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!

Life, anxiety and a “sticky” brain

Before we get started on today’s topic, I just want to give a huge, heartfelt thanks to those of you who continue to find the time in your busy day to read my posts – it really means a lot! If this is your first time on here, you can read my previous posts on the main blog page.

Now, for the subject I had planned on writing about last week; unwanted intrusive thoughts. There seems to be a lot of confusion as to what they actually are and how they can manifest, and I have only recently been made aware of the fact that the term isn’t necessarily restricted to just thoughts and images. They are of course what we normally hear or read about, but that’s not the whole picture – it’s not just random thoughts and images. It can include unwanted sensations, memories and stories as well. Possibly more, I really do not know. But I’ve come across a few interesting perspectives and theories on this subject close to my heart that have made me feel a little more enlightened, that perhaps others can find some comfort in as well. BUT. There is, as always, a big dollop of my opinion in here as well, so take everything I say with a pinch of salt. Especially the part about coding. Anyway, that’s the disclaimer out of the way. On with the show.

It seems to me that referring to these uncontrollable impulses or processes as ‘thoughts’ is not only a gigantic misnomer, but hugely misleading, as the phenomenon can be better described as automatically generated impulses or processes that become unwanted when they feel intrusive in an unnerving way, causing distress and excessive rumination. If the brain was a computer, this process could be compared to a constant generation of possible and/or/not responses to any scenario or eventuality one might run into, where the ‘correct’ response – i.e. the action caused by the prompt – is picked based on true/false Boolean logic. Although I flunked out of computer science quicker than you can say 01001110101 20 years ago, this little part of simple coding somehow stuck with me. It works great for simple processes, but a more complex and unpredictable system just might crash once in a while, or let something inappropriate surface by accident.

What I can gather from most of the articles and research papers I’ve come across so far, is that the experts agree that we all have these concurrent processes going on all of the time – it’s completely natural. Which makes sense. Much like a computer that never switches off or reboots, our brain keeps processing and generating impulses that will keep us from switching off. And, much like when we are in the dream state of sleep, some pretty random stuff can manifest from one of the potential responses generated by some event that perhaps entered our subconscious via an advert, a TV show or something we saw out of the corner of our eye when we weren’t really paying attention, seemingly from out of nowhere. Since we did not interact with this event, in that it did not happen to us directly, our reaction (or response) is not necessarily in line with our conscious thoughts, wants or wishes. Needless to say, your mind suddenly doing something so outlandish to you it seems as if you no longer control your urges or behaviour, it can be a jarring experience.

Imagine, for instance, that you’re having a bad dream because you’ve watched A Nightmare on Elm Street, but instead of being chased by Freddy Krueger… you are the monster killer… only, you’re not asleep in your bed – you’re wide awake and thinking about stabbing the person next to you in the lift to death with a rusty blade. And this urge has made itself known despite your pacifist nature and philanthropic views, yet it feels so real, as if you’ve lost all control of yourself and that your sanity hangs on by a thread. Pretty terrifying, right?

Luckily, for most people, a sudden flash of an alternate reality such as this can be shrugged off as what it is; something bizarre, laughable, that would never, ever happen. But for those of us prone to internalising, overanalysing and rumination? When these unwanted intrusive responses land on our particularly sticky brains, it can become a real problem, sometimes leading to self-deprecating behaviour, negative self-talk and suicidal ideation. If you suffer from anxiety or a personality disorder, you might even convince yourself that this means that this is your ‘true personality’ shining through, and the more you think about it, the harder it seems to stick. I won’t go into specifics here, as to what some people can convince themselves to be capable of – it can be all too triggering.

And why focus on the negative, when there seems to be a universal concurrence among experts, that that is absolutely not the case? I mean, if something seems so foreign to you that you’re practically contorted by feelings of repulsion and anger, it is probably not your second nature. If you were to get a song you really hate stuck on a loop in your head, you wouldn’t think that to mean it was secretly your favourite song, would you?

Then, why can it be so difficult to dismiss these impulses when they occur? My guess would be that our anxiety feeds off of such things and it is far too easy to go into that unhealthy spiral of self-doubt and feelings of unworthiness.

Well, how the fuck can I rid myself of this affliction, then? you may ask.

