Let’s Have a Conscious Conversation - How to Talk with Friends and Loved Ones About Your Condition

Hey Beautiful, if you’ve had TTM for some time now, you probably already know how hard it can be to talk about it with the people closest to you.

Whether it’s a friend, family member, or someone else you trust, sharing your experience is a big step in your healing journey. But it’s also important to feel safe and supported when you have these conversations.


Let’s walk through some ways to have these conversations with confidence, compassion, and purpose.

Why Opening Up Matters

Living with trichotillomania can sometimes feel isolating, and keeping it a secret might make you feel even more alone. But letting someone in—someone you trust—can be a huge relief.

Sharing your experience with someone who loves you helps you feel seen and supported.
However, choosing the right person and the right way to start the conversation is essential to feeling safe.

 

You don’t have to tell everyone about your condition, but finding one person you feel comfortable with is a great start. Whether it’s a parent, best friend, teacher, spiritual leader, or even a mental health professional, opening up to someone you trust can make all the difference in your journey toward healing.

Step 1: Choose Your Person and Your Space

Not every conversation about TTM must be difficult. The first step is deciding who you want to share with and finding a space where you feel comfortable. You might prefer a private setting like your living room, or maybe a public space like a coffee shop feels safer to you.

Some people even like to have these conversations while on a walk outdoors. Nature has a calming effect, and walking side-by-side can make it easier to talk without the intensity of direct eye contact.

Step 2: Tell Your Loved One What You Need

Once you’ve chosen the person and space, it’s important to set up the conversation for success. You want to make sure the person you’re talking to is in the right mindset to hear you out. Start the conversation by saying something like:

 

“I have something important to share with you, and I need you to meet me in a place of compassion.”

 

This lets them know you’re about to talk about something meaningful and that you’re asking for their empathy and understanding. It’s also a good idea to check in with them and make sure they’re ready to have this conversation:

 

“If now is not a good time, please let me know when you might be available.”

 

If they keep postponing the conversation, it might be a sign that they’re not the right person to confide in at this moment. And that’s okay! You deserve someone who’s ready to listen with an open heart.

Step 3: Say “I Have Trichotillomania”

Language is powerful, and how we speak about our condition can shape how we feel about it. When telling your loved one about TTM, use the phrase: “I have trichotillomania.”

 

Avoid saying things like, “I am a hair-puller,” as this language can make you feel defined by your condition. Trichotillomania is something you have, not something you are. By using this empowering language, you can feel more in control of your narrative.

Step 4: Tell Them How They Can Help

If you’re ready to share with someone, it likely means you’re also ready to take steps to manage your condition—and that journey doesn’t have to be a lonely one. Sharing your experience opens the door for your loved one to support you in a meaningful way.

 

The most important thing your loved one can do to support you is show love without judgment.

 

Instead of pointing out when you’re pulling, they can gently encourage you to engage in a healthier behavior without focusing on the hair-pulling itself. For example, they might say, “Let’s take a deep breath together,” or “Why don’t we try that new stress ball you got?”

 

This approach can help you feel less “caught” in the act and more supported in your effort to manage the behavior in a positive, healthy way. It builds your confidence in your ability to replace hair-pulling with a soothing strategy that feels good for you.

How Stress and Anxiety Play a Role

As you talk about your condition, it’s important to recognize that stress and anxiety often fuel the urge to pull. Managing these emotions through open conversations and emotional regulation strategies can significantly reduce hair-pulling.

Research has shown that stress and traumatic experiences, especially in childhood, can lead to a higher likelihood of engaging in compulsive behaviors like hair-pulling.


Addressing these underlying emotions and seeking support from loved ones can make a big difference in managing trichotillomania.

We’ve Got a Guide to Help You

Finding the right words to explain your condition can feel tough, but we’re here to help. HFHP offers a downloadable guide with tips on how to talk to your loved ones about trichotillomania, as well as how to find a TTM-informed therapist for additional support.

This guide will help you take the next step in sharing your journey with others and getting the support you deserve. Get your copy in our self-help course, UnTrick Yourself™.

About HFHP

At Healing from Hair Pulling, we’re here to guide you through every part of your healing journey—including how to talk with your loved ones about your experience.

Our programs are designed to help you develop confidence, stress management approaches, and practical tools to reduce hair-pulling, with the support of those who care about you most.

Girl, It’s Time to UnTrick Yourself™

Join UnTrick Yourself™, our peer-led, evidence-based program designed to help women like you. We’ll work together on strategies for managing trichotillomania and explore how to open up to your loved ones. With our supportive community, you’ll never have to go through this journey alone.

 

Join us at healingfromhairpulling.com and take the first step on your journey toward healing. Together, let’s find what works best for you!

References

Yasir, W., Sherin, M., & Kazmi, S. F. (2021). The Role of Childhood Trauma in Developing Nail Biting and Trichotillomania Among Adolescents. International Journal of Innovation, Creativity and Change, 15(2), 1314-1332. https://www.ijicc.net/images/Vol_15/Iss_2/17132_Kazmi_2021_E1_R1.pdf

 

Zhang, J., & Grant, J. E. (2022). Significance of family history in understanding and subtyping trichotillomania. Comprehensive Psychiatry, 119, 152349. https://doi.org/10.1016/j.comppsych.2022.152349

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