My 16 y/o daughter is pulling out her eyelashes, her head hair and her leg hair. She usually does this when stressed about school work and is in counseling for the issue. Wondering what you recommend and what other parents may have tried. THX, KMT
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ray4551 |
Trichtillomania |
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My 16 y/o daughter is pulling out her eyelashes, her head hair and her leg hair. She usually does this when stressed about school work and is in counseling for the issue. Wondering what you recommend and what other parents may have tried. THX, KMT
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daughterseditor |
Re: Trichtillomania | ||
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Hi,
the below is from Kathy--great advice! Helen Dear KMT, It sounds like your daughter is struggling with Trichotillomania. Often people who develop this compulsive behaviorwhich can begin in children as youngdiscover by accident that pulling out a hair results in a soothing feeling for them. While simply painful or unpleasant for most people, in some individuals the neurological jolt of a single pulled hair both abruptly wakes up the individual to a new or altered emotional state, while simultaneously signaling the brain to release certain brain chemicals that are experienced as soothing. It is often thought that individuals who are more susceptible to this mood altering effect are those who may have underlying anxiety disorder or depression. However there is no clear evidence that Trichotillomania is related to deep seated emotional problems or mental disturbances. The underlying tension that is relieved by hair pulling may or may not be greater than that felt by many people. In fact it is common for hair pulling to be done when the person is relaxed or distracted, such as when reading, watching TV or falling asleep. The difference is probably the degree to which the hair pulling is experienced by a particular individual as mood altering or gratifying, which then leads to repeated use, and finally to compulsive use. Because of this, it is suspected that there may be a biological basis for Trichotillomania. Over time the person feels increasingly dependent on the soothing feeling that accompanies the hair pulling, and at this point the behavior is no longer within their control. I am glad your daughter is receiving counseling. Treatment should be provided by someone who has a good understanding of this problem and who can not only provide cognitive behavioral therapy (which has demonstrated the most positive outcomes), but who can educate your daughter and you about Trichotillomania. In addition, SSRI medications may be extremely helpful for some people, especially if there is an underlying anxiety or depression that is driving the person to seek relief. I hope your daughter has been fully evaluated to determine if there are underlying concerns that may be contributing to her felt-need for hair pulling. There is a good web site, www.trich.org on this topic. It includes good information for parents. I hope you will learn all you can about Trichotillomania, because education can be enormously helpful for both those who struggle with the behaviors and their families. Best wishes to you and your daughter, Kathy Kater |
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kathy |
she thinks she's ugly | ||
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Hello TJ,
Thanks for writing. Freshman year can be tough for girls. There are a lot of pressures. In light of this, I am wondering how your daughter seems to be doing in other areas of her life. Is she involved with friends and/or activities? Is she keeping up with her school work and other responsibilities? Is she energetic and happy in general, or does she seem sullen, withdrawn and unhappy in general? Have there been any signs of restrictive eating, sleep problems, or other behavioral concerns? In any case your concerns about her self-image are understandable, but if she seems somewhat depressed overall, I would feel more concerned. I also wonder whether what you are seeing and hearing has surfaced recently, or if your daughter has been expressing these feelings and covering up her body for a while. Regardless, it is painful enough to learn that your daughter feels bad about herself. In addition it is confusing when her perceptions of herself seem distorted. It sounds like on some level she is telling you about her feelings, which is very good. However I think it is possible that in your efforts to reassure her and help her to see herself as you see her, you may be inadvertently sending a message that you are not able to really listen to how she feels. While you know she is striking in appearance and has beautiful eyes and hair, she may not see herself this way. It is important that you try to meet her where she is coming from. That is, instead of countering her comments about herself as untrue, it is important that you validate that she is apparently feeling unattractive, and ask her if she will tell you more about how she has come to feel this way. In order to help, you must see if you can see things through her eyes. I know it may sound odd, but you may want to start with an apology. Tell her you have thought about it, and now realize that in trying to reassure her (because you truly see her beauty), you may have made her feel like you didnt want to hear about how badly she feels and what she thinks. I know I have had to do this with my daughter, and trust me, it can help to open things up to acknowledge that you have been trying to make her feel better rather than really listening. If she can trust that you will hear her (and wont tell her that she shouldnt feel that way), she may be able to let you know when and how she started to feel as she does. Then you will be better able to understand the basis of her feelings and will know better how to either just listen or to guide her. If she seems depressed, I would ask if she would like to talk to someone professionally or if she would be willing to do so. Rather than trying to convince your daughter that she has lovely features, I would suggest trying to engage with her in some ongoing activities that are not focused on appearance. Is there something that the two of you both enjoy or care about? If not, try to find something. Invite her to volunteer with you at the humane society, take modern dance or yoga, or go to a poetry class. If there is an activity she is interested in, but she doesnt want you to join her, offer to pay and drive her if she promises to go out with you for ice cream or tea or whatever after each class. Then just enjoy the time together. Dont get hung up on my specific examples of things to do, but allow yourself to be creative and think about what you know about what your daughter loves or is naturally good at. That way, when you are involved in or hearing about the activity, you can genuinely compliment her about things that touch her heart and help her to develop a stronger sense of who she is beyond how she looks. I hope this helps a little. If not, write back with more information, ok? Best wishes, Kathy Kater |
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