How I cured my own chronic hair pulling, Trichotillomania, OCD

Probiotics are helpful in the treatment of trichotillomania. I take a probiotic each day and eat a cup of plain greek yogurt.


Hey everyone,

I am not selling anything here!  Not selling any books, not selling any products, nor services. Not selling anything at all. I started this free blog simply to tell others out there who may be suffering with chronic hair pulling, aka Trichotillomania, how I cured myself of this obsessive compulsive disorder, once and for all.    I am posting this account of what happened to me simply because I am so overwhelmed that this approach worked for me and I want to help other sufferers, to see if it works for them.

First off, I am not a doctor.  I am not a psychiatrist nor a psychologist.  I am not a nurse.  I am not a paramedic.  In fact, I am not a medical professional of any kind, and have had absolutely no medical training, ever.

Nothing written in this blog is intended as medical advice or any kind…

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I am halfway to my first goal.  My goal to have one month with more good days than bad days in regards to my hair pulling.  This goal, which first sounded impossible, now seems doable, easy even.  Next month, I will have to raise the bar.

I have gone 15 days without pulling from my scalp and of those 15 day I have had only 3 ‘bad’ days of pulling my lashes and/or eyebrows.  Now when I look back at those ‘bad’ days I don’t see them as failures, just reminders of why I need to stay strong, aware, and focused on my recovery.  I know that I need to follow the rules I have given myself and use the strategies I know that help.

I cannot become complacent with good enough progress, this has been my downfall in the past.  It is these hiccups along the way, that keep me focused and determined.  Over time, I know they will be less and less, but I do see the purpose and I will not loose hope or become discouraged.  Rather I choose to look at these slips as days to refocus my energy and remind myself why I am working so hard.  I know I will break free, but it will be a process.

Good Day

I’m feeling good about my progress.  I haven’t been ‘perfect’, but I’ve done well and been realistic with my expectations.  My plan will see me through in the long run.  I’m not going to beat myself up over ever slip, just focus on the numbers.  I want to see them going down each month.  This is my first month charting, but I know if I were to rate the last few months everyday would have been between a 7 and a 10.  Since setting my goal and starting charting with the 0-10 system 11 days ago, I still have not pulled from my scalp.  Yay!!  I have had seven 0’s, two 1’s, and two 4’s.

I have to look at the numbers to feel good about my progress. If I look in the mirror, I can’t tell, my hair still looks about the same.  I’m not focusing on how it looks, I’m thinking about how I’m doing and how I’m thinking.  I have a positive attitude, which is a game changer.  Yes, I pulled 2 eyebrows out today, BUT then I stopped myself even though the urge was strong. I am choosing to focus on the fact that I stopped and not that it wasn’t a perfect day or a ‘pull free’ day.  I don’t want to get stuck up in being pull free.  Its more important to improve, do my best, and love myself even when I have a bad 10 day…we all fall down, but it’s how we get back up that defines us.

As a teacher, I am a little obsessed with rubrics…so to help myself with Claudia’s rating system I made myself a rubric.  It’s not an exact science and I think over time I will get a feel for where I fall.  For now, I needed some guidance on specific things to look at when rating my pulling.  I also made up 5 ground rules for myself.  If I pull as a result of breaking these ground rules, then I will get a worse score.  I will probably tweak this as I go along.




Rules Broken

Time Spent Pulling

Areas pulled From






































~1 Hour






Way too many to count






#1 Where Bandaides or other barriers whenever possible, if not wearing them use fiddle toy /keep hands below neck and BE AWARE.

#2 Avoid mirrors. Don’ t stand close, do makeup quickly, avoid touch ups or unnecessary glances.

#3 Keep hands off of face. Don’t touch hair or eyes. Use only one finger or utensil if need to itch or touch eye/head and don’t linger. BE AWARE.

#4 Change activity when triggered before pulling begins.

#5 When stressed find way to take a break and relax (at least 1 minute deep breathing break).


Are you in love?

Well said, I am also “in love with the Lover of my soul”. I couldn’t imagine going through this life without knowing God’s love and grace. It is a personal, unconditional, and evey present love. God is love and when I feel this and see it’s power in my life I can’t help, but be overcome by the awesomeness of it all. Jesus loves me so much He would’ve done it all just for me. Francis Chan’s writes about this in his book Crazy Love.

