Psychology In Seattle Podcast Hair Pulling Disorder (2015 Rerun)
Jan 20, 2026
Explore the intriguing world of hair pulling disorder, known as trichotillomania. The discussion reveals the powerful urge and relief cycle that compels individuals to pull hair, often leading to shame. Learn about the neurobiological factors at play and the role of dopamine in these behaviors. Treatment options, especially cognitive behavioral therapy, are examined alongside the limitations of medications. The importance of social support and understanding family patterns adds depth to this fascinating topic.
AI Snips
Chapters
Books
Transcript
Episode notes
High School Silence Around Hair Pulling
- Paulette recalls a high-school acquaintance with hair pulling that no one discussed openly.
- The story illustrates social stigma and silence around visible BFRBs.
Start By Dropping Shame
- Reduce shame first because shame prevents people from facing compulsions and seeking help.
- Accept the problem as a step toward treatment and avoid self-blame that perpetuates the cycle.
Medications Have Limited Value
- Medications exist but show limited encouraging success and carry significant side effects.
- Medication should be weighed carefully; expect low probability of benefit and possible trade-offs.
