Trichotillomania: Diagnosis

Trichotillomania is diagnosed in children who have established a recurrent behavior of hair pulling that is causing them significant distress. To meet the criteria for the disorder they must have made repeated attempts to decrease or stop the behavior. Before receiving a diagnosis children are often tested for scalp infections, alopecia, or spot baldness, and any other possible medical explanation. Trichotillomania is more difficult to diagnose in very young children.