This is where the experts tend to disagree. (Which is why I’ve chosen not to mention any of said experts by name, but I’ll include some links to articles on the subject below, if you want to read more about the different theories). Some say they will only go away if you ignore them, while others say that you simply must acknowledge them before you can let them go. Me? I am inclined to think that there is no cure-all. What works for your aunt Mildred might not work for you, and what works for you will probably not work for your best mate. We are all different, despite being similar in so many ways. But, what I am fairly certain might be a really good idea to do, if you are struggling from the distress brought on by experiencing unwanted intrusive urges, physical sensations, images, scenarios or thoughts, is to talk to a professional about it. You can start by finding a mental health help organisation that can point you in the right direction of someone that understands how debilitating living with something like this can be. Links to articles below.

Support groups in the UK

Mental health support phone service in Norway

Finding a good therapist in the US

That’s all for now. See you next Tuesday for another overshare. Or go buy my E-book – it’s on special offer this week.

Alex Dimitriu, M.D., an expert in sleep medicine and psychiatry, offers some tips on how to tackle – or even stop – unwanted intrusive thoughts in this article.

Read this article on Psychology Today on unwanted intrusive thoughts by Martin Seif Ph.D. ABPP and Sally Winston Psy.D.

Or this one, by the same authors, where they have a closer look at intrusive sensations and stories

How rumination harms your mental health

When Thoughts are Sticky; Pure OCD and Generalized Anxiety Disorder, by Hannah R. Goodman

How masking my ADHD traits enabled my OCD

Disclaimer, I have no scientific proof of this… But I got your attention, didn’t I?

I was recently diagnosed with ADHD, something that I quite frankly knew very little about up until that point. What’s more, when I was a kid, most teachers and clinicians alike still thought that this was something that only affected boys, and I think that this deterred me from investigating further when I started noticing certain things about myself.

Today I find myself hurling towards the ‘wrong side of 40’ at warp speed whilst trying to come to terms with my diagnosis and realising how this condition explains so much about my past and how I have tackled certain things – some horribly and others exceptionally well.

As with every little thing that catches my interest, I got the sudden urge to learn everything I could about ADHD in the shortest amount of time possible, which has led me down a rabbit hole of research papers and ADHD podcasts. This curiosity and insatiable need to learn is something I have discovered can be quite common in people with ADHD. You can learn more about some of the strengths our neurodivergence may cause in this article from Catalyst Care Group.

Through my extensive research, I came across the topic of masking, which made me suspect there might be a correlation between trying to hide my ADHD traits and the emergence of my OCD. I can recommend ADHD Chatter and MissUnderstood: The ADHD in Women Channel if you want to learn more about ADHD in general. I should add that, even though there are many similarities between people with ADHD, every individual’s experience can be very different, so there’s no ‘one size fits all’ element here. There are also a few different sub-categories to ADHD that I will not go into, but there’s a spectrum.

Now, onto the birth of my monster – the OCD – and its suspected origins.

From a very young age, I have been made acutely aware that there is something wrong with me. I’m too much, too interested, too active, too clever, too me. One teacher even sent me to the principal’s office twice – for being possessed by the actual Devil. (No, Satanic Panic was not a thing where I grew up – but the punishment of atypical children was very much in vogue). I’ve recently learned this shepherd of the lord has passed on, presumably to join his mother in her fellating pursuits in another dimension and wish them all the best. I digress.

Needless to say, I had to learn how to hide the real me if I was going to have any chance of fitting in anywhere. Or, more importantly, making it easier for my parents to be perceived in the way that they wanted. Their having a ‘difficult’ child was getting in the way of that. So I learned how to become what every situation called for. A social chameleon, if you will.

This sort of behaviour makes it easy to navigate new social settings, but what that takes away from the individual is the ability to create and maintain meaningful, sustainable relationships. You need to have certain qualities for that to happen, and if you change your behaviour according to the situation you’re in or the people you interact with, you become very unpredictable to the people you meet more than once or twice. Getting to know you is almost impossible.

Thinking that if I only managed to become enough, ‘perfect’, I would at some point be accepted and acknowledged by my parents and I wouldn’t have to hide who I was anymore, so I didn’t factor in the consequence of that never coming to fruition.

The longer I carried on hiding the real me, the more she squirmed and screamed to come out on the inside, leading to frustration, depression, nervousness, anxiety and violent outbursts directed at myself. Realising that this was an indefinite situation made everything seem impossible to me and I lost all sense of control. I needed to regain it somehow, just so I could find a routine, some predictability, that I was in control of.

Then I turned 12 and the hormones came flooding in. Overnight, my juiced up brain had found a solution – magic.

As you can probably gather, with the emergence of hormones and teenage angst, all that nervous energy and tension I had worked so hard to suppress needed to come out. One way or another. I needed some soret of coping mechanism. So my brain channelled the agitation and restlessness into strict control patterns with very specific rules as to what was required to avoid horrible outcomes.