All Glory to the Highest


I’m in love. News to you? Shouldn’t be. See, I’m in love with God. And because I’m in love with God, everyone everywhere who knows me should be aware of that. It’s kind of mandatory that I shout from the rooftops my love for Him. One should never question whether a Christian is a Christian. The love we have for our Jesus should ooze from our pores. It should flow into every conversation we have. It should consume our every waking thought. That love we have for Him should overtake our lives in such a way that no one could ever question our allegiance.

Does all this sound a little crazy? Perhaps a bit radical? It is! The love I have for my Savior is crazy and radical. Wanna know why? Because His love for me is crazy and radical. His love for me is immense. His love for me…

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In Walsh’s Commentary on Nutritional Treatment of Mental Disorders he gives a thorough explanation of methylation and it correlation to mental health. He is also the first scientist I have heard who specifically discusses trichotillomania in relationship to undermethylation. For this reason, I am very interested in finding out more about his work. In the following excerpt from his work, I have highlighted the information I found post pertinent.  Walsh describes a treatment plan using 3-4 grams of inositol in combination with 2,000-3,000 mg of I-methionine.


Effective “markers” for methylation are (1) whole blood histamine (ref. levels 40-70 mcg/dL), available from Quest and LabCorp; (2) Absolute Basophils (ref. levels 30-50), available from Direct Healthcare, Inc in the Chicago area.

Elevated histamine and/or elevated basophils indicate undermethylation. Review of symptoms and medical history can bolster the diagnosis. For example, most undermethylated persons exhibit seasonal allergies, perfectionism, strong wills, slenderness, OCD tendencies, high libido, etc. Overmethylated persons generally exhibit anxiety, absence of seasonal allergies, presence of food/chemical sensitivities, dry eyes, low perspiration, artistic/music interests/abilities, intolerance to Prozac and other SSRI’s, etc.

Conditions associated with undermethylation: Anorexia, Bulemia, shopping/gambling disorders, depression, schizo-affective disorder, delusions, oppositional-defiant disorder, OCD.

Conditions associated with overmethylation: Anxiety/Panic disorders, anxious depression, hyperactivity, learning disabilities, low motivation, “space cadet” syndrome, paranoid schizophrenia, hallucinations. (Oct 3, 2003)

One-carbon (methyl) groups are involved in numerous important biochemical reactions in the body, including genetic expression, neurotransmitter synthesis and metabolism, etc. Methylation (more properly, the methyl/folate ratio) is a major factor in the rate-limiting step (the tetrahydrobiopterin reaction) in the synthesis of serotonin, dopamine, and norepinephrine in the brain. Undermethylated persons tend to be depleted in these 3 neurotransmitters, and the opposite is true for overmethylation.

The SAM cycle in which dietary methionine is converted to SAMe (the primary CH3 donor in the body), and then to homocysteine, is a dominant cascade of reactions in methylation and also is very important in production of glutathione, cysteine, and other aspects of sulfur chemistry.

Most persons with depression, oppositional defiant disorder, OCD, bipolar disorder, or schizophrenia exhibit a genetic abnormality in methylation….. which appears to be central to their illness. Carl Pfeiffer, MD, PhD of Princeton, NJ was a pioneer in this field. (Oct 3, 2003)

About 25 years ago, Dr. Carl Pfeiffer (Princeton, NJ) identified the condition he called “histapenia” or histamine deficiency. After studying the metabolism of more than 20,000 schizophrenics he learned that this  “low histamine” syndrome was common in anxiety, panic disorders, and classical paranoid schizophrenia. His enormous biochemistry database revealed that most histapenics suffered from (1) copper overload and (2) deficiency of folic acid and/or B-12. More importantly, he found that aggressive therapy using folic acid, B-12, and B-3 usually produced dramatic improvements in these persons. Pfeiffer thought the improvements were largely due to elevating histamine levels in the body & brain.

Subsequent research has indicated that the improvements are due to normalizing the methyl/folate ratio. This ratio is important in the BH4 rate-controlling step in catecholamine synthesis (dopamine & norepinephrine). Also, methyl/folate abnormalities can impact genetic expression of many biochemicals. At any rate, too much methyl results in overproduction of DA and NE, and vice versa.

Also, a serious overload of homocysteine (homocysteinuria) can result in symptoms quite identical to paranoid schizophrenia. Folic Acid & B-12 serve to lower HCy levels.

