Though the symptoms of alopecia areata typically do not cause physical pain, many people with the condition say that it causes emotional, or psychological, pain. This type of pain is as serious (and can feel the same) as physical pain and can lead to feelings of sadness, depression and anxiety.
A variety of factors are thought to cause alopecia areata (al-o-PEE-she-uh ar-e-A-tuh), possibly including severe stress. With alopecia areata, the body's immune system attacks the hair follicles — causing hair loss.
Severe stress is one of several potential causes of alopecia areata, a state in which your body's immune system attacks hair follicles, inducing loss of hair. Hormonal imbalances, often linked with depression, are another potential source of thinning hair and hair loss.
If you've lost hair as a result of stress or anxiety, there's every chance it will start to grow back once your stress levels are back to normal. Try working on reducing your stress levels as well as improving your general health and wellbeing. Any hair lost due to stress should grow back on its own in a few months.
Compared with the general population, increased prevalence rates of psychiatric disorders are associated with alopecia (Koo et al., 1994) suggesting that people with alopecia may be at higher risk for development of a major depressive episode, anxiety disorder, social phobia or paranoid disorder.
Hair loss (alopecia) can affect just your scalp or your entire body, and it can be temporary or permanent. It can be the result of heredity, hormonal changes, medical conditions or a normal part of aging. Anyone can lose hair on their head, but it's more common in men.
It is believed that the person's genetic makeup may trigger the autoimmune reaction of alopecia areata, along with a virus or a substance the person comes into contact with. Alopecia areata is an unpredictable disease. In some people, hair grows back but falls out again later. In others, hair grows back and remains.
Stress and Hair Loss: Potential Ways to Cope
Get regular exercise, which helps manage stress and its effects. Spend time with positive people — isolating yourself can make stress worse. Seek professional help from a therapist. Eat a healthy diet and take a multivitamin if your doctor recommends it.
Telogen effluvium hair loss — the type of hair loss linked to stress — typically affects your scalp and may appear as patchy hair loss. However, it can also cause you to shed more body hair or notice less hair on your body than you normally would.
Alopecia areata
This may be triggered by stress, and it can result in hair loss. Hair may be lost in round patches on the scalp, or across the entire scalp. In a more severe form of AA known as alopecia universalis, hair is lost from the entire body.
The hair loss is temporary, and should return to its pre-effluvium density, although this process is generally slow. It can take months (but generally less than 6) before the shedding stops, and then months to years for lost hair to grow back at the sluggish rate of ~½ inch per month.
Prolonged periods of stress can result in telogen effluvium. Hair loss typically occurs about 3 months after the stressful event.
Common anxiety related hair loss descriptions: You notice your hair is thinning. You notice your hair is falling out in clumps. You notice you are getting some bald spots.
For patients who use treatments, there are several options. However, alopecia areata cannot be "cured." As noted above, most patients experience future episodes of hair loss. Corticosteroids — Corticosteroids, commonly called steroids, are anti-inflammatory medications that are used to treat alopecia areata.
Several medications are available to treat both anxiety and hair loss. These include anti-anxiety medications and antidepressants, which your healthcare provider may prescribe while you take part in therapy if you have an anxiety disorder.
Ways to Stop Alopecia Areata from Spreading or Worsening
Avoiding unnecessary hair or scalp trauma, reducing stress and analyzing your diet are all worthwhile endeavors when attempting to prevent alopecia areata from spreading.
Telogen effluvium occurs when a substantial amount of anxiety and stress can cause the hair follicles to resume a resting phase which can, over a prolonged period of time, cause the hair to either fall out in clumps or weaken significantly in structure, causing it to break and look dull and lifeless.
The human body produces the hormone melatonin. This hormone has been confirmed by researchers to regulate the sleep cycle and increase hair growth. While sleep has a direct impact on the human body's natural hormones, it means that poor sleep reduces the amount of melatonin, potentially cause hair loss.
Topical minoxidil
Minoxidil, commonly known as Rogaine, is a topical treatment that's easy to apply and can be easily purchased over the counter. Minoxidil works to help the hair grow faster once the follicle is no longer under attack by the immune system and is capable of producing hair.
Prescription-strength corticosteroids in liquid form can be applied directly to the scalp. This is often an effective treatment for children affected by alopecia areata. Corticosteroid injections into areas of patchy hair loss on the scalp may help revive hair growth within several weeks in people with alopecia areata.
Can hair loss be related to stress? The bad news is yes, but the good news is that stress-induced hair loss is usually temporary.
Calcipotriol, a vitamin D analog, has been reported to be topically used in treating alopecia areata with promising results. Combination therapy of vitamin D analogs with corticosteroids might also be used in treating alopecia areata.
Alopecia areata is sometimes triggered by viral infections such as influenza that causes excess production of interferons (IFN). IFN- γ is one of the key factors that lead to the collapse of immune privilege.
Alopecia areata is more common among African Americans but less common among Asians, compared with whites, according to a new study involving registry data for more than 11,000 individuals.