Trichotillomania, compulsive hair pulling: Information, tips and help in Berlin & online

Hypnotherapy and Hypnobalancing™ in Berlin

Frequently asked question

What is trichotillomania?

Trichotillomania, also known as trich, is when someone cannot resist the urge to pull out their hair. Sufferers may pull out hair on their head or in other places, such as their eyebrows or eyelashes. Trich is more common in teenagers and young adults.

What causes trichotillomania?

Trichotillomania may be connected with negative emotions. For many sufferers, pulling out their hair is a way of dealing with negative or unpleasant feelings, such as stress, anxiety, tension, boredom, loneliness, fatigue or frustration.

Does trichotillomania eventually go away on its own?

Trichotillomania does not disappear by itself. It is a mental illness that can be treated for resolution.

Help with Trichotillomania

Trichotillomania, or Compulsive Hair Pulling, is an underestimated disorder in terms of its complexity, the number of people who actually have it, and its powerfully negative impact on people’s lives. It is a condition where a person feels compelled to pull their hair out; hair on their head or in other places, such as their eyebrows or eyelashes. Learn how hypnotherapy with Hypnobalancing™ can help you.

Overview

Trichotillomania or Compulsive Hair Pulling
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Trichotillomania or Compulsive Hair Pulling

Trichotillomania or compulsive hair pulling is an irresistible urge to pull out hair from the own scalp, eyebrows or other areas of the body. Sites of hair pulling may include any region of the body in which hair may grow, the most common sites being the scalp, eyebrows, and eyelashes. Stressful circumstances frequently increase hair pulling behavior, but increased hair pulling also occurs in states of relaxation and distraction.

Trichotillomania is an underestimated disorder in terms of its complexity, the number of people who actually have it, and its powerfully negative impact on people’s lives.

For some people, trichotillomania may be mild and generally manageable. For others, the urge to pull hair is overwhelming and can be accompanied by considerable distress. Hair pulling is a complex problem and has a great number of inputs, each of which, in turn, can be further influenced by a wide variety of factors.

For some clients, there is little or no awareness of their pulling.

Another group of patients reports an extremely pleasant or soothing feeling when pulling hair. The pulling itself is for them an immediately fascinating experience, and can function almost like a drug for some. Time seems to stand still for them when they are engaged in this activity of pulling hair ﹣ and other problems temporarily vanish into the background. Others may go on to ritualize or play with the hair after they have pulled it out. And there are those who report feeling no particular pleasure at all.

Finally, there are those whose pulling is done deliberately, and which seems closer to classic Obsessive-Compulsive Disorder or Body Dysmorphic Disorder. They feel driven to pull hairs that are imperfect or wrong in some special way. By pulling out these hairs, they believe that they are fixing the way their hair looks, eliminating hairs that do not seem to belong and improving its appearance.

All these different groups have in common that the person feels upset because of what they have done, and the fact that they were unable to stop themselves. They don’t feel in control go themselves. Trichotillomania can have a significant impact on the quality of life. Trichotillomania can cause feelings of guilt, shame, isolation or embarrassment, which can affect the social life, the performance at school or work.

There is no absolute cause for obsessive hair pulling. Psychological and behavioral theories suggest that hair pulling may be a way of relieving stress or anxiety. In some cases, trichotillomania may be a form of self-harm, where people deliberately injure themselves as a way of seeking temporary relief from emotional distress.

Help

Some treatment options have helped many people reduce their hair pulling or stop entirely. One of those treatments combines elements of different therapies like hypnotherapy, Hypnobalancing, and others.

How to Decide to Ask for Help

Overcoming Doubts About Seeking Support

Are you wondering whether you need professional help to recover? You might feel that you should handle things on your own or worry that seeking help means you’re not strong enough. Perhaps you fear that discussing your issues could worsen your symptoms. These concerns are natural, but addressing them can clear the way for meaningful progress.