One thing that is absolutely certain is that methionine and/or SAMe usually harm low-histamine (overmethylated persons)….. but are wonderful for high-histamine (undermethylated) persons. The reverse in true for histadelic (undermethylated) persons, who thrive on methionine, SAMe, Ca and Mg….. but get much worse if they take folates & B-12 which can increase methyl trapping.

I guess the bottom line is that undermethylated persons generally exhibit very elevated folate levels…. and these persons get worse if additional folate is given.

This is a fairly complex subject, and some of my medical staff are still struggling with the concept. However, they have the solace of knowing the clinical impact of methylation or folate therapy on persons with specific methylation/histamine disorders.

It’s certainly true that whole blood histamine is compromised by AH treatments (including antigens and many psychiatric medications). We’ve gotten quite proficient in taking these factors into account. Fortunately, the ABC test doesn’t suffer from this disadvantage. Also, the syndromes of over-methylation and under-methylation are well defined…. and a medical history & review of symptoms greatly aids the diagnosis. (Oct 6, 2003)

The generalization that perfume and other chemical sensitivities are associated with overmethylation, low blood histamine, and elevated norepinephaine… is exactly that…a general rule with many exceptions.  However, the correlation seems to be above 90 percent in the case of perfume sensitivity.  Whenever a patient enters our clinic wearing a mask to filter out inhalant chemicals, we immediately suspect the overmethylation syndrome.  The chemical testing usually confirms this diagnosis, but there definitely are a few persons who have severe perfume sensitivity for other reasons.  We’ve evaluated about 19,000 persons, including about 1500 with anxiety disorder or panic disorder.  Hundreds of these patients reported sensitivity to perfumes.  Nearly 90 percent of the perfume-sensitive group were overmethylated, and reported multiple chemical and food sensitivities. usually in the absence of seasonal inhalant allergies.  Perfume sensitivity is a classic symptom of these high nonepinephaine persons, who usually respond beautifully to folate/B-12 therapy [1 Dec -03]

Inositol is especially helpful for undermethylated persons (for example most persons with OCD), but can cause negative side effects in those who are overmethylated. Since Inositol is one of the primary second messengers in neurotransmission, it’s surprising is isn’t more commonly used. It’s especially useful in reducing anxiety and enhancing sleep.

To enhance sleep for a 160 lb person, we usually recommend 650 mg tablets, 1-3 as needed for sleep. Persons who have difficulty falling asleep should take it 30-60 minutes before sleep. Persons whose main problem is waking up in the middle of the night should take it at bedtime.

We’ve often given as much as 3-4 grams/day to undermethylated persons who respond beautifully to Inositol, and these persons take it morning, noon, and evening.

I once gave an invited presentation at a symposium at an APS annual meeting… in which data on megadoses (15-30 g) of Inositol were reported by another speaker. The volume of Inositol used seemed extreme to me, and would present daunting compliance problems. I believe such huge doses of Inositol are unnecessary, if methionine, calcium, B-6, and other nutrients to combat undermethylation are used. However, massive doses of Inositol might be needed if one tries to combat OCD with Inositol alone. 

Regardless of the form of inositol, its use should be started as a trial, with close monitoring of patient. We’ve found that persons who achieve improved sleep after inositol are excellent candidates for taking it throughout the day also. I recommend you be alert for adverse side effects, especially with persons with severe anxiety or panic symptoms

Trichotillomania has been associated with OCD and undermethylation. If you can confirm the presence of undermethylation, the patient should benefit from (1) aggressive doses of l-methionine, calcium, magnesium, along with augmenting nutrients zinc, B-6, Inositol, Vitamin A & C and (2) strict avoidance of folic acid, choline, DMAE, and copper supplements

Aggressive methylation therapy can be very successful, but usually involves a very slow response. Typically, treatment with methionine, calcium, magnesium, B-6, etc requires about 2 months before the patient before any progress is evident — and 6-12 months are required for all of the benefits to be attained. Please note that whole blood histamine is a marker for innate methylation tendency, but is not an indicator of wellness or the degree to which undermethylation has been overcome. Undermethylated patients can become quite well without their histamine lab results changing at all.

One way to speed up the process of recovery is to use SAMe supplements in the beginning. Undermethylated patients usually report nice progress after the first week or two. SAMe is quite expensive, and can be gradually replaced by methionine after a couple of months.

