“Oh, the places you’ll go!” exclaimed Dr. Seuss, as he he hoped to inspire children to live a vigorous life of travel, exploration, and discovery. But for people with severe anxiety, travel could be considered the ultimate discomfort zone. A variety of unknowns can cause a cyclone of negative thoughts: “How will I get there? Will I be able to adjust to an unfamiliar environment? How do I deal with anxiety while I’m away from home?”
I recently discovered that two friends of mine suffer from trichotillomania, or compulsive hairpulling. It came as a surprise to me, and even as a clinical psychologist, it was difficult to detect because neither one of them pulls out their hair in an obvious manner. Although about 3 percent of the U.S. population experiences trichotillomania during their lifetime, few people know what it is — and even fewer want to talk about it, which adds to the elusiveness of this disorder.
Reviewed October 2020
In the early years of my career as a clinical psychologist and psychotherapist I often struggled to find a way to help some of my clients cope with their thoughts and feelings of regret: “If only I had recognized my cheating boyfriend for what he really is,” or “I wish I’d been a better and more patient mother to my son,” and “If only I’d studied harder I would have done better in life.”
It happens on a daily basis. I routinely scroll through my Facebook feed while sipping my morning tea. That's when I see photos and status updates about people doing things: going to fabulous charity events, attending basketball games from the company box, brunching at the newest hotspot, or sipping mojitos on an exotic beach, and all with perfectly filtered photographic evidence to show for it. Thanks to the wonders of 4G, these friends’ day-to-day lives have somehow become part of my own too.
If you are in crisis please dial 988 for the Suicide & Crisis Lifeline. Please note that ADAA is not a direct service organization. ADAA does not provide psychiatric, psychological, or medical advice, diagnosis, or treatment.
Founded in 1979, ADAA is an international nonprofit organization dedicated to the prevention, treatment, and cure of anxiety, depression, OCD, PTSD, and co-occurring disorders through aligning research, practice and education.