r/trichotillomania

My therapist gave me homework that I literally couldn’t do… so I built something instead.(read to the end:))
▲ 7 r/trichotillomania+2 crossposts

My therapist gave me homework that I literally couldn’t do… so I built something instead.(read to the end:))

I’ve been struggling with trichotillomania since 2018—almost 9 years now.

Like many people here, I usually don’t realize I’m pulling until after it’s already happened. It happens mostly while I’m working on my laptop, coding, reading, watching YouTube—basically whenever my brain goes on autopilot.

A few months ago my therapist gave me what sounded like a simple assignment:

“Every time you notice yourself pulling your hair, write it down.”

It sounded reasonable and easy…

Except it was so difficult and I couldn’t do it.

The whole problem is that the behavior is automatic. I don’t notice my hand going into my hair until I’ve already pulled several hairs.

I remember thinking:

“I’d literally need someone sitting next to me all day just to tap me on the shoulder every time my hand goes into my hair.”

I even joked that I’d need to hire a security guard whose only job would be to watch me and say:

“Hey… your hand is in your hair again.”😅

Then it hit me.

I'm a software engineer, so I started wondering: what if my computer could become that gentle reminder instead?

That idea turned into Awaira — a Mac desktop app (Windows coming soon) that detects hand-to-face movements entirely on-device. No internet connection needed, no video or images ever leave your Mac. Everything runs locally and stays private.

When my hand lingers near my face, the app quietly interrupts me — a temporary screen blur, a subtle border, or a soft sound. Just enough to bring my attention back before the habit kicks in automatically.

I want to be clear: this isn't a cure, and it's not a replacement for therapy. If anything, it helps me practice exactly what my therapist was trying to teach me — awareness. Because for me, awareness was always the hardest part.

I've been using it every day for about a month. It's the first thing I open in the morning, and for the first time in years I'm actually catching myself before things escalate. I even grew my hair out longer than I've had it in years.

I built this because I genuinely wished something like it had existed in 2018.

I asked the moderator's permission to share the website where you can download the app and here it is:

https://awaira.app

As a thank-you to this community, I’d love to grant the first 100 people here 1 year access to Awaira for free.

All I ask in return is your honest feedback so we can continue improving it for people living with trichotillomania and other Body-Focused Repetitive Behaviors (BFRBs).

Feedback: https://awaira.app/feedback

Bug reports: https://awaira.app/contact?topic=bug

If you’d like one of those 100 licenses for free, just email hello@awaira.app with the subject “Reddit – Trichotillomania”.

Windows users are welcome too—you’ll receive access as soon as the Windows version is ready.

If you don’t get one of the first 100 licenses, you’re still welcome to try Awaira with the free 7-day trial. No account or credit card is required and then you'll decide if you need it for longer period.

Reading everyone’s stories here made me feel much less alone. I genuinely hope this can help someone else the way it’s helped me.
 
Thank you for reading, and thank you for making this community a place where people like me don’t feel alone to share my stories. ❤️

u/Express-Soup7819 — 3 hours ago

I relapsed after 3 months of being pull free

Been 3 months since I stopped pulling my hair(scalp, brows and lashes) but I have relapsed in the past 2 weeks and I have been telling myself that “this pull doesn't count, these pulls don't count” but now after half of my upper and lower right eye lashes pulled...I think I need to accept that I really have relapsed. I will reset from 12am- 6th of July. I hope this time I can last for at least a year. 🙁 The app I'm using is - I am Sober, it has been very helpful but my hands ughhhhh my fucking hands needs to stop going to my scalp or brows or lashes. I feel like I don't deserve anything good because of how I can't keep up the promises I make to myself. My self-esteem is at the lowest right now and I hope I can get through this somehow ☹️. I feel so helpless. I wish I could take some anxiety meds that would stop my overthinking and just keep my mind calm.

u/Strict_Bus3620 — 19 hours ago

How I stopped pulling my eyelashes out

I’ve been pulling my eyelashes out for over a decade, it was getting to the point earlier this year that I had fully bare patches on my eyelids and I was worrying about growing them back at all.

My triggers personally were physical - itchy eyelids, blepharitis/eyelid gunk, and the sensation of the odd eyelash growing back. This was obviously a bad negative feedback loop, both physically and mentally, as I found the inability to resist the urge to pull quite distressing.

I’d tried all sorts over the years - NAC, moisturising my eyelids, tracking pulling, none of which had a noticeable impact.