The Value of Reaching Out

Taking the step to seek help doesn’t mean you’ve failed. It’s a sign of emotional strength and self-awareness. Therapy offers the chance to balance personal autonomy with the support of a trusted professional. An experienced therapist will guide you at a comfortable pace, never pressuring you to discuss topics you’re not ready for. Emotional resilience grows through learning when and how to seek support while maintaining independence.

Assessing the Impact of Symptoms

To determine if professional assistance might benefit you, consider how your symptoms affect your daily life:

Are your relationships fulfilling and healthy?
Can you focus and perform effectively at work?
Do you feel joy and satisfaction in your daily life?
Is there a sense that life could be more fulfilling?

If your symptoms limit your ability to thrive in these areas, reaching out for help could be a valuable step.

Who Can Assist You?

Are you thinking about working with me? If you know someone I’ve helped, their experience might provide valuable insights. If not, explore the resources on this website to get a clear impression of my approach and expertise. Trust is the cornerstone of effective therapy, and I strive to build it through transparency and openness.

Meet Your Therapist

Specialized Care for Anxiety and Fear

With over 20 years of experience, I have focused my practice on helping individuals overcome fears and anxiety disorders. Each week, I dedicate approximately 20 hours to empowering clients to break free from their limitations and achieve a higher quality of life.

A Trust-Based, Personalized Approach

Therapy is a deeply personal journey. To build trust and provide transparency, I offer insights into my professional background and therapeutic philosophy in my profile. This openness sets the stage for a collaborative relationship, ensuring you feel supported and understood throughout the process.

Flexible Language Options

To meet your unique needs, sessions are available in German and English. This flexibility ensures effective communication and comfort for all clients.

What does hypnotherapy cost?

Here are some organizational details. Please read them before the appointment reservation. People often ask, "How much does hypnotherapy cost?" What is meant by this are the presumed total costs, which result from the fee and the duration of the psychotherapy with hypnotherapy.

Fee for psychotherapy

Hourly Rates

The fees for a 60-minute psychotherapy session during regular business hours (Monday to Thursday, 10:00 a.m. to 6:00 p.m.) are as follows:

A. Online or telephone sessions: €179
B. In-person sessions at my office: €219
C. Flexible scheduling (short-term appointment changes up to 24 hours in advance for A or B): Additional €35 per session.
Psychotherapy services are VAT-exempt according to § 4 No. 14 a) UStG.

Terms and Conditions

Scheduling

General appointments are available Monday to Thursday, 10:00 a.m. to 6:00 p.m.
Sessions outside these hours, on weekends, or public holidays, incur a 35% surcharge.
The minimum session duration is 60 minutes, with additional time billed in 30-minute increments.

Rescheduling Policy

Sessions lasting up to 120 minutes may be rescheduled once, with at least 72 hours’ notice.
Longer sessions or sessions exceeding 120 minutes in a week require at least 14 days’ notice for rescheduling.
Missed or late cancellations are charged in full. Rescheduled sessions must be used within 12 months.

Alternatives for Missed Appointments

If you cannot attend in person, you can switch to an online video or telephone session at the scheduled time.

Payment Terms

Payment must be received in full via bank transfer 7 days before the scheduled appointment.
Cash payments on the day of the session may be allowed on a case-by-case basis; please inquire in advance.

Package Offers

Package deals are not available for psychotherapy services.

Travel Expenses

Travel, accommodation, and per diem expenses are charged separately.
For travel within Berlin, a minimum hourly rate applies.
Travel outside Berlin is billed based on time and effort, subject to individual agreement.

Personalized and Non-Transferable Services

All bookings are exclusively for one-on-one sessions and are non-transferable.

Right of Withdrawal

For services booked by telephone, letter, email, or online form, the provisions of the Distance Selling Act( Fernabsatzgesetz) apply.

You may cancel a booking within 14 days of purchase without providing a reason.
If the service begins within the withdrawal period, the registration is considered a request to initiate service early.

