13. “I used to pull out hair as a teen (trichotillomania) and there’s a tiny bald spot on my head that I think is coming from there. Is that possible? Could there be other effects from excessive pulling out like thinner hair or being more prone to hair loss?”


Dr. Linkov: Thanks for sharing your story! Trichotillomania, for those who are unfamiliar, is an irresistible urge to pull out hair from your scalp, eyebrows or other areas of your body. Hair pulling can be a way of dealing with negative or uncomfortable feelings, such as stress, tension, loneliness, boredom, or frustration. Pulling out hair can definitely lead to bald spots, some of which may not recover. Sometimes, a hair transplant is considered for individuals with permanent bald areas only if their trichotillomania is under excellent control, like yours is now.