Mine started when I was a teenager and I had a zit in my hair and my mom pulled out the infected hair and I loved the feeling. I noticed when I am stressed, high anxiety, and when I am in a hypo manic episode is when I do this. I have been going thru a hypo manic phase and I have a spot right now that is visible. I already have very thin hair. I am able to hide it right now barely by pulling my hair up.

BP 1/OCD/GAD