A few months ago I came across Optase eyelid wipes (I got them from Boots in the UK, I’m sure similar products are available elsewhere). These work wonders! They remove the eyelid gunk quite easily and are pleasantly cooling, and for hard to remove gunk (I still find myself compelled to remove all of it) I can use it as a barrier between my thumbnail and my eyelid. Previously I would find myself raking my nails over my eyelids in an attempt to clean them, which was very irritating to my poor eyelids.

In a few months of using these wipes I have found that I have barely pulled at all, and have nearly full coverage of eyelashes - not at full density, but without any gaps, which is a major step for me.

Optase ‘advise’ using one wipe per eyelid. I usually tear one wipe in half, and find this half enough for both eyelids.

I don’t have any pictures of this so you’ll have to take my word for it. I hope this can help anyone else as it has really changed my life.

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u/BoydOrr — 1 day ago

Help!

I think I may have trich. I’ve always picked my lashes, and when I was a kid I would stay up at night and do it to help me fall asleep. I still do sometimes. but tonight was bad. I got one of those lashes that kind of stings, that you can usually pull out pretty easily bc they’re hanging on my a thread. Well, I think I got it. I have a bald spot. There’s still a couple lashes closer to the inner corner of my eye that are hanging down that I am ITCHING to pull, but I know I shouldn’t. Also, that spot where I was picking is swelling, I can feel it every time I blink. Im not sure what to do right now. Should I go to sleep hoping I wake up and it was all just a dream? Should I wash my eyelid with lukewarm water? Any tips are immensely appreciated.

Motivation to keep it up!

My lashes aren’t perfect but this is them on a good month! Been pulling for 31 YEARS. Brows were were microshaded 2 years ago, fill em in with pencil now, gotta go back and get em touched up. Really happy with my lashes 😍

u/Mital37 — 3 days ago

Day 168 of no pulls, Day 1 of Minoxidil and Finasteride

I pulled for over 30 years, the last 12 I’ve worn a wig. I have thin regrowth, a few days ago I managed to talk to my Dr (huge personal growth for me) and show him my actual hair (!!!!) and he prescribed oral minoxidil (because cats) and finasteride. The last one I hadn’t heard of but he said it’s well tolerated and the two together work well. I’m so proud! I never thought I’d ever get here 😃

Edit: app is SkinAware! Big fan :)

u/grover_2nd_player — 3 days ago

I can't stop my hands from pulling my hair.

I can't stop my hands from pulling my hair.

Hey there. I'm 19F. I've been experiencing hair pulling disorder since I was 13 years old. I'm starting uni now and still can't stop myself from doing it. It actually gotten a lot worst now because it comes with a great shame and disappointment knowing that I'm growing up and still can't outgrow this habit.

Lately, I can notice my confidence lowering. It's taking a toll on my self-esteem and my over all outlook on life. I don't wanna do anything anymore because my bald spot as gotten so big that when I let down my hair, you can see the bald spots and it's stressing me out. It really doesn't help that I can see it everytime I look in the mirror.

With all this stress, I just wanna ask if there's anyone here who can give me some advice on what to do. I already opened up with some of my family member and they just jokingly said to completely shave my head off so that I don't have any hair to pull. I don't like that idea because I'm scared of the judgement people might throw on me. Everytime I open it up to my family, they just joke around and won't give me any useful advice.

Thanks for reading my post. I'd really love to know your thoughts and I'd love to hear from people who experience the same.

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u/dunnowhattonamexxxx — 2 days ago

25 year Trich habit stopped in 1 day

Wanted to share something pretty remarkable with you guys.

I’m a 38-year-old male, 6’1”, 220 lbs. I’ve been dealing with mild to (at times) severe trichotillomania for 25 years. It’s mostly been my scalp, but it has flared up on my beard and eyebrows too. I’ve tried basically everything over the years — therapy, habit reversal, supplements, SSRIs, you name it — and nothing ever stuck.

A couple days ago I decided to start Retatrutide purely for body recomp. I have a trip to Italy next month and wanted to tighten up a bit. I started at 1 mg last Sunday. Stopping trich picking wasn’t even on my radar when I ordered it.

Here’s the crazy part: Within hours of my first dose, the urge to pick completely vanished. I haven’t pulled a single hair in 5–6 days. The compulsive behavior that’s been with me for most of my adult life just… stopped. Cold turkey.

I know it’s super early and I’m only on day 5–6, but this is the first time in 25 years I’ve had a break like this. I figured I’d post in case anyone else struggling with trich is curious about GLP-1 / triple-agonist peptides. I’ll keep updating if the effect holds.

Has anyone else with trich (or BFRBs in general) tried Retatrutide, Tirzepatide, or Semaglutide and noticed something similar? Would love to hear your experiences.

