Trichotillomania — sometimes shortened to trich — is a body-focused repetitive behavior that causes hair pulling. In South Dakota, most therapy for trich is delivered through behavioral health providers, and hair coverage is delivered by hair-loss specialists. We work with both.
How we approach fittings for trich
Every fitting is private. We never ask you to explain the pattern of loss or the trigger — we simply look at what is there and what will feel most comfortable to wear.
We avoid adhesives and tape when possible. Bonded pieces can create a new focus for pulling. We prefer clip-in toppers, halos, and integration pieces that can be removed at night and do not press on the scalp.
What we typically recommend
For loss concentrated at the crown or hairline, a lace-front topper with clips offers full coverage without touching the temples.
For diffuse loss with intact perimeter, a halo piece rests on the crown and blends with your own hair — no tape, no clips into fragile hair.
For clients who are actively working with a therapist on habit reversal, we build in check-ins so the piece grows with the treatment plan.
Working with your therapist
Sioux Falls has behavioral health providers experienced with body-focused repetitive behaviors, including therapists at Sanford, Avera, and independent practices. If your therapist would like to coordinate on the physical solution, we welcome the conversation.
Frequently asked
- Can I wear a wig if I have trichotillomania?
- Yes. Many people with trichotillomania wear toppers, halos, or full wigs. We recommend non-adhesive attachment methods that can be removed at night and do not stress remaining hair.
- Will a wig make trichotillomania worse?
- For most clients a well-fitted piece reduces stress about appearance and supports the work being done with a therapist. Adhesive attachment can occasionally create a new focus for pulling, which is why we typically avoid it.
Talk with a specialist in Sioux Falls
Consultations are private and complimentary. We handle cranial-prosthesis paperwork and work with dermatology and oncology teams across South Dakota.