Cost Coverage by Health Insurance Companies and Other Insurers

Psychotherapy fees are typically not covered by national health insurance companies. However, policies vary, so it is essential to contact your insurance provider to clarify their specific guidelines and coverage options.

What You Need to Know

Invoice Classification:
You will receive an invoice from me, classified according to ICD-10 standards, to assist with any reimbursement claims.
Prior Approval:
Please discuss your therapy plans with your insurer in advance to avoid unexpected issues.
Application Support:
If additional documentation or applications are required by your insurer, we can address this together during our sessions.

For more information or assistance, feel free to reach out to me directly.

Therapy Duration and Expectations

Initial Session

The first therapy session lasts 90 minutes. This extended duration allows us to establish a foundation, understand your unique concerns, and set goals for your therapy journey.

Follow-Up Sessions

Subsequent sessions are typically 60 minutes long. The number of sessions required varies significantly based on individual personalities and specific circumstances.

Typical Session Range

For anxiety disorders, clients often attend 3 to 8 sessions.
By the second session, many clients gain clarity about their commitment and therapy trajectory.

Personalized Guidance

After the initial sessions, I will provide an estimate of the number of sessions you may need based on your progress and my professional experience. This collaborative approach ensures that therapy is tailored to your specific needs and goals.

Appointment booking

Please read the important information before making an appointment with me, including the contraindications for psychotherapy with hypnotherapy. I have answered frequently asked questions for you. For the success of your therapy, this information is of crucial importance. If this attracts you, then you can find out about booking your appointment here. The better you are informed, the faster we can focus on you and your wishes.

To make an appointment, you can preferably contact me by e-mail (mail@noack-hypnose.de) or by using the contact form (privacy policy) as well as by phone 01577 704 53 56 or 030 - 864 213 69. You will then receive a confirmation of your reservation by e-mail. In this reply, you will find the details for the first session. This usually happens within 24 hours. If you do not receive a reply, it could be because an email has ended up in the spam filter. In such a case, please call me.

There are only a few practice hours available, and they want to be used well. The fee for individual session hours is therefore always to be paid in full by bank transfer, with payment received at least 7 days before the session.

Why at least 7 days in advance? I would like to do it differently, but this is the best practice. Appointments that have not been confirmed with payment received seven days in advance are noticeably more likely to be canceled. And the repeated callbacks take up a lot of time. Because of this, I'm currently faced with the decision of whether and how to either significantly adjust fees to absorb this or to consistently organize in a way that is fair to all parties. Because of this, I am also offering options in terms of shifting appointments with the fees.

There is a maximum of 20 hours a week available for psychotherapy, and any canceled appointment means patients are unable to benefit from psychotherapy help. I understand that it would be more convenient for you otherwise, but this solution is the fairest for all involved.

You can use real-time bank transfer (costs 25 Ct. at Sparkasse Berlin, for example) for time-sensitive appointments, and the transfer takes a few minutes, or we can make an appointment with appropriate advance preparation. If this is not an option for you, please let me know immediately so that I can assign your appointment. Otherwise, I appreciate your understanding and look forward to intensive cooperation.

Preparation for the first session

With the confirmation of your appointment, you will receive recommendations on how to prepare for your first session with me. With your appointment confirmation, you will receive recommendations on how to prepare for your first session with me. You will also get an overview of what to consider regarding the Coronavirus during in-office appointments and how to prepare best for online sessions.

The first session: Step by step

The optimal prerequisites are set right at the beginning. In the first meeting, we create the basis for intensive cooperation. Step by step:

1. Preparation

The first session is generally 90 minutes so that there is enough time for an in-depth preliminary discussion, in which we can clarify questions. Then we begin with a detailed dialogue, with the anamnesis, in order to adapt the therapeutic plan individually to your personal needs. For this purpose, we define your goals and motives and discuss the steps.