Nearly all severely undermethylated persons have low serotonin levels and present with a history of depression, internal anxiety, and OCD. Many have a history of perfectionism and high accomplishment in the early years.  Unfortunately this population also has a tendency for non-compliance with any treatment.

The late and great Carl Pfeiffer would occasionally resort to use of the anti-histamines Benedryl or Dilantin in high-histamine persons who were slow to respond. Avoidance of folate supplements is essential for most undermethylated persons, an exception being autism.

Some practitioners like to tinker with the SAM cycle to promote conversion of homocysteine to methionine, but this can deplete the cystathione pathway and result in deficiencies of glutathione, cysteine, etc. Some persons have a genetic enzyme weakness which can disrupt the SAM cycle

Undermethylated adults typically require 2,000 – 3,000 mg/day of methionine for several months to see good results. Also, augmenting nutrients such as calcium, magnesium, B-6, and zinc are essential.

The Big Picture

It is important to look at your overall pulling trend rather than the # of pull free days.  If pull free is your focus one bad day could bring you down, but if you look at the big picture, then you can put that one bad day in perspective with all of the good days.  I have been rating my pulling based on the system Claudia Miles describes in the following article.

You CAN Recover From. Hair Pulling in 2014: Here is How

There’s all this talk about CBT therapy being the “most” effective. I agree more with the “C” (cognitive) part than the “B” part (behavioral). The bottom line is, if you don’t change the way you look at hair pulling* (*applies to skin picking throughout) there is no lasting recovery. Just today someone told me, “I was doing better and having lower numbers* for several months. Then I started pulling more and more and felt hopeless, and now I’m back where I was.” (*Earlier in this blog I suggest people write down ONE number every day re their pulling or picking. Rate your pulling from 0 to 10, 0 being zero pulling, 10 being your worst day. That will be your “scale.” That will be the one and only way you know you are recovering. NOT the hair on your head or lashes or brows. JUST the numbers. And the goal is to move from month to month having overall lower numbers with the understanding that you will have some bad days and that real success is accepting those and moving on.)

The person above who did better for a while and then had some bad days and felt hopeless again and gave up, her story embodies all our stories. Whether the length of time you’ve done better is a few months, a few weeks, a few days, a few hours or a few minutes, and the return to increased pulling is a moment, a day or a week, that step backwards is everyone’s undoing. It was my story when I was pulling. Unless you can live through that moment and know it’s part of the process, CBT or meditation or any other method will fail You. Because recovery is, will be, two steps forward, one step back. It will be three steps forward, two steps back. It may be eight steps forward, five steps back. You have not “gone backward,” you have not “undone your progress.” Because progress won’t show on your head or your face (lashes, brows, skin) until later. Until you’ve done well, had that bad day or two, put it into context (the addiction trying to trick you into hopelessness so you will pull or pick), accepted it, checked not your hair or face right then but rather the general improvement in overall numbers, you CAN NOT RECOVER. Once you can see that those bad days will come and not let them deter you, your recovery is ASSURED.

Prepare for that. Because as you learn to live without the comfort of pulling to turn to, the part of your psyche where your addiction is lodged, will get scared. For food addicts it is scary not to have comfort food to turn to. And that fear will inevitably cause, urge, cajole and tempt you to binge on something in the midst of changing over to healthy eating and moderation. With pulling that fear will cause you to have a few binge pulling days. And if at that time you say, “Forget it. I can’t do this. I messed up. I failed, I’ll never lose the weight,” YOU WILL GIVE UP. You will say, as we all have, what’s the point? It doesn’t matter. I’ve ruined it.

Ah but you have not. Because you won’t stop suddenly and completely. You’ll stop gradually. And you’ll have bad days in there. And if you learn not to judge them or panic or tell yourself, SEE I have failed, THEN you will have succeeded. Eventually you won’t have to have those bad days. But the problem isn’t those bad days. It’s allowing those INEVITABLE bad days to stop you.

Because this will take a year. A year on the path. And then your hair will grow back. Your skin will heal. And if you demand this take three months, well it just won’t happen at all. I know a year is a long time. But so is FOREVER. Do you want to pull one more year or forever?

During this year your motivation simply cannot be about how you look or your hair growing in but about feeling good about yourself. About feeling whole. Saying “fuck it I’m ugly” is the addiction talking. Saying “there is no point” is the addiction talking. Saying “I don’t care” is the addiction talking.

