Trichotillomania hairloss, causes and treatment options - Meshkin medical

Trichotillomania hair loss, causes and treatment options

There are many different causes of hair loss. Usually hair loss is genetic, however there are some systemic or mental illnesses that cause hair loss. Trichotillomania also known as hair pulling disorder is caused by mental issues resulting in permanent or temporary hair loss. This problem can occur in childhood or in adults and it is stress induced condition. The underlying stress may cause a patient to start pulling their hair out which will lead to hair loss.

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Hair pulling disorder is characterized by a very strong urge to pull the hair out around mostly scalp, but also any where in the body. Episodes of hair pulling can occur when people are under anxiety or stress. Some patients present with Obsessive Compulsive Disorder which causes a obsessive pulling of the hair one at a time and can last for hours in a day. It can go to remission state where a patient is will not pull hair for a time, but if a stress happens it will trigger the behavior to begin. Individuals with this condition may exhibit hair with different lengths and broken ends and even bald areas. Usually hair density is normal and the hair pull test is negative. It is often seen in persons with low self esteem and may have a stress related component. Other medical conditions that can be related to hair pulling include repetitive stress injury gastro intestinal obstruction and carpo tunnel syndrome.

Trichotillomania has a high overlap with post traumatic stress disorder. The treatment of the illness is to treat the cause of stress and the trauma. Usually it depends on the patient's age and the severity of the problem. In younger patients the problem is managed very conservatively. it is possible that in time and with some limited therapy the child would outgrow the condition. The family and the patient need to be aware of the condition and behavior modification programs can be helpful. In adult patients when trichotillomania is diagnosed, it is often associated with mental disorders and long term psychotherapy is considered. In many cases with therapy to heal the underlying stress causing problem, the prognosis is good. But if patient is introduced to stress induced environment the condition can return.

Dr. Mike Meshkin, a hair transplant specialist based in Los Angeles and Orange County offers many advises to his clients to start hair loss prevention when they notice thinning at the initial stages. It is important to keep hair healthy and follow a routine that help the overall health of the body and hair. If hair loss is genetic, then hair transplant can be an option to restore the hair that is lost and medical treatment is used to prevent future hair loss and keep hair healthy. In more advanced hair loss, it is a good idea to see a cardiologist to check for any sign of heart disease.

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To find out more about your hair loss, visit one of Dr. Meshkin's hair transplant and hair restoration clinics in Los Angeles or in Irvine locations. Dr. Meshkin will use the latest techniques to find out the cause of your hair loss and give the best hair restoration recommendations customized to your needs and concerns. You can also visit to find out about the hair care products that may help with your hair loss.

If you are suffering from hair loss or hair thinning you can contact us at (949) 219-0027 to schedule for a free consultation or visit our website at

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