Trichotillomania Self-Assessment (Hair-Pulling Disorder)

How often do you feel a strong, irresistible urge to pull out your hair?

Do you experience a sense of mounting tension immediately before pulling hair?

Do you feel a sense of relief, pleasure, or gratification after pulling hair?

How much time daily do you spend on hair-pulling behaviors or related thoughts?

Do you pull hair from your scalp, eyebrows, or eyelashes?

Have you noticed visible patches of hair loss or thinning due to pulling?

Do you pull hair while focused on other activities (like reading or watching TV)?

Do you pull hair intentionally to cope with stress or negative emotions?

Do you find yourself examining, biting, or playing with the hair after it is pulled?

Have you tried to stop or reduce your hair pulling without success?

Does your hair pulling interfere with your ability to perform at work or school?

Do you avoid social situations or public places because of your hair loss?

How much distress or shame do you feel regarding your hair-pulling habits?

Do you use tools (like tweezers or pins) to assist in pulling your hair?

Do you spend a lot of time camouflaging hair loss with hats, scarves, or makeup?

Do you feel like the hair pulling has become an automatic, unconscious habit?

Has anyone else commented on your hair loss or your pulling behavior?

Do you experience physical pain or skin irritation in the areas where you pull?

Does the urge to pull feel stronger when you are bored or idle?

How difficult is it for you to resist the urge once the tension starts building?