Thanks for reading.​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​

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u/mlpubs — 3 days ago

NAC is no joke y'all

EDIT: Sorry for the lack of reply!! Lots going on. Just to answer some qs: I'm starting on a lower dose because I can have strong reactions to meds, had a bad reaction to the last supplement I tried. Dr said 1200 is a common dose but it's not a huge issue if 1200 doesn't work out. I usually take it with food, helps with the taste kind of. Apparently there's lots of different methods to take nac, I might try something else after I finish this bottle since I take so many other meds already >_>'

DEFINITELY talk to a doctor about it first! And it definitely isn't a miracle cure, there's so many possible reasons we pull. Still finding myself urging too. I'd sleep through a hurricane maybe that's why it hasn't affected my sleep.

Finally got around to mentioning to my newish psychiatrist that I've been pulling for 25 years. He suggested that in addition to asking my talk therapist about building habit breaking skills, I also give NAC a try (N-acetyl cysteine if you're nasty.) It's a supplement that as a secondary bonus may help with trich and ocd.

I can look at myself in the mirror, I can touch trouble spots, I can see my scars and bald spots and have no reaction. Even if I feel my hand start to pull it's so much easier to stop. Even if I forget and miss a dose it feels like I now have practice at NOT pulling. I'm so excited!

Still scratching for keratin plugs tho :/ baby steps!

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u/maybeitsnotbutter — 3 days ago

Found this on TikTok and it's actually been helping

Found this on TikTok a few weeks ago and thought I would give it a try. Didn't expect much, but it's actually helped me cut down on hair pulling. I like that it gives you a daily limit instead of expecting you to stop overnight, and watching the streak grow is motivating. Just thought to share in case it helps someone else too.

u/FewCelery6617 — 3 days ago

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.

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u/Legitimate_Hawk_760 — 3 days ago

How do I cure myself of Trich if I’m resistant to metronidazole?

It’s ruining my life and I’ve tried everything you can think of. Tinidazole did not clear it up either. It’s not a full blown case. The gyno said it’s faint and he found one dead under the microscope. But I can still tell I’m not right. My vagina still feels nasty.. I do not know what to do. This has been a secret I’ve kept for a long time now. I want to have sex again.

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u/Feeling_Air5172 — 3 days ago

35 year of Trich, and I enjoy it?

First and foremost, this title isn't to diminish those with negative feelings of their trich or those doing to the work to quit. I absolutely applaud you!! I guess I'd just like to share my perspective. I rarely ever talk about it so maybe I just feel like venting a bit.

I've had TTM since I was 7. I am now 42. I also have some other ticks, including a severe case of bruxism since I was even younger. That's been so bad that it's to the point that my jaws regularly click and my back teeth are shattered. Throughout my many therapists over the years, I've never been diagnosed with anything except the note that I have TTM. Wild.

As a child I was VERY self conscious about pulling. My eyelashes were more my go to at the time so I lived with my bangs in my face and dealt with light teasing from friends and other adults about my bald lids. I remember the first day I even did it. My lashes used to be super long and would tangle and I despised that feeling. So one day I found the tangled hairs and pulled them out. That started everything for me and before I knew it, I was sporting bald lids for years. Being the early 90's, the Internet didn't exist and we had no idea that this was even a thing. I was just that weird kid with a few bad habits.

As I got older I leaned more into it and would openly educate anyone who questioned my missing facial hair (I pull everywhere but my head, but my face is obviously most noticeable). I actually enjoyed talking about it then because 9/10 times, they didn't know this condition even existed, so it was a learning experience. In high school I just began shaving my eyebrows off regularly. I figured if Marilyn Manson could pull it off, I could too 😂 and I had hoped it would curb me from pulling. It actually made it worse. It wasn't until my senior year that I began drawing my eyebrows on, and that became the norm up until this point. But really, that's only for special outings now. Running to the store or even at work these days, I couldn't care less.

And I think that's the point of my post. I stopped caring. Not about my health, but about the guilt and the shame. We're human. This is part of our experience, and tbh, I enjoy pulling. Maybe one day I'll attempt to quit, but this has been most of life and I don't plan on stopping. I won't be disappointed if it never happens. But we're all beautiful in who we truly are. We have a unique factor, and embracing it can be so freeing.

Anyway, I just wanted to share. 🫶

u/PurpleEyedGemini — 4 days ago

Trich unmanagable - what helped you stop?

Kinda ashamed to post here, but it's gotten to a point I don't feel good about myself anymore. If the tag is wrong just change it, I won't be offended.

