> <li><a href="/sg/conditions/encopresis" title="Encopresis ">Encopresis</a></li> <li><a href="/sg/conditions/enuresis" title="Enuresis ">Enuresis</a></li> <li><a href="/sg/conditions/intellectual-disability-intellectual-developmental-disorder" title="Intellectual Disability (Intellectual Developmental Disorder) ">Intellectual Disability (Intellectual Developmental Disorder)</a></li> <li><a href="/sg/conditions/language-disorder" title="Language Disorder ">Language Disorder</a></li> <li><a href="/sg/conditions/learning-disability" title="Learning Disability ">Learning Disability</a></li> <li><a href="/sg/conditions/nonverbal-learning-disorder" title="Nonverbal Learning Disorder ">Nonverbal Learning Disorder</a></li> <li><a href="/sg/conditions/pedophilia" title="Pedophilia ">Pedophilia</a></li> <li><a href="/sg/conditions/provisional-tic-disorder" title="Provisional Tic Disorder ">Provisional Tic Disorder</a></li> <li><a href="/sg/conditions/reactive-attachment-disorder" title="Reactive Attachment Disorder ">Reactive Attachment Disorder</a></li> <li><a href="/sg/conditions/selective-mutism" title="Selective Mutism ">Selective Mutism</a></li> <li><a href="/sg/conditions/separation-anxiety" title="Separation Anxiety ">Separation Anxiety</a></li> <li><a href="/sg/conditions/speech-sound-disorder" title="Speech Sound Disorder ">Speech Sound Disorder</a></li> <li><a href="/sg/conditions/tourettes-disorder" title="Tourette's Disorder ">Tourette's Disorder</a></li> </ul> </div> <div class="accordion"> <div class="h2 block-title accordion--title"><span class="title-text">Communication Disorders</span></div> <ul class="list-unstyled accordion--content accordion--content--closed"> <li><a href="/sg/conditions/childhood-onset-fluency-disorder" title="Childhood-Onset Fluency Disorder ">Childhood-Onset Fluency Disorder</a></li> <li><a href="/sg/conditions/communication-disorders" title="Communication Disorders ">Communication Disorders</a></li> <li><a href="/sg/conditions/language-disorder" title="Language Disorder ">Language Disorder</a></li> <li><a href="/sg/conditions/speech-sound-disorder" title="Speech Sound Disorder ">Speech Sound Disorder</a></li> </ul> </div> <div class="accordion"> <div class="h2 block-title accordion--title"><span class="title-text">Depression/Mood</span></div> <ul class="list-unstyled accordion--content accordion--content--closed"> <li><a href="/sg/conditions/adjustment-disorder" title="Adjustment Disorder ">Adjustment Disorder</a></li> <li><a href="/sg/conditions/bereavement" title="Bereavement ">Bereavement</a></li> <li><a href="/sg/conditions/co-occurring-disorders" title="Co-Occurring Disorders ">Co-Occurring Disorders</a></li> <li><a href="/sg/conditions/depressive-disorders" title="Depressive Disorders ">Depressive Disorders</a></li> <li><a href="/sg/conditions/persistent-depressive-disorder-dysthymia" title="Persistent Depressive Disorder (Dysthymia) ">Persistent Depressive Disorder (Dysthymia)</a></li> <li><a href="/sg/conditions/postpartum-disorder" title="Postpartum Disorder ">Postpartum Disorder</a></li> <li><a href="/sg/conditions/prolonged-grief-disorder" title="Prolonged Grief Disorder ">Prolonged Grief Disorder</a></li> <li><a href="/sg/conditions/seasonal-affective-disorder" title="Seasonal Affective Disorder ">Seasonal Affective Disorder</a></li> <li><a href="/sg/conditions/visual-snow" title="Visual Snow ">Visual Snow</a></li> </ul> </div> <div class="accordion"> <div class="h2 block-title accordion--title"><span class="title-text">Dissociation</span></div> <ul class="list-unstyled accordion--content accordion--content--closed"> <li><a href="/sg/conditions/depersonalizationderealization-disorder" title="Depersonalization / Derealization