Trichotillomania is a Body Focused Repetitive Behavior (BFRB) characterized by recurrent hair pulling resulting in hair loss that persists even after repeated attempts to stop the behavior. Common areas where people pull hair from are the scalp, eyebrows and eyelashes, though pulling can focus on hair from any part of the body. Emotions occurring before or during hair pulling can include anxiety, frustration, depression, and even boredom. After pulling, many experience shame, embarrassment, or regret. Often the behavior becomes so automatic that the person may not realize they are pulling out hair until after the pull. Trichotillomania can cause tremendous emotional distress, isolation, and difficulties in social, school, and work settings in addition to the risk of physical damage from the repetitive pulling.