2. • Trichotillomania, also known as trich, is when
someone cannot resist the urge to pull out their
hair.
• They may pull out the hair on their head or in
other places, such as their eyebrows or
eyelashes.
• Trich is more common in teenagers and young
adults.
3. CAUSES
Trichotillo mania can be related to emotions:
• Negative emotions.
For many people with trichotillomania,
hair pulling is a way of dealing with
negative or uncomfortable feelings, such as
stress, anxiety, tension, boredom,
loneliness, fatigue or frustration.
4. CAUSES
Positive feelings.
• People with trichotillomania often find that
pulling out hair feels satisfying and provides a
measure of relief.
• As a result, they continue to pull their hair to
maintain these positive feelings.
5. Risk factors
These factors tend to increase the risk of trichotillomania:
• Family history.
• Genetics may play a role in the development of
trichotillomania, and the disorder may occur in those
who have a close relative with the disorder.
• Age.
• Trichotillomania usually develops just before or during
the early teens — most often between the ages of 10
and 13 years — and it's often a lifelong problem.
Infants also can be prone to hair pulling, but this is
usually mild and goes away on its own without
treatment.
6. Other disorders.
• People who have trichotillomania may also
have other disorders, such as depression,
anxiety or obsessive-compulsive disorder
(OCD).
Stress.
• Severely stressful situations or events may
trigger trichotillomania in some people.
8. • People with trich feel an intense urge to pull
their hair out and they experience growing
tension until they do.
• After pulling their hair out, they feel a sense of
relief.
• A person may sometimes pull their hair out in
response to a stressful situation, or it may be
done without really thinking about it.
9. Most people with trich pull out hair from their
scalp, but some pull out hair from other areas,
such as their:
1. Eyebrows
2. Eyelashes
3. Genital area
4. Beard or moustache
10. • Bald patches on the head may have an
unusual shape and affect 1 side of the head
more than the other.
• Trich may cause feelings of shame and low
self-esteem.
• Those affected may try to keep their condition
to themselves.
11. • Biting, chewing or eating pulled-out hair
• Playing with pulled-out hair or rubbing it
across your lips or face
• A sense of pleasure or relief after the hair is
pulled
13. • It's not entirely clear what causes trich.
• It could be:
1. Your way of dealing with stress or anxiety
2. A chemical imbalance in the brain, similar
to obsessive compulsive disorder (OCD)
3. Changes in hormone levels during puberty
4. For some people, hair pulling can be a type
of addiction.
5. The more they pull their hair out, the more
they want to keep doing it.
14. COMPLICATIONS
Emotional distress.
• Many people with trichotillomania report
feeling shame, humiliation and
embarrassment.
• They may experience low self-esteem,
depression, anxiety, and alcohol or street drug
use because of their condition.
15. COMPLICATIONS
• Problems with social and work functioning.
• Embarrassment because of hair loss may lead
them to avoid social activities and job
opportunities.
• People with trichotillomania may wear wigs,
style their hair to disguise bald patches or
wear false eyelashes.
• Some people may avoid intimacy for fear that
their condition will be discovered.
16. Complications
• Skin and hair damage.
• Constant hair pulling can cause scarring and
other damage, including infections, to the skin
on your scalp or the specific area where hair is
pulled and can permanently affect hair
growth.
17. Complications
• Hairballs.
• Eating your hair may lead to a large, matted
hairball (trichobezoar) in your digestive tract.
• Over a period of years, the hairball can cause
weight loss, vomiting, intestinal obstruction
and even death.
19. ARGENTUM NITRICUM
Argentum nitricum is one of the best remedies for
trichotillomania due to nervous impulses.
Great depression and anxiety.
The patient have great anxiety, fear and persistent
impulsive thoughts.
He imagines that he cannot pass a certain point.
Peculiar mental impulses.
Impulse to jump when crossing a bridge or from a
window. Impulsive , want to do things in a hurry.
Fears and anxieties and hidden irrational motives
for actions.
20. ARGENTUM NITRICUM
• Dreads ordeals.
• Fear of impending evil of crowds, passing a
certain point of high buildings of dark.
• Fear of heights, flying in airplanes .
• The sight of high buildings makes him giddy and
causes him to stagger, it seems houses on both
sides of street would approach and crush him.
• The person is timid and anxious, panic and
anxiety attacks common.
• Severe nervous headache with coldness and
trembling.
• A feeling of expansion of head.
21. BELLADONNA 200
• Belladonna is one the best remedies for
trichotillomania with acuteness of all senses .
• Pull out hair , hair spits is dry and comes out.
• The person is delirious, excited, ferocious, noisy,
cries out, talks fast and very restless.
• Fear of imaginary things.
• Quarrelsome.
• Changeable moods.
• Hallucinations, sees monsters, hideous faces.
22. CALCAREA CARB
• Calcarea carb is suited to fair fatty child with large
and hard abdomen.
• They are easily frightened or offended.
• Child afraid of everything he sees.
• They are susceptible to cold.
• Catch cold very easily. Profuse sweating easily ,
especially on head and chest during sleep.
• Children are slow in teething and walk late.
• Craving for indigestible things like dirt, chalk, coal,
pencils is a leading symptom of Calcarea carb.
• Also they prefer for eggs.
23. CUPRUM METALLICUM
• Cuprum met persons are nervous, uneasy,
having fixed ideas, malicious and morose.
• Fears of society, shuns everybody.
• Confusion, afraid of everybody who
approaches him.
• Talkative, then melancholy with fear of death.
• Sullen, tricky, alternating yielding and head
strong.
24. MEDORRHINUM
• Medorrhinum is indicated for trichotilloma
nervous restless person.
• They are hurried and anxious. They feel time
passes too slowly.
• Feels life unreal, everything seems unreal.
• Fear in the dark and of some one behind her.
• Melancholy with suicidal thoughts.
• Difficulty in concentration.
25. NATRUM MURIATICUM
• Natrum muriaticum is best for trichotillomania
with severe migraine headache.
• Hair comes out in excess.
• Natrum mur persons are depressed and
introverted.
• They are irritable and cannot cry in front of
others.
• Children learn to talk slowly.
• Awkward in talking, hasty, drops things.
• They prefer for salt and salty foods.
26. LILIUM TIGRINUM
• Lilium trigrinum is indicated for trichotillomania
with heart or uterine complaints.
• Mental and uterine, mental and uterine
symptoms alternate.
• Profound dipression of spirits.
• Constant inclination to weep.
• , fears some organic and incurable disease.
• Wild , crazy feeling.
• Dissatisfied and envious of others.
27. TARENTULA HISPANA
• Tarentula is best for trichotillomania with marked
destructive impulses.
• Aversion to colors, black, red, yellow and green.
• Suddenly changing moods, fancies or strength.
• The patient lacks control and is erratic and
impulsive.
• Destructive , destroys whatever she can lay hands
on, tears her cloths etc.
• These people are foxy and cunning.