My Eyelashes Hurt And I Pull Them Out: Understanding And Managing Trichotillomania

Do you find yourself constantly pulling out your eyelashes without even realizing it? Does the urge to pluck cause you physical pain and emotional distress? If so, you may be suffering from trichotillomania, a common but often misunderstood disorder. In this article, we’ll explore the causes, symptoms, and treatments for this condition, as well as provide tips for managing the urge to pull and promoting healthy eyelash growth. Join us as we delve into the world of trichotillomania and discover ways to find relief from the constant cycle of pulling and pain.

My Eyelashes Hurt and I Pull Them Out: Understanding and Managing Trichotillomania

Understanding and Managing Trichotillomania: My Eyelashes Hurt and I Pull Them Out

Trichotillomania is a serious psychological disorder that causes a person to compulsively pull out their hair, including eyelashes, eyebrows, and scalp hair. This disorder affects millions of people worldwide and can cause significant distress and social isolation. In this article, we will discuss the causes and symptoms of trichotillomania and offer tips for managing this condition.

Causes of Trichotillomania

Trichotillomania is a complex disorder that has multiple causes. Some of the factors that contribute to this disorder include genetics, environmental factors, and underlying emotional or psychological issues. Studies have shown that people who have a family history of trichotillomania are more likely to develop this condition.

Environmental factors such as stress, trauma, and anxiety can trigger trichotillomania. People who have experienced abuse, neglect, or other traumatic events are at higher risk for developing this disorder. Additionally, people with anxiety disorders or obsessive-compulsive disorder (OCD) are more likely to have trichotillomania.

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Symptoms of Trichotillomania

The primary symptom of trichotillomania is compulsive hair pulling. This behavior can be triggered by stress or anxiety and is often done unconsciously. People with trichotillomania may pull out their hair in specific patterns or from certain areas of the body, such as the scalp, eyebrows, or eyelashes.

Other symptoms of trichotillomania include feelings of shame, guilt, and embarrassment about the hair pulling. People with this disorder may also try to hide bald patches or missing hair by wearing hats, scarves, or wigs. Additionally, some people with trichotillomania may engage in other compulsive behaviors, such as skin picking or nail biting.

Treatment for Trichotillomania

There is no cure for trichotillomania, but there are several treatment options that can help manage this disorder. The most effective treatments for trichotillomania include cognitive-behavioral therapy (CBT) and medication.

CBT is a form of therapy that focuses on changing negative thought patterns and behaviors. This type of therapy can help people with trichotillomania identify triggers for hair pulling and develop alternative coping strategies. Medications such as selective serotonin reuptake inhibitors (SSRIs) can also be effective in managing symptoms of trichotillomania.

Self-Help Strategies for Trichotillomania

In addition to professional treatment, there are several self-help strategies that can help manage symptoms of trichotillomania. These strategies include:

1. Identifying triggers for hair pulling and avoiding them when possible
2. Keeping hands busy with fidget toys or stress balls
3. Practicing relaxation techniques such as deep breathing or meditation
4. Seeking support from friends, family, or a support group
5. Keeping a journal to track hair pulling behaviors and identify patterns

Benefits of Managing Trichotillomania

Managing trichotillomania can have numerous benefits for people with this disorder. Some of the benefits of managing trichotillomania include:

1. Improved self-esteem and confidence
2. Reduced feelings of shame and embarrassment
3. Improved relationships with others
4. Reduced stress and anxiety
5. Improved overall quality of life

Trichotillomania vs. Other Hair Disorders

Trichotillomania is often confused with other hair disorders, such as alopecia or telogen effluvium. However, these disorders have different causes and symptoms.

Alopecia is an autoimmune disorder that causes hair loss on the scalp and other areas of the body. Telogen effluvium is a temporary hair loss condition that is caused by stress or medical treatments such as chemotherapy.