The only way to avoid that is to understand that at the beginning you must focus on feeling good or at least better about yourself because you are working on the pulling. And writing down a number every day and focusing on improving the numbers and seeing them get lower each month that goes by, will keep you motivated. Knowing that you could feel proud the next day or next week is motivation. Knowing that judging yourself along the way is simply the addiction talking will keep you motivated.

It is NOT YOUR FAULT you have Trich or skin picking disorder. But it is your responsibility to face it. When you say, “I don’t care” to give yourself temporary permission to pull you are lying to yourself. Of course you care. That doesn’t mean you can always stop in that moment but you care. Pulling for all intents and purposes is an addiction. And you are a slave to it. So care about THAT. It’s NOT, I am bad, what’s wrong with me, it’s more, This is costing me a lot and is keeping you from living the life you want. That’s why I care.

Above all else do not beat yourself up. Do not ask yourself WHY over and over again or What is wrong with me??. (Answer: Because you have trich or CSP. There is no other reason.)

One cannot recover without shifting the center of motivation from hair to how I feel about myself, how this affects my life. Because the hair takes time to grow. If it’s about the hair everyone fails. Because it’s too easy to say that, well it looks like shit now so I may as well pull.

That is pretty much why people can’t recover: Well my hair or lashes and brows or face looks like shit anyway (thus there will be no immediate payoff) so I might as well pull.

Imagine a person who weighs 350 lbs trying to lose weight. All they have is the scale to help them to see they are losing weight. They can’t see it on their body right away. All you’ll have for now is those numbers going down. This person who weighs 350 lbs must be proud that they are undertaking the journey. No new clothes shopping now perhaps. Maybe they don’t feel pretty. But they are achieving a goal. Of lower numbers on the scale. And they can and must feel good about in order to keep going.

At the end of this thing you will have your hair. But at first make it your business to have lower numbers one month to the next and prepare for those inevitable bad days and they need not take you down.

I KNOW that you can recover from pulling. And believe me, I never thought I could either. But now I know different. The only substitute for pulling is self-acceptance and self-love, self-care and setting boundaries. Read Radical Acceptance. Read Codependent No More. And since it should be said, Take a day or night off just for you.  Exercise. Eat healthy good. Sleep well. Say NO once in a while.  Don’t remain friends with people who are takers. Don’t wait till you stop pulling to live life and to enjoy life. I’ll be happy to answer questions here if you have them.

Claudia Miles

My Trich Supplements


March-April 1200mg

May-Aug 15 2400mg

Aug 16 begin 3600mg

Inositol Powder:

Week 5 Aug 3-9 (12 g/day)

Week 6 Aug 10-16 (18g/day) full dose

Methanonine/SAMe+ magnesium, calcium, zinc

SAMe 200mg Aug 14

SAMe 400mg Aug 21

SAMe 400mg + 1000 methanonine Aug 28

SAMe 400mg + 2000 methanonine Sept 7

SAMe 200mg + 3000 methanonine Sept 14

Oct 1: 3000 mg methanonine, no SAMe


Calcium 1000mg (100% daily value)

Magnesium 400mg (100% daily value)

Zinc 15mg (100% daily value)

Probiotic -10 strains, 25 billion organisms

B-6 100 mg (5,000% daily value)

A 10,000IU (200% daily value)

(note: high doses of vitamin A for extended periods of time are harmful and not recommended)

DHA 500mg

EPA 250 mg

Biotin 10,000mcg

C 1,000mg (only 2x/week)

The Light

I can finally see the light at the end of this 20 year dark, dark tunnel.  After so many attempts to stop pulling, I have finally found something that reduces the urge.  I had learned many coping mechanism and preventative strategies, but the decreased urge makes this so much easier.  The combination of inositol, NAC, methanonine, and the John Kender diet are really helping. I have not had an urge to pull from my scalp (which is unheard of). I am also more aware of my pulling and feel like I have more control to stop myself from an urge or after an involuntary pull. I have not pulled from my scalp in nine days. In those nine days, I have pulled less from my lashes and brows with two minor episodes where I pulled a bit. It was easier for me to stop myself and stay strong for the rest of the day after those 2 slips. Normally, once I had started, it would’ve been an all day battle, but I was able to regain control. I feel hopeful for the first time in a long while that I can beat this.

