Hair today – gone tomorrow

– What..? Why are you shouting at me? What’s going on? Hannah squirmed in the ancient armchair, trying to decipher her mum’s facial expression. For some reason, she just kept shouting at her:

Can’t you see the mess you’re making?! The floor is filthy with your greasy strands… it was clean an hour ago! her mum barked, red in the face now. Of course the floor had been squeaky clean, Hannah had only just finished the weekly deep-clean and had finally been able to sit down for a second and not worry about cleaning everything twice (God forbid she’d clean something in odd numbers, so she’d probably cleaned everything at least four times, if not six). Still, she looked around to see if she’d missed something, and when her gaze fell on the floor under her left hand, she had a start – the knock-off hardwood floor was covered in hair. Hannah went to touch the side of her head, as if to check she hadn’t completely lost the plot. Shit! Another bald spot. And all she’d done was sit down and zone out for just a second.

Hannah had been 16 when that happened – the big, ugly thing that had them ship her off to the child psychiatrist’s, who only managed to make things far worse than they had been in the first place, but that’s a story for another day.

The pile of hair on Hannah’s floor was a result of a type of incessant hair-pulling, a condition that had started to affect her everyday life in a major may, typically categorised as a body-focused repetitive disorder (BFRD) called trichotillomania. Many might think that the disorder only applies to the pulling and removal of one’s head hair, as that would be quite noticeable, but it applies to all hair on the human body, from eyelashes to leg and pubic hair.

You can learn more about trichotillomania, other body-focused repetitive disorders and the specifics by listening to the episode Speaking of PSYCHOLOGY did on BFRD by clicking anywhere on this sentence. I will leave a link to the podcast episode at the bottom as well.

Why am I writing about this, you ask? Well, because it is still something that has a lot of stigma and therefore isn’t really talked about or even diagnosed, unless the patient mentions it themselves. Even then, some professionals may not have heard about the condition. Also, if you search for it on line, almost every single one of the top 10 hits will be misleading.

Additionally, there’s a lot of misconceptions around it, as it (and other body-picking disorders) is often overlooked and/or attributed to something else, like an aspect of obsessive compulsive disorder (it is a common comorbidity), low self-esteem, et cetera.

This means there has not been extensive research on the matter. Funding has been pulled from a trichotillomania therapy programme and reallocated towards the OCD clinic at the University Hospital in Norway. But this is a very real disease. It can ruin a person’s life. And it’s not vanity or even picking at something that needs to be removed, it’s an urge that won’t go away. It’s not new either, we can actually track it as far back as ancient Greece. Yet, we still haven’t determined whether it’s \just another anxiety disorder’, or if it’s a different beast entirely.

Luckily, there are people brave enough to take matters into their own hands and shed some light on this. Things are finally about to change, thanks to Oxford professor Clare Mackay and her upcoming book (expected on 2nd April 2026): Keep Your Hair On: Understanding Urges to Pick, Pull or Bite.

Another brave person that’s helped put trichotillomania in the spotlight in recent years – and, in my opinion, helped starting to normalise it – is the fantastic force that is Amy Schumer. In the Hulu series Life & Beth (with a link to the show’s Instagram below), she portrays a young woman that suffers from the disorder. Schumer’s performance is such that you can’t help but get under Beth’s skin. She’s so relatable, and at the same time unique. She’s impossible, yet entirely lovable. Beautiful, yet hardened to fuck by life’s lemons. Wild, yet longing for stability. Much like you or me. (Unless you are an AI robot – one that’s not Gigolo Joe – Because, if you are, you can fuck right off). If you haven’t yet, you should watch it for the casting alone. It’s wonderfully raw, but at the same time uplifting, in a weird way. And the show demands attention towards something that I am very passionate about; seeing mental health issues as something other than someone else‘s issues.

Personally, I cannot wait for another season (please, please, Amy!). Meanwhile, I will continue reading my Stephen King book, also in anticipation of Professor Mackay’s 2026 outing.

See you next Tuesday!

Lessons loss taught me

This past Sunday marked the 30th anniversary of the death of someone very dear to me. Thirty years gone, and my grief is so tremendous, still, that it manages to throw me off balance and send me straight into the void of darkness. Surely, that’s not healthy? It never used to bother me before – back when my entire existence consisted of me wallowing in my putrid pigsty of pain – but as that’s no longer an option, I’ve been tempted into a little research project to find out if my current suspicion can be backed by science.

