Does hair pulling disorder cause bald patches?

Hair pulling disorder involves repeated urges to pull hair from the scalp or other areas. The patches often have irregular borders and hairs at different lengths because strands are pulled at different times. Some people notice stubble, broken hairs, soreness, scabs, or relief after pulling.

Other scalp conditions can also cause patches. A clinician may examine the skin and ask about urges, routines, stress, and attempts to stop. This is a medical issue, not a judgement about appearance or willpower.

Keep nails short, identify situations that trigger pulling, and use a gentle barrier between your fingers and hair during difficult moments. A mental-health professional can teach habit-reversal strategies, while a dermatologist can check irritated skin and follicles.

Avoid harsh products on sore skin. Support from a trusted person can make it easier to notice patterns and follow a treatment plan.

Arrange an assessment if patches are enlarging, the scalp is painful or crusted, or pulling is difficult to control. Seek urgent help after swallowing hair if you develop severe abdominal pain, vomiting, or trouble breathing, because ingested hair can cause serious problems.

Ask how to distinguish pulled hairs from another scalp condition, whether follicles look injured, and which behavioural therapy may fit your routine. Ask what changes should prompt follow-up.