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Pulling out hair until there are bald patches, or chewing or swallowing hair

Also called: Trichotillomania

Pulling out hair until there are bald patches is trichotillomania. Swallowing hair can cause blockages. Behavior therapy helps.

Common causesTrichotillomania, anxiety
Usually serious?Usually not
Get checked ifBald patches, or swallowing hair
If you think it's an emergency, call 911.Thinking about suicide or in crisis? Call or text 988.Being hurt or threatened at home? National Domestic Violence Hotline: 1-800-799-7233.Help with alcohol or drug use: SAMHSA Helpline, 1-800-662-4357.

Overview

Hair pulling often relieves tension.

Swallowed hair can form a hairball.

When to get medical care

Call 911Thoughts of harming yourself or others: call or text 988, or call 911 if you're in danger.
Get care todayBelly pain or vomiting after swallowing hair.
See a doctor soonBald patches.

Causes

Causes include stress and anxiety.

OwieClear has pages on 1 condition that can cause pulling out hair until there are bald patches, or chewing or swallowing hair. Each shows how soon to get care.

Common causes

  • Trichotillomania (hair-pulling disorder)See a doctor if it doesn't get better

    Repeatedly pulling out hair from the scalp, eyebrows, eyelashes, or other areas, often during stress, boredom, or without noticing, which leaves thin or bald…

What you can do at home

  • Notice triggers.
  • Keep hands busy.

Medicines

Habit reversal therapy.

At the doctor

Diagnosed by history.

Questions you may be asked

  • Pulling pattern

The exam

A scalp exam.

Tests

  • None

Prevention

Early help.

  • Seek support

Check your symptoms

Most symptoms have more than one possible cause. The symptom checker looks at all of your symptoms together, plus your age, and shows how soon to get care.

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Sources

Last updated 2026-11-13.