Disorder ">Depersonalization / Derealization Disorder</a></li> <li><a href="/sg/conditions/dissociative-amnesia" title="Dissociative Amnesia ">Dissociative Amnesia</a></li> <li><a href="/sg/conditions/dissociative-fugue-psychogenic-fugue" title="Dissociative Fugue (Psychogenic Fugue) ">Dissociative Fugue (Psychogenic Fugue)</a></li> <li><a href="/sg/conditions/dissociative-identity-disorder-multiple-personality-disorder" title="Dissociative Identity Disorder (Multiple Personality Disorder) ">Dissociative Identity Disorder (Multiple Personality Disorder)</a></li> </ul> </div> <div class="accordion"> <div class="h2 block-title accordion--title"><span class="title-text">Eating Disorders</span></div> <ul class="list-unstyled accordion--content accordion--content--closed"> <li><a href="/sg/conditions/anorexia-nervosa" title="Anorexia Nervosa ">Anorexia Nervosa</a></li> <li><a href="/sg/conditions/arfid-avoidant-restrictive-food-intake-disorder" title="ARFID (Avoidant Restrictive Food Intake Disorder) ">ARFID (Avoidant Restrictive Food Intake Disorder)</a></li> <li><a href="/sg/conditions/binge-eating-disorder-compulsive-overeating" title="Binge-Eating Disorder (Compulsive Overeating) ">Binge-Eating Disorder (Compulsive Overeating)</a></li> <li><a href="/sg/conditions/bulimia-nervosa" title="Bulimia Nervosa ">Bulimia Nervosa</a></li> <li><a href="/sg/conditions/eating-disorders" title="Eating Disorders ">Eating Disorders</a></li> <li><a href="/sg/conditions/obesity" title="Obesity ">Obesity</a></li> <li><a href="/sg/conditions/pica" title="Pica ">Pica</a></li> <li><a href="/sg/conditions/rumination-disorder" title="Rumination Disorder ">Rumination Disorder</a></li> </ul> </div> <div class="accordion"> <div class="h2 block-title accordion--title"><span class="title-text">Impulse Control Disorders</span></div> <ul class="list-unstyled accordion--content accordion--content--closed"> <li><a href="/sg/conditions/intermittent-explosive-disorder" title="Intermittent Explosive Disorder ">Intermittent Explosive Disorder</a></li> <li><a href="/sg/conditions/kleptomania" title="Kleptomania ">Kleptomania</a></li> <li><a href="/sg/conditions/oppositional-defiant-disorder" title="Oppositional Defiant Disorder ">Oppositional Defiant Disorder </a></li> <li><a href="/sg/conditions/pyromania" title="Pyromania ">Pyromania</a></li> </ul> </div> <div class="accordion"> <div class="h2 block-title accordion--title"><span class="title-text">Movement Disorders</span></div> <ul class="list-unstyled accordion--content accordion--content--closed"> <li><a href="/sg/conditions/developmental-coordination-disorder" title="Developmental Coordination Disorder ">Developmental Coordination Disorder</a></li> <li><a href="/sg/conditions/parkinsons-disease" title="Parkinson's Disease ">Parkinson's Disease</a></li> <li><a href="/sg/conditions/persistent-chronic-motor-or-vocal-tic-disorder" title="Persistent (Chronic) Motor or Vocal Tic Disorder ">Persistent (Chronic) Motor or Vocal Tic Disorder</a></li> <li><a href="/sg/conditions/provisional-tic-disorder" title="Provisional Tic Disorder ">Provisional Tic Disorder</a></li> <li><a href="/sg/conditions/stereotypic-movement-disorder" title="Stereotypic Movement Disorder ">Stereotypic Movement Disorder</a></li> <li><a href="/sg/conditions/tourettes-disorder" title="Tourette's Disorder ">Tourette's Disorder</a></li> </ul> </div> <div class="accordion"> <div class="h2 block-title accordion--title"><span class="title-text">Neurocognitive Disorders</span></div> <ul class="list-unstyled accordion--content accordion--content--closed"> <li><a href="/sg/conditions/alzheimers-disease" title="Alzheimer's Disease ">Alzheimer's Disease</a></li> <li><a href="/sg/conditions/dyscalculia" title="Dyscalculia ">Dyscalculia</a></li> <li><a href="/sg/conditions/dysgraphia" title="Dysgraphia ">Dysgraphia</a></li> <li><a href="/sg/conditions/dyslexia" title="Dyslexia ">Dyslexia</a></li> <li><a href="/sg/conditions/dyspraxia" title="Dyspraxia ">Dyspraxia</a></li> <li><a href="/sg/conditions/frontotemporal-dementia" title="Frontotemporal Dementia ">Frontotemporal Dementia</a></li> <li><a href="/sg/conditions/intellectual-disability-intellectual-developmental-disorder" title="Intellectual Disability (Intellectual Developmental Disorder) ">Intellectual Disability (Intellectual Developmental Disorder)</a></li> <li><a href="/sg/conditions/lewy-body-dementia" title="Lewy Body Dementia ">Lewy Body Dementia</a></li> <li><a href="/sg/conditions/neurocognitive-disorders-mild-and-major" title="Neurocognitive Disorders (Mild and Major) ">Neurocognitive Disorders (Mild and Major)</a></li> </ul> </div> <div class="accordion"> <div class="h2 block-title accordion--title--open"><span class="title-text">Obsessive-Compulsive Spectrum Disorders</span></div> <ul class="list-unstyled accordion--content accordion--content--closed accordion--content--open"> <li><a href="/sg/conditions/dermatillomania-skin-picking" title="Dermatillomania (Skin Picking) ">Dermatillomania (Skin Picking)</a></li> <li><a href="/sg/conditions/hoarding-disorder" title="Hoarding Disorder ">Hoarding Disorder</a></li> <li><a href="/sg/conditions/obsessive-compulsive-disorder" title="Obsessive-Compulsive Disorder ">Obsessive-Compulsive Disorder</a></li> <li><a href="/sg/conditions/onychophagia-nail-biting" title="Onychophagia (Nail Biting) ">Onychophagia (Nail Biting)</a></li> <li class="active"><a href="/sg/conditions/trichotillomania-hair-pulling" title="Trichotillomania (Hair Pulling) ">Trichotillomania (Hair Pulling)</a></li> </ul> </div> <div class="accordion"> <div class="h2 block-title accordion--title"><span class="title-text">Personality</span></div> <ul class="list-unstyled accordion--content accordion--content--closed"> <li><a href="/sg/conditions/antisocial-personality-disorder" title="Antisocial Personality Disorder ">Antisocial Personality Disorder</a></li> <li><a href="/sg/conditions/avoidant-personality-disorder" title="Avoidant Personality Disorder ">Avoidant Personality Disorder</a></li> <li><a href="/sg/conditions/borderline-personality-disorder" title="Borderline Personality Disorder ">Borderline Personality Disorder</a></li> <li><a href="/sg/conditions/dependent-personality-disorder" title="Dependent Personality Disorder ">Dependent Personality Disorder</a></li> <li><a href="/sg/conditions/histrionic-personality-disorder" title="Histrionic Personality Disorder ">Histrionic Personality Disorder</a></li> <li><a href="/sg/conditions/malingering" title="Malingering ">Malingering</a></li> <li><a href="/sg/conditions/narcissistic-personality-disorder" title="Narcissistic Personality Disorder ">Narcissistic Personality Disorder</a></li> <li><a href="/sg/conditions/obsessive-compulsive-personality-disorder" title="Obsessive-Compulsive Personality Disorder ">Obsessive-Compulsive Personality Disorder</a></li> <li><a href="/sg/conditions/paranoid-personality-disorder" title="Paranoid Personality Disorder ">Paranoid Personality Disorder</a></li> </ul> </div> <div class="accordion"> <div class="h2 block-title accordion--title"><span class="title-text">Psychosis/Schizophrenia Spectrum Disorders</span></div> <ul class="list-unstyled accordion--content accordion--content--closed"> <li><a href="/sg/conditions/brief-psychotic-disorder" title="Brief Psychotic Disorder ">Brief Psychotic Disorder</a></li> <li><a href="/sg/conditions/catatonia" title="Catatonia ">Catatonia</a></li> <li><a