Although there is much more readily available information about BFRBs, there are still many misconceptions about trichotillomania. One important misunderstanding is that trich falls under the umbrella of self harm. Therapists working with Trich (as well as those with Trich themselves) must understand that Trichotillomania is not self-harm but rather a self-soothing behavior. That is not to say that one does not experience harm as a result of doing it, but one can say the same of addicts. Yes the addiction causes harm, but it is done to feel good and is not known as a “self harming” behavior. This is a crucial psychological point when understanding and working with Trich and BFRBs, whether your own or your patients.