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Treatment of trichotillomania can be complicated, and most treatment options require time and practice. The course of the disease is chronic, though individuals can experience symptoms that wax and wane over time. In this case, the hair pulling can include specific rituals, including pulling certain types of hair. For some people, the symptoms of trichotillomania are manageable, but for others, the symptoms can be completely overwhelming. Focused hair pulling: Some people engage in focused hair pulling with the intention of experiencing tension relief from pulling.

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Article continues below Concerned about Obsessive-Compulsive Disorder?

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Try not to get discouraged if symptoms come and go. Individuals often try several strategies to cope with their urges before they find something that works. It can be preceded by anxiety, boredom, stress, or tension, and can result in feelings of gratification, relief, or pleasure following the pulling.

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