ABSTRACT
Patients suffering from dermatologic disorders experience significant psychological/psychiatric burden. Accumulating data, especially on alopecia areata, show the bidirectional association between hair loss and the psychological/psychiatric disease. Hair loss in a primary psychological/psychiatric condition results from hair pulling and other manipulation that are forms of stress or anxiety relief rituals. The bidirectional connection between alopecia areata (AA) and psychological/psychiatric factors has recently gotten a lot of attention. Stress is considered a very common cause of telogen effluvium (TE), which often develops after major life events such as mourning or divorce. The stress and emotional burden of chemotherapy-induced alopecia prompts some patients to choose less effective chemotherapeutic agents in hopes of avoiding hair loss as a side effect. Hair loss can result from various causes and take different shapes and forms. It was previously thought that one of the causes of hair loss is a preexistent psychological/psychiatric illness.
