Noelle's BFRB Trichotillomania Treatment Options in Boston

Body Focused Repetitive Behavior

Let’s Understand Your Trich Better

Illustration of trich treatmen on clients

Trichotillomania, or “trich,” is more than just a habit—it’s a body-focused repetitive behaviour (BFRB) that creates a relentless urge to pull out one’s hair. This can lead to visible hair loss, distress, and frustration, making it difficult to feel in control.

If you’re struggling with trich, know that you’re not alone. It affects millions worldwide and can impact self-esteem, social interactions, and daily life. Trich isn’t about willpower—it’s a complex condition influenced by genetics, brain function, and emotional triggers like stress and anxiety.

The good news? There are solutions.

Trichotillomania Treatment Options That Doesnt Compromise on Your Authenticity

We offer three specialized services designed specifically for individuals experiencing hair loss due to trichotillomania.

Custom Hair Integration Systems

A natural solution that blends with your existing hair while gently discouraging hair pulling.

Best for: Adults and teens with moderate to severe trichotillomania who want a long-term, undetectable solution that supports regrowth.

  • Lightweight & Comfortable – Designed for all-day wear without irritation.

  • Easy to Maintain – Requires minimal upkeep while promoting regrowth.

  • Undetectable – Looks and feels just like your natural hair.

Custom-Made Wigs & Hairpieces

Tailored to match your unique hair type, colour, and texture, our wigs and hairpieces provide:

Best for: Children, teens, and adults with severe trichotillomania or complete hair loss who need full or partial coverage with a secure fit.

  • Full or Partial Coverage – Solutions for any stage of hair loss.

  • Secure & Natural Fit – Designed for comfort and durability.

  • Premium Quality Hair – Options in human hair or high-end synthetic materials.

Custom Hair Extensions for Trichotillomania

For those looking to enhance volume and length while maintaining a natural appearance, our extensions offer:

Best for: Adults and teens with mild to moderate trichotillomania who still have existing hair and want a seamless, natural-looking enhancement.

  • Gentle Attachment Methods – No damage to sensitive scalps.

  • Blended to Perfection – Seamlessly integrates with existing hair.

  • Flexible Styling – Customize your look without compromising hair health.

Why Choose Noelle Salon?

Let’s start with this—it’s not your fault.

Trichotillomania is a behaviour, not a choice, and we have the expertise to help. Here’s why we believe we can do a good job at it-

  • Compassionate & Private Consultations – We provide free, discreet consultations in a safe space.

  • Insurance Assistance – Some insurance plans may cover scalp prosthetics with a doctor’s prescription.

  • Proven Techniques – Clients, including medical professionals, trust our approach for its effectiveness.

  • Support for Parents & Children – Specialized solutions for children and teens struggling with trichotillomania.

Powerful Women We Have Helped Regain Their Confidence

client testimonial collage

"...The kindhearted people at the salon have transformed not just my hair, but also my self-confidence and sense of hope after 20+ years of suffering from trichotillomania. After years of shame and hiding, I can now wear my hair down proudly." Emily Carney.

Client testimonial collage

"I have suffered from Trichotillomania for over 30 years and they way they helped me get my confidence back is absolutely life changing. I can not recommend them enough. All the stylists have made me feel so safe and comfortable, and beautiful. I have found my salon for long after my piece has removed." Alana Acquaviva.

"I have been struggling with trichotillomania for over 15 years. At this stage of my life, all my friends are getting engaged, getting married, having babies, and all the events that come along with such wonderful celebrations. I should’ve been excited about all the special occasions but instead all I could think about was how was I going to do my hair to camouflage my bare spots from pulling...She (Noelle) went over the process with me in extreme detail. She made me feel so comfortable and showed so much compassion and empathy for what I was going through as someone suffering from Trich. Noelle made me feel like I was not alone, which I had felt for so long.

She cut the hair piece to the style I wanted and I left the salon GLEAMING! From that point on, I went in every month for maintenance where Yodit would color, wash, and dry my hair before re-installing and would almost always add curls (which I still can’t replicate to this day)...Everyone I knew saw the difference in how I carried myself after feeling the confidence in my new hair." Rachel Wurdeman.

Let's Take The First Step Together

Whether you're looking for a long-term solution or just starting your journey, we’re here to help.

📍 Book a Free, Private Consultation Today

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Fill out the form below or call us to discuss your options and take the first step toward regaining your confidence.

Frequently Asked Questions

1. What is Trichotillomania, and how is it diagnosed?

Trichotillomania (TTM) is a compulsive disorder classified as a mental health condition in the DSM-5. It involves repetitive hair pulling, leading to bald spots, hair damage, and even permanent hair loss. A GP, psychiatrist, or dermatologist can provide a proper diagnosis of trichotillomania and recommend a suitable type of treatment.

2. Can habit reversal training (HRT) help manage Trichotillomania?

Yes, habit reversal training (HRT) is a well-researched type of therapy that helps trichotillomania patients identify triggers and develop a competing response to replace the hair-pulling urge. CBT (Cognitive Behavioral Therapy) and DBT (Dialectical Behavior Therapy) also help in the management of trichotillomania.

3. Can Trichotillomania cause permanent hair loss?

Repeated pulling damages hair follicles, which may lead to bald patches and permanent hair loss. However, in many cases, hair regrowth is possible with the right hair loss treatment, such as custom wigs, integration systems, and hairpieces.

4. What are the treatment options for Trichotillomania-related hair loss?

There are several trichotillomania hair regrowth treatment options, including:

  • Non-surgical hair solutions like custom hair integration systems, wigs, and extensions

  • Hair loss medication, such as antidepressants (SSRIs), which may help if TTM coexists with anxiety disorders

  • Cognitive behavioral therapy (CBT) to address the underlying causes

  • Scalp treatments and hair regrowth solutions to encourage healing of damaged follicles

5. Can a hair transplant help Trichotillomania patients?

A hair transplant is generally not recommended for trichotillomania patients unless the individual has completely stopped pulling for a significant period. Continued pulling can damage newly transplanted strands, making the procedure ineffective.

6. Is Trichotillomania related to other mental disorders?

Yes, TTM is considered a mental disorder and falls under body-focused repetitive behaviors (BFRBs), alongside skin picking and body dysmorphic disorder. It also shares similarities with OCD and is often linked to stressful situations, anxiety disorders, and hormonal changes.

7. How does Trichotillomania affect daily routines?

Hair pulling can disrupt a person's daily routine, causing embarrassment, avoidance of social situations, and distress over baldness or missing eyelashes. Many individuals use tools like tweezers to pull strands, further worsening bald spots.

8. Can therapy techniques like Acceptance and Commitment Therapy (ACT) help with TTM?

Yes, Acceptance and Commitment Therapy (ACT), a form of commitment therapy, helps individuals accept their urges while developing healthy coping mechanisms. Other therapy techniques like CBT, DBT, and habit reversal therapy have also shown efficacy in the treatment of trichotillomania.

9. What are the side effects of Trichotillomania?

Besides hair loss, TTM can lead to scalp infections, skin irritation, and emotional distress. Many individuals experience a temporary sense of relief after pulling, but this is often followed by embarrassment, anxiety, or regret.

10. Where can I find Trichotillomania treatment near me?

If you're looking for trichotillomania treatment near me or trichotillomania specialists near me, it's best to consult a dermatologist, GP, or a therapist specializing in BFRBs. We also offer custom hair solutions to support hair regrowth and self-confidence during treatment.

“You are enough, just as you are!”
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