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Why Do You Lose Hair When Stressed?

by Madonna

Hair loss can be a distressing experience, particularly when it seems to be linked to periods of high stress. While many factors can contribute to hair loss, stress is one of the most common and often misunderstood causes. In this article, we’ll explore the connection between stress and hair loss, the types of hair loss associated with stress, and what you can do to prevent and manage stress-related hair loss.

Understanding Hair Growth and Loss

The Hair Growth Cycle

To understand why stress can cause hair loss, it’s important to first understand how hair grows. Hair growth occurs in cycles, and each hair follicle on your scalp is in a different phase of this cycle at any given time:

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Anagen (Growth Phase): This is the active growth phase, where hair grows about half an inch per month. This phase can last between 2 to 7 years, depending on genetics.

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Catagen (Transition Phase): This short phase lasts about 2 to 3 weeks, during which hair growth slows down, and the hair follicle begins to shrink.

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Telogen (Resting Phase): The hair is no longer growing during this phase, which lasts about 3 months. After this period, the hair will eventually shed and the follicle will re-enter the anagen phase, starting the cycle again.

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Exogen (Shedding Phase): In this phase, the old hair sheds and new hair starts to grow from the same follicle.

Hair loss becomes noticeable when the hair growth cycle is disrupted, leading to excessive shedding or thinning.

How Stress Affects Hair Loss

Types of Hair Loss Associated with Stress

There are several types of hair loss that can be triggered or exacerbated by stress:

Telogen Effluvium

Telogen effluvium is the most common type of stress-induced hair loss. Normally, 5-10% of your hair is in the telogen phase at any given time. However, significant stress can push a larger number of hair follicles into the telogen phase prematurely. This results in increased hair shedding, usually noticeable a few months after the stressful event.

Symptoms: Hair thinning all over the scalp rather than in specific areas.

Causes: Major life events like childbirth, surgery, illness, emotional stress, or significant weight loss.

Alopecia Areata

Alopecia areata is an autoimmune disorder that can be triggered by stress. The immune system mistakenly attacks hair follicles, leading to sudden hair loss in round patches on the scalp or other areas of the body.

Symptoms: Small, round bald patches on the scalp or other body parts.

Causes: Genetic predisposition combined with stress can trigger the onset of alopecia areata.

Trichotillomania

Trichotillomania is a psychological condition where individuals compulsively pull out their own hair, often as a way of coping with stress, anxiety, or other negative emotions.

Symptoms: Noticeable hair loss, particularly in areas where hair can be easily reached, such as the scalp, eyebrows, or eyelashes.

Causes: Emotional distress or stress can exacerbate this condition.

Androgenetic Alopecia (Stress-Exacerbated)

While androgenetic alopecia, or male/female pattern baldness, is largely genetic, stress can accelerate the process of hair loss in those predisposed to it. Stress can increase the levels of certain hormones, like cortisol, which may exacerbate hair thinning and loss.

Symptoms: Gradual thinning at the crown and hairline in men; diffuse thinning across the scalp in women.

Causes: Genetics, with stress acting as a contributing factor.

The Mechanisms Behind Stress-Induced Hair Loss

Hormonal Changes

Stress triggers the release of hormones such as cortisol and adrenaline. Elevated cortisol levels can disrupt the hair growth cycle, pushing more hair follicles into the telogen phase. Additionally, stress can cause an imbalance in other hormones, like androgens, which are linked to hair thinning and loss.

Impact on the Immune System

Chronic stress weakens the immune system, making the body more susceptible to autoimmune conditions like alopecia areata. When the immune system is compromised, it can mistakenly target hair follicles, leading to hair loss.

Reduced Nutrient Absorption

During periods of stress, the body’s digestive system may not function optimally, leading to poor absorption of essential nutrients. Hair follicles require a constant supply of nutrients to stay healthy and grow. Deficiencies in vitamins and minerals such as iron, zinc, and B vitamins can contribute to hair loss.

