HAIR PULLING

There are two different types of hair pulling. The first usually begins when a child is under 5 and begins twirling or pulling her hair while sucking her thumb or finger. Most likely she will stop fiddling with her hair when she stops sucking her thumb.

The second type is more serious and usually occurs in older children. Known as trichotillomania, it's characterized by an irresistible urge to pull out one's hair and tends to be a chronic problem.

HEALTH CONCERNS

In some cases, hair pulling can lead to conspicuous bald spots.

WHAT NOT TO DO

Don't punish your child for fiddling with her hair or try to prevent pulling by cutting her hair short. Having her wear mittens on her hands to make her more aware of the habit doesn't really work, and neither does offering toys or other bribes.

WHAT TO DO INSTEAD

The most effective way to curb hair pulling in preschoolers is to ignore it and focus instead on trying to break the thumb- or finger-sucking habit that often accompanies it. Of course, this will work only if your child is motivated to stop sucking her thumb and cooperates with you.

If your older child pulls her hair, talk to her pediatrician. Sometimes counseling helps uncover an underlying disorder, such as depression.

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