Traction Alopecia or Trichotillomania?

Dear Dr. Rassman,

I have been rubbing my scalp and playing with my hair at the roots since I was about 12. I’m noticing that my hair seems to be thinning now. I’m 30, female and have beautiful hair, but I’m concerned that my OCD behavior towards my scalp and hair roots is causing this hair loss. My hairdressers insist I don’t have thinning, but I can clearly see that I do when I look at old pictures.

In addition, my aunt on my mother’s side has experienced major hair-thinning. She now wears a “fall.” I think you should also know that a couple of years ago I noticed my hair to be thinning, so I abstained from “playing” with my hair. I saw regrowth (or, at least I perceived it) soon after. I realize I should never have restarted the behavior, but I guess I’m an anxious person…

My questions:

What is my chronic scalp-rubbing considered? Is it Trichotillomania or traction alopecia?
And, if I stop this behavior (which I’ve done as of yesterday), am I likely to experience regrowth like in the past?

Thanks!

Trichotillomania is a psychological disorder that makes oneself pull on the hair, causing traction alopecia. It seems you have this type of behavior. This problem is very difficult to control on your own. You may benefit from seeing a doctor or joining a support group.

If you have seen return of the hair from stopping your rubbing/pulling, then maybe it is not too late for some of your hair in the impacted area. Best try to stop… and stay stopped.