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Unlike these disorders, trichotillomania is a psychological disorder that is characterized by compulsive hair pulling. While trichotillomania can lead to hair loss, it is not caused by a medical condition or autoimmune disorder.


Trichotillomania is a serious psychological disorder that can cause significant distress and social isolation. However, with the right treatment and self-help strategies, people with this disorder can manage their symptoms and improve their quality of life. If you or someone you know is struggling with trichotillomania, seek professional help and support from friends and family.

Frequently Asked Questions

Trichotillomania is a condition characterized by a strong urge to pull out one’s hair, including eyelashes, resulting in noticeable hair loss. It can be difficult to understand and manage, but with the right resources and support, it is possible to overcome this condition.

What is trichotillomania?

Trichotillomania is a disorder characterized by a recurrent urge to pull out one’s hair, including eyelashes. It is classified as an obsessive-compulsive and related disorder and can lead to significant distress and impairment in social and occupational functioning.

Trichotillomania is often accompanied by feelings of shame, embarrassment, and guilt, making it difficult for individuals to seek help. However, with the right treatment and support, it is possible to overcome this condition and improve quality of life.

What causes trichotillomania?

The exact causes of trichotillomania are unknown, but experts believe it may be related to a combination of genetic, environmental, and psychological factors. Some individuals may have a family history of trichotillomania or other compulsive behaviors, while others may develop the condition as a coping mechanism for stress, anxiety, or depression.

Trichotillomania may also be triggered by certain situations or emotions, such as boredom, frustration, or loneliness. Understanding the underlying causes of trichotillomania can help individuals identify their triggers and develop effective coping strategies.

How is trichotillomania diagnosed?

Trichotillomania is diagnosed based on a clinical evaluation, which may include a physical exam, psychological assessment, and discussion of symptoms and medical history. A healthcare provider may also use diagnostic criteria outlined in the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) to confirm a diagnosis of trichotillomania.

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It is important to seek help from a qualified healthcare provider if you suspect you or a loved one may have trichotillomania. Early diagnosis and treatment can improve outcomes and prevent further hair loss and other complications.

What are the treatment options for trichotillomania?

Treatment for trichotillomania may involve a combination of therapies, including cognitive-behavioral therapy (CBT), habit reversal training (HRT), and medication. CBT can help individuals identify and challenge negative thought patterns and develop healthy coping strategies, while HRT can help individuals replace hair-pulling behaviors with more positive activities.

Medications, such as selective serotonin reuptake inhibitors (SSRIs) or antipsychotics, may also be used to treat trichotillomania. It is important to work closely with a healthcare provider to determine the best treatment plan for your individual needs.

How can I manage trichotillomania on a daily basis?

Managing trichotillomania on a daily basis can be challenging, but there are several strategies that can help. These may include identifying and avoiding triggers, engaging in relaxing and enjoyable activities, practicing stress-reducing techniques, and seeking support from loved ones and mental health professionals.

It is also important to be gentle with yourself and practice self-compassion. Trichotillomania is a complex condition that requires patience, persistence, and a willingness to seek help and support when needed.

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In conclusion, trichotillomania may seem like a harmless habit, but it can lead to severe physical and emotional damage. It is important to recognize the signs and seek professional help to manage the condition before it becomes uncontrollable.

Through therapy and self-care techniques, individuals with trichotillomania can learn to manage their urges and find healthier ways to cope with stress and anxiety. With patience and perseverance, recovery is possible.

Remember, you are not alone in this journey. There is a supportive community available to help you overcome trichotillomania and live a fulfilling life. So take the first step towards healing today and seek the help you deserve.

Michael Van Der Ham

Michael van der Ham is a Dutch fashion designer born in 1985 in Giessenburg. He graduated from Central Saint Martins in 2009 and has since established himself as a prominent womenswear designer. Michael has had the opportunity to design costumes for iconic musicians like Björk and Tori Amos, as well as for major events such as the 2012 Summer Olympics Opening Ceremony.

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