The impact of mindfulness-based haircuts on individuals affected by trichotillomania and related hair-focused repetitive behavior disorders and their hair-pulling behavior: A pilot study

Individuals with Trichotillomania (TTM) or related hair-focused repetitive behaviors engage in recurrent hair pulling that negatively impacts their quality of life. At the same time, hair care remains a central part of their hygiene and beauty routines. This study examined the effects of a mindfulness-based haircut appointment, delivered by trained hair professionals, on pathological hair-pulling behavior. In an open-label intervention study, 43 adult females with TTM completed measures of hair-pulling behavior and maintained hair-pulling diaries for 14 days before and after the appointment. Results showed significant reductions in hair-pulling urges and time spent pulling hair post-appointment, with sustained improvements at 14, 30, and 60 days, as documented in diaries and the Massachusetts General Hospital Hairpulling Scale. Furthermore, participants were satisfied with the appointment, attributing this to the empathy and non-judgmental communication exhibited by the hair professionals. These findings suggest that haircut appointments administered with compassion and understanding may significantly reduce hair-pulling behaviors and improve overall well-being. The results underscore the importance of training hair professionals to provide informed, supportive services to individuals affected by TTM. • Mindfulness-based haircut tested as a supportive intervention for trichotillomania (TTM). • Participants showed reduced hair pulling after the haircut appointment. • Hair professionals trained to respond empathically to individuals with hair-focused repetitive behaviors. • Participants reported feeling seen, safe, and more self-accepting after the intervention. • The approach may complement traditional treatment and improve hair care experiences.