Blood Flow Restriction

Stress can also constrict blood vessels, reducing blood flow to the scalp. This decreased circulation can starve hair follicles of the oxygen and nutrients they need, leading to weaker hair and increased shedding.

Managing and Preventing Stress-Related Hair Loss

Stress Management Techniques

Reducing stress is crucial for preventing and managing stress-induced hair loss. Here are some effective techniques:

Exercise: Regular physical activity helps reduce stress by releasing endorphins, the body’s natural mood boosters. Exercise also improves circulation, promoting healthy hair growth.

Mindfulness and Meditation: Practices like mindfulness meditation, yoga, and deep breathing can help calm the mind and reduce stress levels. These practices also help in reducing cortisol levels, thus protecting hair from stress-induced damage.

Adequate Sleep: Ensure you get enough sleep each night. Sleep is vital for the body’s ability to manage stress and repair itself. Aim for 7-8 hours of quality sleep to support overall health and hair growth.

Healthy Diet: Eating a balanced diet rich in vitamins, minerals, and antioxidants can help support hair health and reduce the impact of stress. Focus on foods high in omega-3 fatty acids, iron, zinc, and vitamins A, C, and E.

Therapy and Counseling: If stress is overwhelming, consider seeking help from a mental health professional. Therapy can provide you with coping strategies to manage stress more effectively.

Hair Care Tips

In addition to managing stress, taking care of your hair can help minimize the impact of stress-induced hair loss:

Gentle Hair Care Routine: Use a gentle, sulfate-free shampoo and avoid over-washing your hair, which can strip it of natural oils. Be gentle when brushing or styling your hair to prevent breakage.

Scalp Massage: Regular scalp massages can improve blood circulation to the hair follicles, promoting hair growth. You can use natural oils like coconut or argan oil for added nourishment.

Avoid Heat and Chemicals: Limit the use of heat styling tools and harsh chemical treatments, as these can weaken hair and exacerbate hair loss. Opt for natural hairstyles and allow your hair to air dry whenever possible.

Supplements: If your diet is lacking in certain nutrients, consider taking supplements to support hair health. Biotin, vitamin D, iron, and zinc supplements can be particularly beneficial, but consult with a healthcare provider before starting any new supplement regimen.

When to See a Doctor

If you notice sudden or severe hair loss, it’s important to consult a healthcare professional. A doctor or dermatologist can help determine the underlying cause of your hair loss and recommend appropriate treatment options.

Diagnostic Tests

A doctor may perform various tests to diagnose the cause of hair loss, including:

Blood Tests: To check for nutrient deficiencies, hormonal imbalances, or thyroid issues.

Scalp Biopsy: A small sample of scalp tissue may be taken to examine the health of hair follicles and rule out conditions like alopecia areata.

Hair Pull Test: A gentle tugging of hair to see how much hair falls out, helping to diagnose telogen effluvium.

Treatment Options

Depending on the cause of your hair loss, treatment options may include:

Topical Treatments: Minoxidil is a common topical treatment that can stimulate hair growth and slow down hair loss.

Medications: Oral medications like finasteride may be prescribed for androgenetic alopecia.

Light Therapy: Low-level laser therapy (LLLT) can stimulate hair follicles and promote hair growth.

Platelet-Rich Plasma (PRP) Therapy: PRP therapy involves injecting platelet-rich plasma into the scalp to stimulate hair growth.

Hair Transplants: In severe cases, hair transplant surgery may be an option to restore lost hair.

See also: Will Stress Hair Loss Grow Back?

Conclusion

Stress-induced hair loss is a common and often reversible condition. Understanding the connection between stress and hair loss, as well as the different types of hair loss associated with stress, is the first step in managing and preventing it. By adopting effective stress management techniques, maintaining a healthy diet, and following a gentle hair care routine, you can minimize the impact of stress on your hair.

If you’re experiencing significant hair loss, don’t hesitate to seek professional help. Early intervention can make a significant difference in preserving your hair and restoring its health. Remember, managing stress not only benefits your hair but also improves your overall well-being.

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