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Trichotillomania is a psychological disorder characterized by the repetitive and uncontrollable pulling of one's own hair. Sufferers often find it difficult to resist the urge to pull out hair, whether on the head, eyebrows, eyelashes, or other parts of the body. This often results in noticeable hair loss, or even skin damage and infection. The behavior often becomes more frequent when patients feel anxious, stressed, or lonely. The brief relief and satisfaction they experience after pulling out can trap them in a vicious cycle of anxiety-pulling-temporary relief-anxiety again, gradually becoming a long-term habit and difficult to control. Sufferers often feel deep shame about the behavior, suffer from damaged self-image, and gradually avoid social interactions. Over time, hair pulling severely impacts confidence and self-esteem, and can even trigger social anxiety and depression. Sufferers often recognize the harmfulness and irrationality of the behavior, yet remain unable to stop, causing immense inner pain and struggle, and significantly diminishing their quality of life.

Teaching Objectives:

The main teaching objectives of the trichotillomania course include: helping patients identify and understand the triggers and psychological mechanisms of their own hair-pulling behavior, and understanding the emotional reasons behind hair-pulling behavior; mastering the habit reversal training (HRT) method in cognitive behavioral therapy (CBT), learning to identify early signs of impulses, and mastering effective alternative behavioral skills, thereby gradually reducing hair-pulling behavior; improving patients' sense of self-control, and cultivating long-term self-control skills and emotional management abilities; through auxiliary treatment methods such as mindfulness, writing therapy and art therapy, helping patients stabilize their emotions and improve their self-esteem; the ultimate goal is to establish a long-term anti-relapse mechanism for patients, improve their self-image, and restore normal social and life functions.

Course Schedule:

Lesson 119:Understanding the manifestations and psychological mechanisms of trichotillomania

Trichotillomania is not a quirk, but an expression of your inner stress.

You are not "out of control", your body is just looking for an outlet.

Understanding the mechanism is the first step in creating space between you and your impulses.

Lesson 120:Identification and adjustment of cognitive misunderstandings about trichotillomania

"I can't stop" is just a thought, not the truth.

Not every impulse requires a response; you have choices.

Adjusting cognition is the fundamental way to change behavior.

Lesson 121:Behavioral replacement training for coping with hair-pulling urges

You can use your hands for other actions, such as kneading, touching, and tracing.

Substitution is not about suppression, but about guiding the body in a new direction.

You have the ability to train yourself to choose gentler movements.

Lesson 122:Increased sense of control over hair-pulling behavior

A sense of control does not come from repression, but from understanding and practice.

Every time you practice interrupting an impulse, you are rebuilding your boundaries.

You are not defined by your impulses, you are becoming your own master.

Lesson 123:Dealing with the shame and social distress associated with trichotillomania

You don't need to be ashamed of the way you have been, it is just a signal that you need help.

It's not you who is misunderstood, but the world's unfamiliarity with symptoms.

Facing shame bravely is the light that gradually leads you out of difficulties.

Lesson 124:Establishing long-term relapse prevention mechanisms and emotional balance

Preventing relapse is not about eternal success, but about continuously protecting yourself.

Establishing emotional balance is the way you choose to accompany yourself gently.

You already have the power to repair and protect your life.

Please complete the course evaluation to review your learning and provide suggestions. This will help you deepen your understanding and help us improve the course.