This was when my intrusive thoughts started. The stress resulting from my hopelessness made me feel like I was in a body that wasn’t mine, so my OCD “helped” me create an eating disorder so that I wouldn’t risk gaining weight. It “helped” me to sit still in class (trust me, you’re not going to move if you know that the consequence is that you’ll get HIV). It “helped” me to act in a way that was palatable to others.

Until it didn’t. The ADHD is strong in this one, and the fact remains that my brain is wired differently. Of course behaving in a way that was the opposite of what was natural for me was bound to be detrimental. And the OCD is selfish. It is a tool of self-harm. It has no respect or empathy for the individual, which makes the individual lose respect for themselves. OCD nurtured the masking, whereas the hyperfocussed me was trapped behind its riddles and punishments, only to be able to show itself in those milliseconds the OCD wasn’t paying attention.

I would start getting vocal tics in public, that I hadn’t experienced – and long suppressed the memory of – since childhood. I would cut off every spot that dared show itself on my face with toenail scissors. I missed the bus to school on so many occasions due to climbing the stairs ‘incorrectly’ and having to redo them and my emotional dysregulation gave me terrible guilt for being so bloody useless. This, in turn, exacerbated my OCD.

At some point, I lost track of who I was and how I needed to cope in order to really live. At the same time, I was able to hide my ADHD traits well enough so that no one would notice or make sure I sought help. And when I finally did, as a fully grown, completely dysfunctional adult, I kept on masking because I didn’t realise how that could have helped me from the start. I mean, I wanted them to help me, I didn’t want them, too, to think I was too much.

By some miracle, I met an expert that recognised it despite my beautifully appointed mask and to them I am eternally grateful.

But that didn’t happen until I was at least 18 months into my so-called recovery journey, with countless failed treatments behind me.

Therefore, I would advise all mental health professionals to look up from their pad once in a while, because maybe then you will notice the fidgeting, the nervousness, the intense stare we get when we are interested, that can make a lot of people get the wrong idea about our intentions. This can make you realise that the OCD is a comorbidity to ADHD and not just an add-on to CPTSD.

See ya next week! In the meantime, you can read a book or, maybe listen to a podcast. Be good to yourself.

Apropos of The Big O

Just a year ago now, I was in my 30th year of living (or slowly dying) with the most self-effacing, all-consuming, terrifying disease, that I’ve let dictate my life for as long as I remember; obsessive compulsive disorder (OCD).

There’s still, seemingly, a lot of confusion as to what OCD actually is – a lot of people seem to think that it’s synonymous with being a bit anal about tidiness and wanting things to be ‘just so’. Sorry to say, but you couldn’t be more wrong. You can’t be ‘a little bit OCD’. Unless you actually are the disorder, you cannot be it (let’s be honest, this is just a matter of good grammar), and I’d argue that you can’t really have ‘a little bit’ of it either, as this thing can take over your life completely. If you don’t understand it, I am so very happy for you, but if you do, or if someone close to you suffers from OCD, I think you might benefit from listening to one of my favourite pods, that tackles the things in our lives that can be particularly challenging.

So, a year ago, I had been accepted into an intensive treatment programme of said disease, known as the Bergen 4-Day Treatment, and I was a fortnight away from complete upheaval – a massive change – to life as I knew it. A year later, ‘the big O’ is still lurking in the nooks and crannies of my subconscious, like a barracuda in shallow water, but I now possess the techniques to keep it underwater most of the time. Which brings me to the reason why I am writing this post.

This morning, I was listening to Bryony Gordon chatting to Tuppence Middleton about her experience with OCD (link to the podcast episode in the icon below), and I wasn’t long into the episode before I realised I was crying. Tears of relief? Sure. Tears of joy from the fact that there are others like me? Definitely.

Now, don’t get me wrong – I wouldn’t wish this on my worst enemy. It’s not that kind of ‘joy’. But stuff like this makes me feel like less of an outsider. So I hope that, by sharing this, someone else can find the same solace in knowing that you are not alone.

I cannot recommend this episode enough, if you want some insight into how the human brain can take over and make self-sabotage into something that, to the person, is perceived as a sort of coping mechanism. Which it oftentimes was, at least for me, in terms of my needing some sense of control in a life that had lost all its meaning and needed some structure.

The episode also tackles other important mental health stuff, so if that’s your cup of tea, you just might love this pod as much as I do.

Until next time – E xx

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