Hair pulling is not a life sentence and we are here to help. Book an appointment with our trichotillomania specialist now or try one of our top-rated hypnotherapy recordings to stop hair pulling. Pull-freedom is possible, and this site is maintained by long-term pull-free people, reassuring those who pick, pull, bite or cut themselves that change is achievable. Human beings have a remarkable ability to self-heal, while also having great capacity for self-abuse. It is a great success to say "You know what? I need some help with this." We have compiled the latest information about Trichotillomania and BFRB treatment using information from published research, our surveys of people with BFRBs, and personal experiences.
Treatments for Trichotillomania vary and there is still a need for more research. The most commonly used treatments for BFRBs are ACT (Acceptance and Commitment Therapy), CBT (Cognitive Behaviour Therapy) or SSRIs (a type of medication: Serotonin Re-Uptake Inhibitors) - both can show improvements, but relapse is common. Behavioural therapy shows better outcomes than medication in most studies - a minority of cases are consistently improved by medication.
Research indicates the most successful treatment for Trichotillomania is behaviour change therapy (a type of psychotherapy known as habit-reversal therapy) combined with emotional support. Studies suggest that supportive therapies and psychoanalysis without the behavioural therapy aspect are not effective at treating tric. Read people's experiences of different therapies on our forums.
If you would like to gain access to one of these treatments we recommend either our program or speaking to your doctor or a private practitioner. 51% of 11,625 people we surveyed had never mentioned hair pulling or biting themselves to their doctor because they were too embarrassed, didn't think their doctor would help or didn't know they were recognised conditions.
A combination of approaches is the best way to tackle these conditions. This led us to provide an online coaching program that incorporates aspects of the best treatments to support you through to recovery.