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How Alopecia Areata Can Impact Mental Health—and What You Can Do About It

by Madonna

Hair is often tied to identity, confidence, and self-image. So when an autoimmune condition like alopecia areata causes sudden hair loss, the emotional toll can be significant. According to research, individuals with alopecia areata are 30% to 38% more likely to be diagnosed with depression than those without the condition.

Dr. Stephanie Trovato, a dermatologist, explains that the mental health burden of alopecia areata can manifest as anxiety, low self-esteem, and even social withdrawal.

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The Emotional Toll of Hair Loss

Living with alopecia areata can affect your confidence, daily routines, and social life.

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“People with alopecia areata often report emotional and social challenges,” says Dr. Trovato. “Some may spend extra time covering up their hair loss out of fear of judgment or uncomfortable stares.”

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This emotional strain can become a vicious cycle: stress and anxiety may trigger flare-ups, leading to further hair loss, which in turn causes more distress.

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Coping Strategies for Better Mental Health

While alopecia areata is a physical condition, managing your emotional response is just as crucial. Here are several expert-backed strategies:

1. Prioritize Relaxation

Finding time for stress-relieving activities can help stabilize your immune system.

Try:

Reading a book

Taking a walk in nature

Listening to music or a podcast

Taking a warm bath

Cuddling with your pet

Enjoying a favorite hobby

2. Practice Meditation

Meditation and mindfulness techniques help manage negative thoughts and bring your attention back to the present.

Options include:

Mindfulness or breath meditation

Guided imagery

Tai chi or yoga nidra

Walking or forest meditation

Sleep-focused meditation

3. Connect with Support Groups

Being part of a support group, either locally or online, can help you feel less alone.

Groups provide a space to:

Share coping tips

Gain emotional support

Learn from others’ experiences

Check out resources from the National Alopecia Areata Foundation (NAAF) or ask your healthcare provider about local groups.

4. Make Healthy Lifestyle Changes

Your overall health affects your immune function. Help your body by:

Eating a balanced diet rich in whole foods

Drinking plenty of water

Exercising regularly

Getting quality sleep

5. Speak with a Mental Health Professional

If your anxiety or sadness becomes overwhelming, therapy can help you build resilience and coping skills.

“A mental health professional can guide you in managing emotional distress tied to chronic conditions like alopecia,” Dr. Trovato says.

Bottom Line

Alopecia areata isn’t just skin deep. The emotional and psychological impact can be profound—but it doesn’t have to be permanent.

“Because hair is tied so closely to identity, its loss can feel like a loss of self,” says Dr. Trovato. “But with support, stress management, and lifestyle adjustments, many people learn to thrive despite the condition.”

Remember: You’re not alone—and help is available.

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