My 11-month-old likes to play with her hair, and even pulls it. Is this trichotillomania?

First, it’s great that you are reaching out for help on this, and shows your devotion to your daughter and your desire to become educated about these issues, which will be great for both of you down the road.

I don’t know of any evidence that trichotillomania can start as young as 11 months; typically we begin to see it in the 7 to 12 year old range. But the real question is what your daughter is actually doing with the hair that she plays with. My hunch is that this is a self-soothing behavior that also forges a connection between her and you, her mother. However, if she is actually pulling her hair out, and particularly if she is eating it after she pulls it out, that would be a major cause of concern.

So: if she is not pulling the hair out, and I don’t think it sounds like she is, then it is not trichotillomania, and there is no need for you to dissuade her from the behavior. If you find it harmful, or you are simply still worried about it, an easy way to prevent the pulling is to put band-aids on her fingers. This “dulls the weapon,” as it were.