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Emotion Regulation in Trichotillomania: How to Manage Hair-Pulling

If you’re here, chances are you’ve struggled with pulling your hair and you’re trying to figure out why it happens or how to stop. I get it—it’s tough to explain this habit to others, let alone understand it yourself. But let’s sit down and chat about something that might help: the connection between your emotions and trichotillomania (TTM).

You see, TTM isn’t just about hair-pulling; it’s deeply tied to how we handle emotions. Emotion regulation in trichotillomania plays a crucial role in helping individuals manage hair-pulling behaviors. For some of us, pulling becomes a way to cope—something we turn to when we’re overwhelmed, stressed, or even bored. And while it might bring temporary relief, it can also leave us feeling stuck in a frustrating cycle.

Let’s unpack what’s going on and how you can start taking small, meaningful steps to manage it.

Why Emotions Matter in Trichotillomania

So, what’s emotion regulation, and why does it matter?

Emotion regulation is how we manage and respond to our feelings. For most people, it’s second nature—they get upset, cry, talk to a friend, or go for a walk. But for those of us with TTM, it’s not so simple. Research shows that people with trichotillomania often have a harder time recognizing, managing, and expressing their emotions.

Think about it: have you ever noticed how pulling seems to happen when you’re feeling something big? Stress, anger, boredom—it’s like pulling becomes your body’s way of saying, “I can’t handle this right now.” The tricky part is that while pulling might bring relief in the moment, it doesn’t actually solve the problem, and the emotions come right back.

What Triggers Hair-Pulling?

One of the biggest keys to managing TTM is understanding your triggers. Research suggests a few common ones:

  • Stress and Anxiety: Maybe it’s a big deadline or an argument with a loved one. Stress can make pulling feel like an outlet for all that pent-up tension.
  • Boredom or Restlessness: Long, quiet moments can be surprisingly hard to handle. Pulling gives you something to focus on when nothing else feels engaging.
  • Frustration: When things don’t go as planned, pulling can feel like a way to release that anger or irritation.
  • Seeking Comfort: Sometimes pulling becomes a soothing ritual, even though it’s not what we truly need.

Recognizing your triggers is the first step to finding better ways to cope.

How Emotion Regulation in Trichotillomania Can Break the Cycle

Breaking the cycle of hair-pulling doesn’t happen overnight, but it’s 100% possible with small, intentional steps. Here are a few ideas backed by research:

1. Understand Your Emotions

Take a moment to pause when you feel the urge to pull. Ask yourself:

  • What am I feeling right now?
  • Did something just happen to make me feel this way?

You’d be surprised how often pulling is linked to emotions you might not have noticed at first—like frustration after a tough conversation or boredom during a long TV binge.

2. Find New Ways to Cope

Pulling often happens because we don’t know what else to do with our emotions. Here are a few alternatives:

  • Squeeze a stress ball.
  • Use a fidget toy or spinner.
  • Try grounding techniques like holding an ice cube or focusing on your breath.

It’s not about stopping the urge immediately—it’s about giving your body another way to process what it’s feeling.

3. Practice Self-Compassion

Here’s the thing: you’re not weak or broken because you pull your hair. In fact, research shows that TTM often starts as a way to manage emotions when nothing else feels possible. So, instead of beating yourself up, try saying, “This is hard, but I’m working on it.”

4. Get Professional Support

Therapies like Habit Reversal Training (HRT) and Acceptance and Commitment Therapy (ACT) can help you build skills to manage both the behavior and the emotions behind it. A therapist trained in body-focused repetitive behaviors (BFRBs) can be a game-changer.

A Personal Note on Hope

I know it can feel like trichotillomania has taken over your life. I’ve been there too—those moments where you feel like the pulling is bigger than you are. But let me tell you something: every small step you take matters. Learning to understand your emotions and practicing emotion regulation in trichotillomania can make a world of difference.

Research tells us that TTM isn’t just a habit—it’s your body’s way of handling emotions that feel too big to face. And the good news? You can learn healthier ways to cope. It’s not about being perfect; it’s about progress.

If you’ve made it this far, thank you for reading. You’re not alone, and there’s a whole community of people out here cheering you on.

If you’re looking for more ways to manage trichotillomania, I’ve also put together a guide with practical tips and strategies. You can check it out here: Coping Strategies for Trichotillomania: Research-Backed Tips. I hope it helps!

Source:

Tanya Arabatzoudis, Imogen C. Rehm, Maja Nedeljkovic, Richard Moulding, Emotion regulation in individuals with and without trichotillomania, Journal of Obsessive-Compulsive and Related Disorders, Volume 12, 2017, Pages 87-94, ISSN 2211-3649, https://doi.org/10.1016/j.jocrd.2017.01.003.

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