Trichotillomania (hair-pulling disorder) can be influenced by various risk factors such as chronic stress, genetic predispositions, and deficiencies in problem-solving skills. The specific interaction of these factors and the manifestation of the disorder can vary significantly from person to person.

The diagnosis of trichotillomania is established through a comprehensive patient examination and detailed history-taking. It should be considered that patients may experience feelings of shame, ridicule, or guilt during the diagnostic and evaluation process. The assessment systematically investigates factors such as the severity, frequency, and duration of hair pulling, the amount of hair pulled, the characteristic features of the impulse, and any co-occurring medical or psychological conditions. Psychological tests and scales may also be used in this process.

Accurate diagnosis is vitally important for effective treatment. The clinical evaluation process is carried out by specialists in professional clinical settings. Although the psychological tests and scales used in this evaluation may vary, they are selected by considering their suitability and cultural adaptation for patients in Turkey.