DISCLAIMER
I want to start by saying that anyone who will jump in to give me "go to a psychiatrist/psychologist" or "google is free" will be blocked. Same for any emergency numbers, I've done all that, they said I was faking, lying or accused me of some other crap I don't care to remember.
I have been in therapy for years, I still am for god knows what reason, and they don't care.
All they "did" was give a diagnosis and call it a day. And all the google stuff never worked either ("keep hands occupied" type of stuff.)

Now that that's out of the way...

I've had it for as long as I can rememeber, I used to bite my nails too though luckily after years of failures I've found a way myself to completley recover from it (painting my nails works, I have really long nails now!) so I'm not a hopeless case contrary to what psychs tell me every appointment... I was able to reduce the pulling somehow before, but I still always pulled. I'd occasionally get small bald patches, but usually nothing big, I could easily hide it if I'd move my hair around a bit...

However, today I've seen myself in the mirror and I noticed I have a very large bald spot, up to the point that I don't have any hair in the middle of my head at all. I look like saturn. I know this sounds funny, but really that just makes me feel like an ugly freak. I already know my so called "family" will bully the fuck out of me once the sun goes up, probably even more than they usually do, too... so I don't need any nasty comments. Even then I still I can't really stop it, and comments usually make it worse.

I don't know why I do it, I don't know what's wrong with me either. My mother has even caught me pulling while I was asleep before too, on multiple occasions.

I'm tired of having it. I've tried everything. Their dumb meds. The distractions "strategies". The "therapies". Nothing works, and it just makes me feel worse, and I still always pull...

However, seeing some of the posts, how people have overcome it, does make it feel a bit less "forever" than it did before I came here... So I was thinking, maybe, some of you guys, who found ways to stop could share, please?

I don't have the courage to open these posts though, I'll admit it. I'm not even sure if I'll be able to visit this post again should anyone comment, I feel like I'll just delete it... I've already been on this screen for about an hour, contemplating whether this is even appropriate to post or not. This is my only reddit account and I don't really want to get banned...
Well, I suppose the attempt still matters. I'm not doing "nothing" after all...

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u/realsonofeden — 3 days ago

Pulled since age 11

I've struggled with trich for a long time, I'm 36 now but I still pull. I thankfully have reached a point where I don't keep pulling to no end, that happened roughly around age 26. There were times at my worst where I had absolutely zero eyelashes. You got this, you're not alone :]

u/perpl3x3d — 5 days ago

does anyone else's scalp get worse before it gets better or am i broken

been in a bad cycle lately. scalp feels weird - i pull. i pull - scalp feels more weird. it's like my hands have a mind of their own and my scalp is just collateral damage.

tried switching things up because my usual routine wasn't cutting it anymore. was using some random drugstore stuff that was probably stripping everything and making the whole situation worse. my scalp was just constantly irritated and i couldn't stop touching it.

friend sent me a link to this hair loss shampoo and conditioner set and said it helped her with scalp sensitivity. i was like sure whatever i'll try anything at this point.

first couple days i honestly didn't notice much. but like day 4 or 5 my scalp just felt... calmer? no tightness, no itchiness. my hair felt smoother too which is huge because when my ends are dry and rough i obsessively pull at them. smooth texture - less triggering for me personally.

not saying this is magic or whatever. it's just shampoo. but anything that reduces the sensory stuff that makes me want to pull is a win in my book. the urges are still there of course but it's like... one less reason to give in? if that makes sense.

anyway. the point of this post was really just to vent about how exhausting this all is. like why does my own body feel like my enemy sometimes. why can't i just wash my hair like a normal person without it turning into this whole thing.

if anyone else has found random stuff that helps with the sensory side of things please share cause i'm tired.

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u/Ashwinnie13 — 4 days ago

Is this trichotillomania?

This is kind of embarrassing, so yeah. Lately I have been wondering if I have trich after reading a book about a girl with it. Basically, I have been pulling out my pubic hairs. For about a year now, whenever I am like on the toilet, I obsessively try to pull out the hairs without thinking. Sometimes I will get tweezers and yank it out. I will pick out the hairs that are just barely regrowing, and not stop even though sometimes it bleeds a little. Its painful and I know I need to stop. I always tell myself that I will stop, but then I find myself doing it again. Could this be trich, or am I just very weird and messed up?

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u/Own-Solution6668 — 5 days ago

Consider getting a silk bonnet for when you’re at home - it helps me not access my hair

U can also sleep in it. Its good for ur hair.

u/thatblueblowfish — 5 days ago