href="/sg/conditions/delusional-disorder" title="Delusional Disorder ">Delusional Disorder</a></li> <li><a href="/sg/conditions/hallucinogen-persisting-perception-disorder" title="Hallucinogen Persisting Perception Disorder (HPPD) ">Hallucinogen Persisting Perception Disorder (HPPD) </a></li> <li><a href="/sg/conditions/paranoid-personality-disorder" title="Paranoid Personality Disorder ">Paranoid Personality Disorder</a></li> <li><a href="/sg/conditions/psychotic-disorder-due-another-medical-condition" title="Psychotic Disorder Due to Another Medical Condition ">Psychotic Disorder Due to Another Medical Condition</a></li> <li><a href="/sg/conditions/schizoaffective-disorder" title="Schizoaffective Disorder ">Schizoaffective Disorder</a></li> <li><a href="/sg/conditions/schizoid-personality-disorder" title="Schizoid Personality Disorder ">Schizoid Personality Disorder</a></li> <li><a href="/sg/conditions/schizophrenia" title="Schizophrenia ">Schizophrenia</a></li> <li><a href="/sg/conditions/schizophreniform-disorder" title="Schizophreniform Disorder ">Schizophreniform Disorder</a></li> <li><a href="/sg/conditions/schizotypal-personality-disorder" title="Schizotypal Personality Disorder ">Schizotypal Personality Disorder</a></li> <li><a href="/sg/conditions/substancemedication-induced-psychotic-disorder" title="Substance/Medication-Induced Psychotic Disorder ">Substance/Medication-Induced Psychotic Disorder</a></li> </ul> </div> <div class="accordion"> <div class="h2 block-title accordion--title"><span class="title-text">Sexuality</span></div> <ul class="list-unstyled accordion--content accordion--content--closed"> <li><a href="/sg/conditions/erectile-disorder" title="Erectile Disorder ">Erectile Disorder</a></li> <li><a href="/sg/conditions/exhibitionism" title="Exhibitionism ">Exhibitionism</a></li> <li><a href="/sg/conditions/fetishistic-disorder" title="Fetishistic Disorder ">Fetishistic Disorder </a></li> <li><a href="/sg/conditions/frotteuristic-disorder" title="Frotteuristic Disorder ">Frotteuristic Disorder</a></li> <li><a href="/sg/conditions/gender-dysphoria" title="Gender Dysphoria ">Gender Dysphoria</a></li> <li><a href="/sg/conditions/genito-pelvic-pain-or-penetration-disorder-sexual-pain-disorder" title="Genito-Pelvic Pain or Penetration Disorder (Sexual Pain Disorder) ">Genito-Pelvic Pain or Penetration Disorder (Sexual Pain Disorder)</a></li> <li><a href="/sg/conditions/hypersexuality-sex-addiction" title="Hypersexuality (Sex Addiction) ">Hypersexuality (Sex Addiction)</a></li> <li><a href="/sg/conditions/orgasmic-disorder" title="Orgasmic Disorder ">Orgasmic Disorder</a></li> <li><a href="/sg/conditions/paraphilias" title="Paraphilias ">Paraphilias</a></li> <li><a href="/sg/conditions/pedophilia" title="Pedophilia ">Pedophilia</a></li> <li><a href="/sg/conditions/sexual-desire-disorder" title="Sexual Desire Disorder ">Sexual Desire Disorder</a></li> <li><a href="/sg/conditions/sexual-masochism-disorder" title="Sexual Masochism Disorder ">Sexual Masochism Disorder</a></li> <li><a href="/sg/conditions/sexual-sadism-disorder" title="Sexual Sadism Disorder ">Sexual Sadism Disorder</a></li> <li><a href="/sg/conditions/transvestic-disorder" title="Transvestic Disorder ">Transvestic Disorder</a></li> <li><a href="/sg/conditions/voyeuristic-disorder" title="Voyeuristic Disorder ">Voyeuristic Disorder</a></li> </ul> </div> <div class="accordion"> <div class="h2 block-title accordion--title"><span class="title-text">Sleep Disorders</span></div> <ul class="list-unstyled accordion--content accordion--content--closed"> <li><a href="/sg/conditions/circadian-rhythm-sleep-wake-disorders" title="Circadian Rhythm Sleep-Wake Disorders ">Circadian Rhythm Sleep-Wake Disorders</a></li> <li><a