2. First intervention

As soon as you are ready for it, we get to work. You set the pace. In the second part of the session, we figure out the easiest way to get you into a comfortable, relaxed hypnotic state. You will experience an introductory trance. This enables access to your unconscious and permits initial suggestions. How far we proceed with this in the first session will be determined by your reactions. Finally, I gently lead you out of the trance.

3. Evaluation, options, and outlook

Following the first trance, I will respond to your questions, and we will discuss how to proceed with your hypnotherapy. In most cases, you will receive recommendations you can apply to complement and enhance the work we do together, even beyond the sessions. It is crucial that you not only feel better in the session, but also have an improvement in your everyday life. The more effectively we work together, the sooner I make myself superfluous as your therapist. That's it!

You are not in Berlin or prefer an alternative instead of coming to me?

You are not in Berlin or do not want or cannot come to the practice for other reasons? Then it is worth reading the following information about the options:

a. Travel to Berlin

For clients traveling to Berlin, there is the possibility, if booked in advance, to hold 2 sessions on the same day. It should be discussed in advance by telephone whether this is a recommendable option, as it requires appropriate prerequisites. Any sources of additional pressure should be avoided in the interest of the therapeutic success.

Here you will find further information when considering to travel to me in Berlin.

b. Online sessions

At times a personal meeting is not possible. In such cases, a telephone session or a session with video support via the Internet is an alternative or supplement. I have been using this setting for many years, and many clients have achieved excellent results with it. These experiences make it easy to achieve very intensive sessions in this way as well. You are more flexible and can also use my support very promptly. There are currently reduced fees for such sessions.

You are also on the safe side regarding the coronavirus. By the way, this is also an option if you should be unexpectedly unable to attend a session personally.

Self-hypnosis

When appropriate, I will teach you self-hypnosis to complement the hypnosis sessions. Self-hypnosis is a tool to control unconscious processes and thus mental states by yourself.

After you enjoyed positive trance experiences with my support, you can learn self-hypnosis very quickly. This helps you to progress self-determined. It accelerates the process, deepens, and consolidates what has been achieved in the therapy sessions. Your autonomy is thus fostered. A good therapist makes himself superfluous as soon as possible. Self-hypnosis is an excellent method of self-help that can be used beyond the actual issue.

Just ask me personally.

Let's talk. Please read the privacy policy. If you are interested, you can contact me for questions and appointments via this contact form or by e-mail (mail@berlin-hypnosis.com), phone 030/86421369, and mobile phone 01577/7045356. The best time to contact me by telephone is Monday to Thursday between 9.00 am and 6.00 pm. During sessions, there is an answering machine. Leave a message and your phone number in Germany, and I'll call you back as soon as possible. Make sure I understand what you are asking for.

You can find answers to frequently asked questions, such as fees, on the home page. There are also lots of articles and details about me (profile) to help you get an idea of who I am. This will also make it easier for you to decide if I am the right therapist for you and your problem.

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Remarks:

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Important Information Before Contacting Me

Read This First

Before reaching out, please take the time to review the detailed information on the following topics:

Fees and Booking Procedures
Contraindications for Hypnotherapy
Answers to Frequently Asked Questions (FAQ)

About This Page

This page is designed to provide essential information for individuals interested in psychotherapy through hypnotherapy. However, it is not intended to replace professional psychotherapy, medical consultations, examinations, or diagnoses by a licensed medical practitioner.

My Role and Expertise

I am a hypnotherapist licensed to practice psychotherapy under the HPG (Heilpraktikergesetz). My work focuses on helping people manage anxiety and anxiety disorders. It is important to note the following distinctions:

I am not a medical doctor.
I do not provide medical diagnoses, prescribe medications, or make promises of healing.
Hypnotherapy is not a substitute for medical or psychiatric care where such intervention is necessary.

Contact Me

If you have any questions about psychotherapy with hypnosis, feel free to reach out. I am happy to provide more information and guide you on how hypnotherapy can support your journey to improved well-being.