Category Archives: Mental Illness

What is Trichotillomania?

A great overview of trichotillomania provided by the Trichotillomania Learning Center (TLC)


What is Trichotillomania?

For an in-depth of overview of treatment guidelines and considerations for trichotillomania, download our free booklet, Experts Consensus Treatment Guidelines

Trichotillomania (trick-o-till-o-may-nee-uh) (TTM or “trich”), also known as Hair Pulling Disorder, is characterized by the repetitive pulling out of one’s hair. Trichotillomania is one of a group of behaviors known as Body-Focused Repetitive Behaviors (BFRBs), self-grooming behaviors in which individuals pull, pick, scrape, or bite their hair, skin, or nails, resulting in damage to the body.

Research indicates that about 1 or 2 in 50 people experience trichotillomania in their lifetime. It usually begins in late childhood/early puberty. In childhood, it occurs about equally in boys and girls. By adulthood, 80-90% of reported cases are women. Hair pulling varies greatly in its severity, location on the body, and response to treatment. Without treatment, trichotillomania tends to be a chronic condition; that may come and go throughout a lifetime.

Signs & Symptoms

Trichotillomania is currently classified as an “Obsessive Compulsive and Related Disorder” in the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition.

The DSM-5 diagnostic criteria include:

Recurrent hair pulling, resulting in hair loss

Repeated attempts to decrease or stop the behavior

Clinically significant distress or impairment in social, occupational, or other area of functioning

Not due to substance abuse or a medical condition (e.g., dermatological condition)

Not better accounted for by another psychiatric disorder

Hair pulling may occur across a variety of settings and both sedentary and active activities. There are times when pulling occurs in a goal-directed manner and also in an automatic manner in which the individual is less aware. Many individuals report noticeable sensations before, during, and after pulling.  A wide range of emotions, spanning from boredom to anxiety, frustration, and depression can affect hair pulling, as can thoughts, beliefs, and values.

Although the severity of hair pulling varies widely, many people with trichotillomania have noticeable hair loss, which they attempt to camouflage. Thinning or bald spots on the head may be covered with hairstyles, scarves, wigs, or makeup. Those with missing eyelashes, eyebrows, or body hair, may attempt to camouflage with makeup, clothing, or other means of concealing affected areas.

Due to shame and embarrassment, individuals not only try to cover up the effects of trichotillomania, but may avoid activities and social situations which may lead them to feel vulnerable to being “discovered” (such as windy weather, going to the beach, swimming, doctor’s visits, hair salon appointments, childhood sleepovers, readying for bed in a lighted area, and intimacy).

Impact and Effects

For some people, trichotillomania is a mild problem, merely a frustration. But for many, shame and embarrassment about hair pulling causes painful isolation and results in a great deal of emotional distress, placing them at risk for a co-occurring psychiatric disorder, such as a mood or anxiety disorder. Hair pulling can lead to great tension and strained relationships with family members and friends. Family members may need professional help in coping with this problem.

Physical effects such as pruritus, tissue damage, infection, and repetitive motion injuries to the muscles or joints are not uncommon. Those who ingest the pulled hair or parts thereof may experience gastrointestinal distress or develop a trichobezoar (hairball in the intestines or stomach), which could lead to gastrointestinal blockage and require surgical removal. Although trichobezoars are rare, they are a serious risk for those who ingest hair.

Keep reading

What causes BFRBs?

How are body-focused repetitive behaviors treated?

Read our Experts Consensus Treatment Guidelines


Hope for Bipolar Depression

Even in our darkest places, we will eventually realize that there is hope to get through our tragedies and hardships. What may seem hopeless one day, will lead into another, that will assure us that depression does not last forever. When we are in the middle of it, we cannot see the light, but upon reflection, many realize that there is room to grow and learn from our experiences, no matter how bleak and dark. I know this to be true when attempting to fight off the darkness that never seems to end.

Depression is an element of bipolar disorder that we can never escape, but it is truly in reaching out for help that will bring us on a journey of recovery and acceptance that makes it okay to not be okay. It is imperative to know that clinical depression is not always triggered by something in particular, and there is often not a ‘reason’ for the experience. We are plainly dealing with a mental illness that often has no specific logical circumstantial indicator. As we travel through the valleys, we just have to remember than one day, we will once again soar into a place of stability and balance. Taking the first step by reaching out may be the most difficult, but it is also one of the most vital decisions that you will ever have to make.

Keep your heads up guys and know that you too are worthy of understanding, acceptance, and empathy. Never be afraid to ask for the help that you so rightfully deserve.

When God Doesn’t Move the Mountain

Why can’t I  stop pulling my hair?

Why do I still have manic episodes?

Why does this cloud of depression try to consume me?

 I know God can heal me. The creator of the universe can do anything. So I wonder, will He ever heal me? I pray and pray and try to fight through His strength. Some days are better than others, but the bottom line is that these strongholds are the anchors trying to drag me down.  I am the child of the one true King and nothing the devil throws at me will change my unwavering faith and love for my God, my Savior, and my closest Friend.

Through my most recent manic episode that lasted about four months, I have begged for healing.  Through my prayers and seeking God through His Word, I keep getting the same message.  There is a purpose for my pain. God will use me and my struggles in His time. I know His plans are perfect and He is preparing me for what lies ahead.

