Finding Hope: Overcoming Trichotillomania at Mass General Hospital

Are you struggling in silence with pulling out your hair, eyelashes, or eyebrows? You are not alone—and there is real help available. In fact, Mass General, one of the top hospitals in the world, has an entire department dedicated to treating trichotillomania, OCD, and related disorders.

At Noelle Salon, we’ve been fortunate to receive referrals from leading medical professionals, and we’ve worked with hundreds of children and adults experiencing trichotillomania Boston, also known as a Body-Focused Repetitive Behavior (BFRB). Through years of experience, we’ve gained a deep understanding of the emotional and physical journey our clients go through—and more importantly, what actually helps.

One thing we know for certain is that there is no single solution. A multi-faceted approach—combining emotional support, behavioral strategies, and hair restoration solutions—can make a meaningful difference in reducing hair-pulling behaviors and supporting regrowth.

What is Trichotillomania?

Like many psychiatric disorders, Trich is not clearly defined, it appears to be an urge to self-soothe by pulling out hair on the body. It is classified to be anxiety-driven, with elements of Obsessive Compulsion. Some may pull it as a coping mechanism when they are stressed, anxious, or bored. I have heard that some of the pulling is intentional, and quite relaxing, seeking the perfect hair to pull with a small white bulb at the end of it. I have also had others explain that they are unaware of their behavior when pulling as if they are on autopilot.

Both boys and girls can suffer from Trich, but it appears to be more females since they are twice as likely to have anxiety.  

It is important to bring awareness to Trichotillomania, I have done just that over the last 20 years, and with awareness brings more research, and help.

Nancy Keuthen, Ph D. is the co-founder of the Trichotillomania Clinic and Research Unit at Mass. General Hospital, I have heard her name mentioned by many of my clients. It seems that many have benefited from being a patient at MGH, and below is a link for more detailed information.

I have purchased the book, "Help For Hair Pullers: Understanding and Coping with Trichotillomania, of which Dr. Keuthen has co-authored with Dan Stein, M.D. and Gary Christensen M.D. I have given copies to client's because it is motivating and encouraging. The book helps to identify when pulling takes place, and how to modify your behavior. It has a 4.7-star rating on Amazon and has helped so many. Below is a link to purchase on Amazon.

Conclusion

Helping clients navigate trichotillomania is something I take very seriously, and I am committed to sharing credible resources and real solutions that make a difference. While there is no single answer, small, supportive steps can have a meaningful impact. Something as simple as wearing a hair topper can help create awareness by acting as a gentle barrier, giving clients a moment to pause and reduce the urge to pull while also supporting hair regrowth.

I’m honored to play a role in this journey, alongside trusted medical resources like Mass General, whose work in trichotillomania and related disorders is invaluable. With the right combination of support, awareness, and practical solutions, progress is absolutely possible.

If you’re ready to take the next step, book a free trichotillomania consultation and let us help you find a personalized approach that supports both your hair and your well-being.