I have a few big pieces I have to really stay focused on, which means I can’t write smaller things––except for that piece about learning to walk a tight-wire I’m trying to finish but nobody seems to want to publish, which is nuts––but if I did have time, I would write about this chick Rebecca, who vlogs about her trichotillomania.*  This video, which shows her shaving her head, went mini-viral a few weeks back.

One thing that’s been gnawing at me since I fell into Rebecca’s TrichJournal clickhole is: if one’s emotional state while pulling is anxious––i.e. the impulse is, like for many OCD and self-harm sufferers, to relieve indiscriminate anxiety via a concrete action/visceral sensation––then post-shaving, does the anxiety remain, or dissipate?  I see in the comments that the urge to pull is transferred to other hair––eyelashes, pubic, etc.––although that might be only for some sufferers.  If the anxiety remains, then generally, is treatment geared toward anxiety sufferers (medication, meditation, CBT, that kind of stuff) the standard option for those with trich?  Is it shown to be effective?  I guess what I’m trying to understand here is if trich resembles in its pathology a generalized anxiety disorder that becomes, through reinforcement, focused on cilium, or if the neurological origin of the obsession is more enigmatic, i.e. a fetish or Morgellons Disease?  (“Disease.”  I have no dog in that fight, just acknowledging that there are many beliefs about it.)

*Yes, I do realize how often I talk about how I don’t have time for small pieces anymore because I’m working on big pieces, and yet how rarely my whining seems to correspond with actual working-on-big-pieces.


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