How to deal with a 4 yrs old how is pulling out her hair.

Please can anyone help me. I have just had coffee with a dear friend who is in pieces. She has a 4yr old daughter who has been pulling out her hair for at least 3 yrs. She has tried many methods in an attempt to ge her to stop pulling ie. giving her a tug bear that she holds and pulls it's fur rather than her own hair, getting her to wear a swimming cap at night to prevent her pulling in her sleep, but nothing seems to be working. This weekend whilst her daughter was staying at her fathers house it would appear that the pulling has reached an all time high resulting in a massive amount of hair loss. My dear friend was in tears when she collected her on Sunday and is at a loss with what to do about the situation. Is there anybody out there that can offer any constructive advice, she has been told by her doctor that she will "grow out of it" however any suggstions would be gratefully received as it is heartbreaking to watch.

Hello, My heart goes out to

Hello,

My heart goes out to you, and your friend too. I know firsthand and all too well about Trich, it is a bad situation your friend finds herself in. Especially since her child is only four. I can tell you that the child must be suffering from some sort of stress. Stress is the biggest culprit of this disorder. I find it very annoying to hear others call it a part of OCD. It is linked to your emotions, how you are being treated and how you feel about your self, your surroundings, your love ones, etc.
If that child feels out of control of her feelings, if she has anxiety in her life, it can trigger and set off the hair pulling in an attempt to control something in her life to make up for the parts she has no control over. The hair pulling relieves the tension and stress she must be experiencing. Until the stress goes away or calms down to an extent, it will then be hard to get the disorder under control. And then it is still a process, but it can be controlled, obtained and fixed with the right steps.

Respectfully, Wanda H

Hi my friend's daughter is

Hi my friend's daughter is also 4 years old and doing the same thing.As a sufferer myself i told her to get the little girls haircut reasonably short,i am 34 years old and its really upsetting to think that your hair is so weak it doesnt grow anymore in those areas,so the little girl may not like to have a short hair but its the parent that needs to make that decision for her at that age,she will thank her mum one day.