The Phases of Trichotillomania

There are three main phases to Trichotillomania:

1. An initial experience of tension or stress accompanied by a desire to pull out some hair.

2. Hair pulling begins and feels good, with a sense of relief, as well as some excitement.

The sufferer may play with or eat the hair once the haor has been pulled out.

3. Once the hair is pulled, the sufferer feels guilt, remorse, and shame. Attempts are made to cover the bald patches with scarves, hats, wigs, eyeliner and sufferers begin hiding at this point, or to feel intensely humiliated.