My Life as a Trichotillomaniac

So. I wanted to talk to you today about....trichotillomania, otherwise known as a "hair pulling disorder." I also want to give a shout out to Melissa, who bravely came out in the comments on my last post. Good for you!

I started pulling my hair in fifth grade. I remember the very first time I pulled out one of my own head hairs. I was in science class, and Mr. Hansen made everyone pull out a hair from their scalp and look at it under the microscope. I was fascinated by the root. It hurt, but not enough to prevent me from pulling out another one now and then to examine the root again. By the time I was in sixth grade, it had become a habit that I have lived with ever since. It didn't hurt anymore at all. I knew it was weird so I tried to hide it, but one day my mom found a huge pile of my long hair next to the chair where I used to sit and read. I told her what I was doing and she just told me to stop and seemed kind of disgusted, so after that I was more careful about cleaning up after myself.

I have always pulled from one primary location on my head, at the crown on my right side where I also have a cowlick. I also pull from the other side, but not as much. Throughout my school years, I don't remember it being so bad--I could do a comb-over and spray it with hairspray and it was pretty much undetectable. Now it's more noticeable, because along with adulthood has come more anxiety and thus, more pulling. I used to agonize over what I freak I was, try to stop, fail, and then feel even worse about myself. Now, I've kind of let myself go with it. Sometimes I still feel like a freak (like when I have to visit my stylist), but in general, I've kind of accepted it as part of who I am.

The only problem is that because I pull more, my bald spots are harder to hide. I now have long hair, so I'm able to pull it back into a barrette or put it up and hide the spot. I can never go out of the house with my hair down, because it would just be too apparent. Plus, because of the constant stress on those follicles, all the hair there is white.

So why do I do it? I tend to do it in two different situations: stressful ones, or times when I'm bored. I do it a lot at work. I do it a lot in the car when the drive is boring. There is a ritual to it: I feel for a hair that is particularly coarse, pull, examine it, and then usually chew on the root. I know, it's disgusting, but not that uncommon amongst those of us to have this disorder. It somehow relaxes me, even though there's still some residual shame that comes on after a big pulling binge.

You can read a lot about trichotillomania on the web. Some of the more interested tidbits to me are that the disorder is possibly related to Tourette's syndrome; some hypothesize that it's kind of an overexpression of normal self-grooming behaviors that our primate relatives engage in. There are also a couple of disorders related to trichotillomania including compulsive skin picking, which I also engage in, and obsessive compulsive disorder, one that I somehow escaped. While some think trichotillomania is or could be classified as OCD, right now it is labeled an "impulse control disorder." There's also a hereditary component, which I know is true in my case. My dad is a skin picker, and at my grandma's funeral I happened to catch one of my cousins pulling her hair out during the service.

The whole thing has given me a lot of angst in the past. The first person I ever really told was J., who probably knew already but still, reacted very supportively. Then I told LilCherie, and later on, Tingle. A few months ago my mother saw my bald spot and seemed completely shocked, even though I'd told her before that I do this. "What's this from?" she said sort of gaspy. "Mom, I told you--I pull my hair out," I said. I guess maybe she finally believes me!

By far the worst part of this disorder is--or I should say was--going to the hairdresser. They'd come across the bald spot and look troubled, then really examine it and say something like, "What's going on here?" or "What happened here?" I'd usually feign ignorance, like "I don't know, I just noticed it and I don't know how it happened." It was mortifying every time. I started seeing my current guy, Shawn, about 8 years ago. We were acquaintances already before he did my hair, so I felt a little more comfortable with him, but I gave him the same line or variations for several years. He is so cool, though, that I finally decided to just tell him. He didn't act like I was a freak at all. He asked me a few questions about it, like why I do it, but not maliciously. Then he just said "We all have our thing, you know?" Last week when I got my hair cut I came clean right away and told him I'd been pulling a lot, and he was totally cool. No big deal.

And this is going to sound minor but it does cause me a little bit of grief--I hate, hate, hate the saying "I was about ready to pull my hair out!" It's amazing how much people use this expression, which I'm sure I wouldn't notice if I didn't actually pull my hair out!

I have to say I feel much less stress about this part of my life since I've decided to be open about it with those who are close to me and my hair guy. It's easier to be myself when I don't have to worry about my bald spot showing. Nobody has acted like I'm a freak, which surprised me because I always felt like one. But really, is it that much different from chewing your lip or biting your fingernails, which people do all the time, openly?

I wish more people--hair stylists especially!--knew about this disorder and I wish it could be discussed more openly, because I think it's really sad that something that is such a minor quirk in the big scheme of things causes people so much angst and anxiety for years. It's so not worth it.

So, to all you closet pullers out there, my advice is: come out, accept yourself, and realize that it's just not that big of a deal. If you want to pull, pull, and don't beat yourself up about it. You're not a freak, you're not alone, and you're not crazy. It's okay. Like Shawn said, we all have our thing.

I'm happy to answer any questions you may have about my disorder. Thank you. Goodnight!