does my friend have trichotillomania?
my bestfriend of 8 years has been pulling her hair ever since i know her. we met at 11 and back then she would always play with the hair in the neckline and her hair there was so sparce. then she switched to play with the hair of the top of her head at 13. after 2 years she had a short mullet and she started to play with neckline hair again so much that the right side of the mullet got a few inches shorter than the left. and for the last 3 years she is playing with the right front of her hair and that region is not completely bald but they got so short(a few cantimeters). she thinks that she doesnt have trichotillomania because she says that she doesnt mean to pull hair out, she just likes to play with it aggressively and the hairs get pulled out accidentally. she says that the feeling of pulling a hair out makes her feel gross but she loves aggressively pulling hairs which causes sparce hair spots. i want to help her but im not sure what to do.