Day 7

Today has been another good day.  Since my little slip yesterday morning, I have been pull free and continued with my action plan (JK diet / supplements).  I also made an appointment with a trich specialist in my area.  I met with her once a few months ago.  At the time, I was very busy with work and didn’t have the time to put my all into recovery.  Now, I am no longer teaching and feel this is the time to break free from trich.  I have seen many therapists over the years, but this doctor actually had trich and recovered after over 30 years of intense pulling.  Living through it changes your perspective and I think she can really help me.  If nothing else, it is just nice to talk face to face with someone who gets it, who gets this huge part of me.  She fit me right in and I go on Tuesday. 

Genetic Factor

Scientists at Duke University Medical Center have identified gene mutations that cause trichotillomania, a psychiatric disorder that triggers people to compulsively pull their hair.

The disorder affects between 3 percent and 5 percent of the population and is considered an impulse control disorder. Patients with trichotillomania have noticeable hair loss or patches of baldness, but they often mask their habit. As a result, the disorder often goes undiagnosed and untreated, said researchers.

The relatively unknown disorder is often accompanied by other psychiatric conditions, such as anxiety, depression, obsessive compulsive disorder or Tourette syndrome, which are better known than the hair-pulling behavior.

The Duke team found two mutations in a gene called SLITKR1 that were implicated in trichotillomania patients. The mutations account for only a small percentage of trichotillomania cases, said the scientists.

However, their findings are significant because they validate a biological basis for mental illnesses. Such illnesses have long been blamed on a person’s upbringing or life experiences, said lead study investigator Stephan Züchner, M.D., assistant professor of psychiatry and researcher at the Duke Center for Human Genetics.

“Society still holds negative perceptions about psychiatric conditions such as trichotillomania. But, if we can show they have a genetic origin, we can improve diagnosis, develop new therapies and reduce the stereotypes associated with mental illness,” Züchner said.

Currently, there is no specific treatment for trichotillomania, although it is sometimes successfully managed with drugs used for depression and anxiety disorders.

Results of this study will appear in the October 2006 issue of the journal Molecular Psychiatry. The research was self-funded through Duke University.

The Duke scientists studied 44 families with one or more members who had trichotillomania. The researchers studied SLITRK1 because it was linked last year to a related impulse-control disorder called Tourette syndrome, which causes repetitive behaviors such as blinking, throat-clearing or shouting obscenities. The parent of one Tourette patient carried the SLITRK1 mutation but displayed only symptoms of trichotillomania, not Tourette.

The Duke team further studied SLITRK1 and found two mutations in the SLITRK1 gene among some individuals with trichotillomania but not in their unaffected family members. Mutations are changes in the structure of a gene that alter how the gene behaves. The researchers estimate that the SLITRK1 mutations account for 5 percent of trichotillomania cases.

The SLITRK1 gene is involved in forming connections among neurons, or brain cells. The researchers hypothesize that the two mutations in SLITRK1 cause neurons to develop faulty connections and that this faulty “wiring” produces the urge to pull one’s hair.

While SLITRK1 is the first gene linked with trichotillomania, numerous other genes likely contribute to this disorder and other psychiatric conditions, said senior study investigator Allison Ashley-Koch, Ph.D., assistant professor of medical genetics and researcher in the Duke Center for Human Genetics.

“The SLITRK1 gene could be among many other genes that are likely interact with each other and environmental factors to trigger trichotillomania and other psychiatric conditions,” Ashley-Koch said. “Such discoveries could open the door for genetic testing, which is completely unheard of in the field of psychiatry.”

Compared with neurological diseases, the identification of genes which underlie psychiatric disorders have only just begun, she said. Few other examples exist where a specific gene is known to trigger a psychiatric condition, although it is generally accepted that genetic factors play an important role.

Psychiatric illnesses are widespread, affecting one in four Americans, according to the National Institutes of Mental Health. They are the leading cause of disability for Americans between the ages of 15 and 44. The most common disorders are depression and anxiety disorders, such as panic disorder, obsessive compulsive disorder and social phobia.

October 1-8, 2006, is National Trichotrillomania Awareness Week.

Other researchers involved in this study were Michael L. Cuccaro, Khanh Nhat Tran-Viet, Heidi Cope, Ranga R. Krishnan and Margaret A. Pericak-Vance of Duke and Harry H. Wright of the University of South Carolina.

I blog about my personal struggle with trichotillomania and bipolar disorder. I also discuss helpful strategies, reflections, and treatments.

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