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Some symptoms you may need to regrow hair trichotillomania treatment include: Pulling out hair from the scalp and other areas such as eyebrows, eyelashes, genital area, beard or mustache Extreme attempts to hide the hair-pulling condition Intense urge to pull hair out, accompanied by growing tension until they do Specific rituals that accompany hair pulling, such as rubbing hair pulled off across the lips or face A sense of relief and pleasure after pulling hair Skin irritation in affected sites Hair pulling episodes that occur unconsciously or as a response to a stressful situation Unique patterns of hair pulling Evidence of hair loss characterized by an unusual shape on one side, bald patches, sparse or missing eyelashes or eyebrows Failed attempts to stop the hair pulling habit Eating or chewing the hair pulled from the body Problems at work, school or in social situations because of the urge to pull out hair Emotional issues, such as strong feelings of shame and low self-esteem Your Manhattan hair restoration doctor conducts an interview and tests to determine the cause of the hair loss