My theory is this; being unable to grieve properly at the time has affected how I deal with feelings in general and thus stunted my emotional growth. I am sure that a lot can be learned from the experience of losing a loved one and dealing with the loss. As cheesy as it may sound, I am curious to find out if allowing myself to feel will help me heal. I think it just might be instrumental.

There are a million articles online about how important the grieving process is, but I think the way writer Jon Scalabrini articulates the detrimental effects of suppressing or not acknowledging certain feelings in his article on Peacefully.com illustrates my understanding perfectly and succinctly:

“By avoiding emotions, one creates future challenges; thus, “moving on” in the short term ultimately creates long-term difficulties.”

You can read the article in full by clicking anywhere on this sentence.

In my case, I was forced to move on too quickly due to matters outside of my control. This taught me – and my subconscious – that my feelings were not valid or important and therefore should not be acknowledged. My black and white thinking made sure this would be applied to all future scenarios where I’d be likely to feel strongly about something – or someone – in any way. I was unable to see how this could be circumstantial. So, to make things easier for myself and everyone else, I adapted. Or, likely overcorrected. I adopted a few terrible coping mechanisms once I entered young adulthood, which have continued to block my path to enlightenment.

I feel as if this is something that I need to un-learn, so I was delighted to find an episode from the American Psychological Association’s podcast series Speaking of Psychology, where interviewee Dr. Mary-Frances O’Connor, an associate professor of psychology at the University of Arizona, spoke about her studies on grief and grieving and how grieving can be a form of learning, among other things. The episode is called How grieving changes the brain and is available on the APA’s website, as well as on podcast streaming platforms.

I was not so delighted, however, to find that I likely suffer from prolonged grief disorder. Oh well, I’m sure there is CBT for that. Anyway.

O’Connor goes on to explain how the grieving process involves having to learn to live our lives without the person we’ve lost in it, that we need to find out who we are, now that the world around us has changed in such a profound way. It’s a rewiring of the brain – a learning process. Neuroplasticity. It’s a very interesting episode, as they go into the difference between grief and grieving, links to depression and different types of therapy that can help with the grieving process.

My main take from the episode, to benefit the validity of my theory, is that we must acknowledge the feelings we are experiencing for us to go through the process and come out on the other side of it stronger than we were when we went in. It is my understanding that avoidance is the opposite of helpful if we want to learn and ultimately move on. And accepting a loss as reality does not mean that we have to stop loving the person they were when they were still here, but that we cannot let that loss or its circumstances dictate how we live our lives from that point on. We need to accept the fact that it is okay to love again, whilst realising how a new love does not take away from the old one. Moving on does not mean that we have to forget, but perhaps – with time – we can learn how to look back at the fond memories that made us cherish them so, instead of clinging to the sadness and the trauma we experienced when they were taken from us.

Now, back to those “long-term difficulties” from the Scalabrini quote. My experience taught me that I was worthless. A deep emotional wound that has kept growing and festered over the years, by giving me the gift of trust issues, self-deprecating behaviour and self-sabotage, and only allowing myself to “feel” or emote when I’ve had enough alcohol to justify letting the tears stream freely down my face. I’d schedule my emotive cries, so not to become emotional in public. But by doing this with my painful emotions, my brain would of course apply this to any positive feelings as well, meaning that I wouldn’t allow myself to acknowledge any feelings of happiness either.

It’s a lot easier to convince yourself that you’re unlovable, than it is to remain hopeful that someone will one day actually think you’re something other than a huge piece of shite. Unless you start administering some much needed self-care post-haste.

I think, based on what I’ve learned today, that my theory holds up. What’s more – because of this – I now realise that it is not too late to start rewiring my brain so that I can make my way through the final stage of the process of my prolonged grief. Acknowledging the feelings, accepting the loss and starting to look at how my life would be different if I wasn’t so gung ho on treating everything based on something I interpreted incorrectly three decades ago are all parts of the healing process.

Never let anyone tell you how you should or should not feel – it can only lead to bad things, as we’ve learned from my previous post on the importance of having your emotions validated.

That’s it for today. Buy my book! See you next Tuesday.

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