Successful Management of Trichotillomania with an Integrated Approach: A Case Study

Trichotillomania (TTM) is a chronic psychodermatological condition in which repeated hair-pulling leads to visible hair loss and significant emotional distress. This case study presents the successful management of a 22-year-old female with TTM using an integrated approach that combined Growth Factor Concentrate (GFC) therapy, supportive Ayurvedic medications, counselling, and yogic practices. Over five months, six sessions of GFC therapy were administered, resulting in steady dermatological improvement, including reduced broken hairs, increased anagen hairs, improved scalp density, and normalization of follicular openings. Alongside this, psychological interventions such as counselling, Anulom Vilom, and Bhramari Pranayama helped reduce hair-pulling urges, enhance emotional regulation, and improve awareness of triggers. No adverse effects were reported during treatment. The overall outcomes demonstrate that while GFC effectively restores hair health, long-term recovery in TTM is best achieved through a combined strategy that addresses both the dermatological and psychological components of the disorder. This case demonstrates that integrated dermatological and psychological therapy provides sustained improvement in TTM, indicating the importance of multidisciplinary management strategies.