Battling trichotillomania
Thousands of Israelis secretly battle trichotillomania, also known as the hair pulling disorder, every day—discover how Rambam’s holistic approach brings science, compassion, and real results.
For many, it is a hidden struggle—repeatedly pulling out their hair, eyebrows, or eyelashes in a cycle of compulsion, shame, and emotional distress. Trichotillomania is a psychiatric disorder affecting thousands of Israelis and is often undiagnosed or misunderstood. At Rambam Health Care Campus (Rambam), skin specialists and mental health professionals work hand-in-hand to treat the disorder holistically.
“It’s not a quirk. It’s not a phase. It’s a real disorder,” says Dr. Meirav Adres, a clinical psychologist at Rambam. “Trichotillomania often begins in adolescence and is closely tied to anxiety, sensory regulation issues, or perfectionism. What starts as a coping mechanism can quickly spiral into a source of deep emotional pain.” Trichotillomania is more prevalent in women and, though not always tied to trauma, is strongly influenced by stress and hormonal fluctuations, which can trigger or intensify symptoms.
I can usually tell within minutes of examining the scalp
Physically, trichotillomania is quite visible. “I can usually tell within minutes of examining the scalp,” says Dr. Orna Mirmovitz Morbai, senior dermatologist and head of Rambam’s hair clinic. “The hair loss is patchy, asymmetrical, and often accompanied by broken strands, scabs, or inflammation. It’s our job to spot the difference between a skin condition and a psychiatric one—and connect the dots quickly.” Repeated trauma to the skin can lead to infections, inflammation, and long-term damage to hair follicles. As a result, trichotillomania can mimic other conditions like fungal infections or autoimmune conditions, so the diagnostic process may involve physical and dermoscopic exams, fungal cultures, and biopsies.
Integrated psychodermatology program
Rambam is one of Israel’s few hospitals with an integrated psychodermatology program, where skin specialists and mental health professionals work hand-in-hand to treat the disorder holistically. What truly distinguishes Rambam’s approach is this seamless collaboration where dermatology meets psychiatry, and body meets mind.
Among those seeking help is Ofri Smile Gershonovitz, who has lived with trichotillomania since she was a teenager. Now 41, she describes the disorder as a “daily battle” that ebbs and flows with stress. With support, she is rebuilding her self-image and breaking free from the cycle. Her story reflects the resilience and complexity behind the diagnosis, as well as the critical need for compassionate, specialized care.
In short, trichotillomania is a complex and painful disorder, but it is treatable. Through compassion, evidence-based care, and better public awareness, Rambam is helping patients rebuild their dignity and self-worth.
Based on a Hebrew language article from Ynet.