In 2 Corinthians, Paul talks about his disability. Paul is the guy with an insurmountable faith. He commanded people to be healed in the name of Jesus, and they were healed instantly. He told a demon to flee simply  because he was annoyed, and the demon fled. Paul clearly lacks no faith. He’s the guy that could say to a mountain, “move,” and it would have to move. He says:

“…I was given the gift of a handicap to keep me in constant touch with my limitations. Satan’s angel did his best to get me down; what he in fact did was push me to my knees. No danger then of walking around high and mighty! At first I didn’t think of it as a gift, and begged God to remove it. Three times I did that, and then He told me,

‘My grace is enough; it’s all you need. My strength comes into its own in your weakness.’

Once I heard that, I was glad to let it happen. I quit focusing on the handicap and began appreciating the gift.”  {2 Corinthians 12:7-12}

The poster child of faith could not pray his own disability away. Three times he prayed, using a level of faith that is hard to wrap my mind around…and God still said no. God wanted Paul to rely on His grace to make it through, not on Paul’s own ability. God wanted to bring Paul to his knees so that he would have to rely on Him to get by.

But sometimes God says no.

You don’t have to tell yourself that the faith you just tried so hard to muster up, so intensely that it made you physically sick, wasn’t enough. That if you could just try a little harder, you could make God change the situation. That you could somehow control God.

Because, surprisingly, it’s incredibly comforting to know that God can say no. And he does, often. There’s strength in knowing we can’t control His decisions, and that the outcome does not always, in fact, depend on our level of faith.

And there’s strength in knowing that sometimes God doesn’t move the mountains, simply because He wants us to rely on Him to climb them.

Never Let the Presence of a Storm Cause You to Doubt the Presence of God



God is always with us. Our hardest times are those times we need Him most. Learning to lean on Him during these storms is life changing. The hardest times in my life have actually been a blessing because they have radically changed my relationship with God. I now know I cannot make it through life without Him.

We are not built to be strong enough or good enough to do this life on our own. We are all created with a God size hole in our soul. There is only one Love, one Truth that can fill that yearning. He is the only way we can truly feel peace and joy. No amount of money, success, or fame can compare. All things of this world leave us feeling empty because we were designed to have a relationship with our creator.

I love my family and friends, but Jesus comes first. He is the only one who understands all of me. He knows my darkest secrets and deepest fears and He loves me because of the broken imperfect person I am.


In the Storm

God With Us

He’s with you through the pain. He comforts you in the waiting. When you’re anxious about your future, He gives you courage. As you climb the mountain, He keeps you safe in His arms. In every moment, we have God With Us. 🙏✝️❤️

Click the link to watch it now! 🔽

Life Church Sermon: In the Storm

Does Bipolar Disorder Run in Families? — The Bipolar Writer

I can trace Bipolar disorder in my family in at least three generations on my family tree. Two of my great aunts, a second cousin, first cousin on one side, and a first cousin on the Rhee side. My sister also suffer with bipolar 2 and trichotillomania just like me.

It’s interesting looking at my own tree, it feels like walking through a forest. Every tree is little bit different but they share parts of the same family. I have no idea if that made sense. I […]

via Does Bipolar Disorder Run in Families? — The Bipolar Writer

Suffering Produces Perseverance

I no longer wish I never had trich or bipolar disorder. Although both come full of pain and suffering, there is another side. Working through my struggles has made me the person I am today. I don’t know if I would have have the same faith, spirit of perseverance, or compassion. I think my best traits have been developed through my pain. God did not cause my suffering, but He will use it for good.

I still hope to be pull free, but I am happy now as I am. My moods are relatively stable and I have settled on a set of meds that works for me. I still pull, but it does not rule my life. Yes, I do spend a considerable amount of time practicing awareness and coping strategies. However, I do not feel like less of a person because I do this or because I am missing some hair. Everyone has some form of struggle in their life. Learning to use that suffering for good is the key to moving through it and finding a purpose for your pain. I read this devotional earlier today and thought that it lined up so well with the verse that has been on my heart, Romans 5:3-4.

Your Pain Often Reveals God’s Purpose for You


Your pain often reveals God’s purpose for you. God never wastes a hurt! If you’ve gone through a hurt, he wants you to help other people going through that same hurt. He wants you to share it. God can use the problems in your life to give you a ministry to others. In fact, the very thing you’re most ashamed of in your life and resent the most could become your greatest ministry in helping other people.
Who can better help somebody going through a bankruptcy than somebody who went through a bankruptcy? Who can better help somebody struggling with an addiction than somebody who’s struggled with an addiction? Who can better help parents of a special needs child than parents who raised a special needs child? Who can better help somebody who’s lost a child than somebody who lost a child?
The very thing you hate the most in your life is what God wants to use for good in your life.
The Bible says in 2 Corinthians 1, verses 4 and 6, “God comforts us in all our troubles so that we can comfort others. When we are weighed down with troubles, it is for your comfort and salvation! For when we ourselves are comforted, we will certainly comfort you. Then you can patiently endure the same things” (NLT).
This is called redemptive suffering. Redemptive suffering is when you go through a problem or a pain for the benefit of others.
This is what Jesus did. When Jesus died on the cross, he didn’t deserve to die. He went through that pain for your benefit so that you can be saved and go to Heaven.
There are many different causes for the problems, pains, and suffering in your life. Sometimes the stuff that happens you bring on yourself. When you make stupid decisions, then it causes pain in your life. If you go out and overspend and buy things you can’t afford and presume on the future, and then you go deeply in debt and lose your house, you can’t say, “God, why did you let me lose my house?” You can’t blame God for your bad choices.
But in some of your problems, you’re innocent. You’ve been hurt by the pain, stupidity, and sins of other people. And some of the pain in your life is for redemptive suffering. God often allows us to go through a problem so that we can then help others.