What is Trichotillomania? Trichotillomania is a disorder in which individuals feel a strong urge to pull out hair from their scalp. This behavior can lead to noticeable hair loss and bald patches. The compulsion can be overpowering for those affected. Emotional distress is a frequent consequence, as sufferers often feel shame or embarrassment. The condition can be particularly intense for teenagers, but young adults are also often impacted. The impulse to pull can be overwhelming for them, leading to a cycle of repeated behavior.