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Hair-Pulling Q: I have a problem compulsively pulling out my hair. It's like an addiction and I hardly have any lashes left. Help please?

By award-winning author and stress-relief expert Susie Mantell

A: What you are describing is not as uncommon as one might think. It could be a widely misunderstood condition that involves habitually pulling out hair, and it can include eyelashes, brows or any body hair. This syndrome has a long name that will sound very impressive: Trichotillomania. Also known as T.T.M., Trichotillomania sounds scarier than it is.

If what you are referring to is Trichotillomania, a combined medical/behavioral therapy approach is often beneficial. I once taught a six-year-old who habitually twirled and pulled out the hair at the crown of his head, and knew a woman who had pulled out all of her lashes. Both were otherwise normal, well-adjusted, high-functioning people. Trichotillomania may be caused by several things, possibly including a recently discovered gene. Medication has helped some people to resist the urge to pull, suggesting there may be a biochemical and/or neurological component, as in other compulsive behaviors. While I can suggest stress management tips, I am not a medical professional. Based on what you are describing, it sounds like you would be best-advised to seek some short-term counseling with a skilled, compassionate physician and therapist, who could assess and help you to explore the best options for you and help you move past your frustration. It would be wise for you to talk with a professional with expertise in compulsive behaviors, who can sit face-to-face with you, assess your history and concerns to determine how best to proceed. The habit of compulsively pulling out hair can be unsettling so stress-reduction techniques can be most beneficial in relieving associated anxiety.
(See www.relaxintuit.com/tips.asp )

NOTE: I just did a quick online search. The following are not endorsements. I offer them simply as a starting place as you do your own research to discover what might be credible and of value for you to explore with a health care professional.

Gene found at the root of hair-pulling disorder
http://www.msnbc.msn.com/id/15063018/from/RS.5

TTM Treatment & Resources
http://www.trich.org

Hair Today Gone Tomorrow
http://www.vachss.com/help_text/archive/hair_today.html

Cognitive-Behavioral Treatment of Trichotillomania
http://www.homestead.com/westsuffolkpsych/trich_cbt.html

Trichotillomania: Out of the Closet
http://www.psychiatrictimes.com/trichotillomania/content/article/10168/54156?pageNumber=3

The Hair Pulling Habit
http://www.hairpullinghabit.com

The Hair-Pulling Problem
http://www.oup-usa.org/isbn/0195149424.html

You don't have to deal with this alone. There is excellent help available to explore both the cause of your habit and the best approaches to help you to rediscover the happiest, healthiest and most satisfying quality of life possible.

[Copyright 2000, 2008 Susie Mantell, Relax. . .Intuit (tm) LLC. All rights reserved.] Federal law prohibits use of this material in whole or in part without the express written consent of Relax...Intuit� LLC. For Reprint Permission: Kindly email your request for guidelines, pasting in the full text of the specific article you wish to use, to info@relaxintuit.com We'll try to reply within 72 hrs.]

Award-winning stress-relief expert Susie Mantell ...is the author of the deeply soothing relaxation CD, "Your Present: A Half-Hour of Peace,� clinically approved for symptoms associated with stress and sleeplessness, depression and grief, anxiety, P.T.S.D., Fibromyalgia, caregiver stress, cancer, pain, divorce and addiction recovery. Featured in The Los Angeles Times, NBC, ABC, CBS-TV, Town & Country, The American Pain Society, Hazelden and The Susan G. Komen Breast Cancer Foundation, listeners include The Mayo Clinic, Memorial Sloan-Kettering, The Betty Ford Center, V.A. Hospitals,and Canyon Ranch (#1 Spa.) Customizing stress-reduction for Fortune 500 companies, distinguished hospitals and spas, Mantell has facilitated thousands in relieving health-related, work-related, chronic or traumatic stress. Her multi-sensory, mind-body techniques appear in national media, medical and corporate publications. Susie Mantell's Stress-Relief & Wellness Tips are intended as an adjunct to, not a substitute for, professional health care. Order �Your Present: A Half-Hour of Peace� and find more of Mantell�s stress-relief tips at www.relaxintuit.com

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