I don't have such a hair-pulling problem that I have bald spots anymore. I haven't had bald spots since 3rd or 4th grade. More than 12 years ago. (At this point I've spent most of my life as a child, so bare with me... lol.)
But I do still pull out my hair. There seem to be some triggers. High stress, for one. Included scalp picking (never bad enough to matter). Then... I think just being in a dirty place. A dirty house. Having oily hair or hair that's tangled. (Messing with it -- which is a habit -- makes hair more tangly, more frizzy, and more oily, all of which are triggers.)
Also, when I'm feeling restless or am trying to conceptrate. I even have a "study hat" I frequently wear when studying. Otherwise my hair and resulting mess will be everywhere -- also, it's so difficult to study when one of my hands is messing with my hair and scalp. It's like I can't stop until I get the weird-feeling hair (the one with kinks or a tiny knot or a frayed bit). I'll go through my hair with my fingertips gently, pulling at hairs until one is wrong, and then I pull it out. It's so satisfying...
Even just now, I wasn't able to brush teeth because I was playing with my hairs, individually, and couldn't stop yet becuse I'd found one with a kink-filled texture.
I've gotten better about eyelashes, because I'm trying to keep fingers out of my eyes to prevent making the itching and burning worse. Mold allergy, I think -- or maybe bird.
I have no idea why this has been so consistent. It started in elementary school when a lice epidemic hit. I started pulling out my hair, looking for lice or their eggs... no idea why, because I wasn't even concerned about bugs. They didn't gross me out. They meant I didn't have to be at school.
