Veteran trichster here. Thirty years now. at thirteen I picked myself completely bald. over and over and over again. I have long hair now (just cut off about 5 inches last night) but i have two thin spots over each ear that don't grow properly anymore. I still pull all the time but I don't do it to the extreme that I did when I was younger. My mother, way back when I was a kid, would yell and make me feel like a sicko--which didn't help at all, and then in between that she would ignore that I had a problem. Now, I have a loving husband who when he notices that I am pulling more than usual will simply hold my hands. (I tend to pull unconsciously while watching tv or reading. ) or ask me if something is wrong. Now that you are an adult, I am certain that you will find ways of dealing with what ever makes you pull. You aren't alone. There are lots of us!!