href="/sg/conditions/hypersomnolence" title="Hypersomnolence ">Hypersomnolence</a></li> <li><a href="/sg/conditions/insomnia" title="Insomnia ">Insomnia</a></li> <li><a href="/sg/conditions/narcolepsy" title="Narcolepsy ">Narcolepsy</a></li> <li><a href="/sg/conditions/nightmares" title="Nightmares ">Nightmares</a></li> <li><a href="/sg/conditions/non-rapid-eye-movement-sleep-arousal-disorders" title="Non-Rapid Eye Movement Sleep Arousal Disorders ">Non-Rapid Eye Movement Sleep Arousal Disorders</a></li> <li><a href="/sg/conditions/rapid-eye-movement-sleep-behavior-disorder" title="Rapid Eye Movement Sleep Behavior Disorder ">Rapid Eye Movement Sleep Behavior Disorder</a></li> <li><a href="/sg/conditions/restless-legs-syndrome" title="Restless Legs Syndrome ">Restless Legs Syndrome</a></li> <li><a href="/sg/conditions/sleep-apnea" title="Sleep Apnea ">Sleep Apnea</a></li> <li><a href="/sg/conditions/sleep-related-hypoventilation" title="Sleep-Related Hypoventilation ">Sleep-Related Hypoventilation</a></li> <li><a href="/sg/conditions/sleepwalking" title="Sleepwalking ">Sleepwalking</a></li> </ul> </div> <div class="accordion"> <div class="h2 block-title accordion--title"><span class="title-text">Somatization</span></div> <ul class="list-unstyled accordion--content accordion--content--closed"> <li><a href="/sg/conditions/conversion-disorder" title="Conversion Disorder ">Conversion Disorder</a></li> <li><a href="/sg/conditions/factitious-disorder-munchausen-syndrome" title="Factitious Disorder (Munchausen Syndrome) ">Factitious Disorder (Munchausen Syndrome)</a></li> <li><a href="/sg/conditions/illness-anxiety-disorder" title="Illness Anxiety Disorder ">Illness Anxiety Disorder</a></li> <li><a href="/sg/conditions/somatic-symptom-disorder" title="Somatic Symptom Disorder ">Somatic Symptom Disorder</a></li> </ul> </div> </div> </div> </div> </article> </div> <div class="pt-ad pt-ad--300x250 d-none d-lg-block d-xl-block block" id="block-adblock-8"> <div class="pt-ad--container pt-ad-show-text"> <div class="pt-ad--text"> <span>advertisement</span> </div> <div id="div-gpt-ad-1391201642419-0" class="pt-ad--content"> <script type="text/javascript"> if (window.googletag && googletag.apiReady) { googletag.cmd.push(function () { googletag.display('div-gpt-ad-1391201642419-0'); }); } </script> </div> </div> </div> <div id="block-resourcesblock-3" class="block"> <article data-history-node-id="1110933" role="article" class="resources block-border"> <div class="resources--header"> <div class="h2 resources--title"> Trichotillomania (Hair Pulling) Resources </div> </div> <div class="resources--section resources--section--get-help"> <div class="h3"> <a href="https://www.psychologytoday.com/sg/counselling?category=obsessive-compulsive-ocd" title=""> Get Help </a> </div> <p class="resources--cta">Find a counsellor who can help with OCD and related disorders.</p> <div class="country country--resources-search"> <form action="https://www.psychologytoday.com/sg/counselling?category=obsessive-compulsive-ocd" method="GET" class="find-therapist--resources-form" target="_top"> <div class="container-fat__callout_form" data-search-suggest="sussex" data-placeholder="City or Postcode" data-size="medium" data-section-icons="false" data-mobile-fullscreen="true" data-suggestions-url="https://www.psychologytoday.com/intl/search/suggestions?query={query}&attributes[0]=15&country-code=sg" data-search-url="https://www.psychologytoday.com/sg/counselling?category=obsessive-compulsive-ocd&search={query}" data-input-aria-label="Search input text" data-button-aria-label="Search button"> <div class="search td-search d-flex"> <div class="td-search--input"> <div 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