Trichotillomania Support in Texas

Find a therapist in Texas who understands trichotillomania. Whether you pull your own hair or you’re supporting a child or someone you love, search by city or town, from El Paso to Houston, for someone near you, or choose Online to see who works with people anywhere in Texas.

Find a therapist for trichotillomania in Texas

Texas is huge and thinly served: 246 of its 254 counties are short of mental health professionals. Outside Houston, Dallas–Fort Worth, Austin and San Antonio, finding someone nearby who understands hair pulling can feel out of reach. Connecting you with people who already do is the reason this directory exists.

The directory includes therapists, counselors, psychologists, social workers, hypnotherapists, EFT practitioners, NLP practitioners and coaches. Every listing shows how that person works, whether they see people in person, online or both, and what they charge. Each one has a private contact form, so you can get in touch without sharing your details publicly.

If there’s no one near you in the Panhandle, West Texas or the Rio Grande Valley yet, you can see who works online across Texas.

Open the full directory →

Frequently Asked Questions about Trichotillomania in Texas

Find a Therapist

How do I find a trichotillomania therapist near me in Texas?›

Search our directory by town or city. Every listing shows how the person works, what they charge and whether they see people in person, online or both. Most in-person options are in Houston, Dallas–Fort Worth, Austin and San Antonio. Elsewhere, many Texans choose online sessions.

Can I have sessions online from anywhere in Texas?›

Yes. Many people listed work online with clients anywhere in Texas. Licensed psychologists in many other states can also work with Texans online. Out-of-state counselors generally need a Texas license, while hypnotherapists and coaches aren’t limited by state lines.

How much does trichotillomania therapy cost in Texas?›

Private sessions in Texas usually cost $100 to $220, with around $150 typical. Every listing shows its own prices. Some insurance plans pay part of the cost for some practitioner types, and many people offer a free first call.

What kinds of help are there for hair pulling?›

People who pull work with therapists, counselors, psychologists, social workers, hypnotherapists, EFT practitioners, NLP practitioners and coaches. Different people find different things helpful. Everyone in our directory has told us they understand hair pulling and already help people who pull.

Do I need a doctor’s note or a diagnosis to get help in Texas?›

No. You can contact anyone listed in our directory directly, without a doctor’s note or a diagnosis. Just tell them you pull your hair and you’re looking for someone who understands trichotillomania.

My child pulls their hair. What do I do first?›

Stay steady and don’t tell them off, because pressure and punishment reliably make pulling worse. Start with The Parent’s Guide to Trichotillomania, and look for someone in the directory whose listing says they work with children and teens.

Are there trichotillomania support groups in Texas?›

Yes, a few. A free peer-led group meets in Dallas, and a therapist-led group runs in Austin. Anyone in Texas can join online groups through the International OCD Foundation’s listings and BFRB Changemakers. If you run a group, tell us and we’ll list it.

How common is hair pulling in Texas?›

About 1 in 50 people have trichotillomania, so hundreds of thousands of Texans. It’s a body-focused repetitive behavior recognized in the DSM-5 and ICD-10, not a bad habit, and it often starts between ages 10 and 13. Learn more in our complete guide to trichotillomania.

How to get in touch with a therapist

You can message anyone listed here today. You don’t need a doctor’s note or a diagnosis first.

When you write, say what it is: “I pull my hair. I’m looking for someone who understands trichotillomania.” How they reply tells you a lot about whether they’re a good fit.

Most Texas practitioners work in Houston, Dallas–Fort Worth, Austin and San Antonio. In 143 of the state’s 254 counties there isn’t a single licensed psychologist. In West Texas and the Panhandle, the nearest office can be hours away, so online sessions matter here.

Texas belongs to an interstate agreement that lets licensed psychologists from many other states work with Texans online. It hasn’t joined the similar agreement for counselors, so out-of-state counselors generally need a Texas license. Hypnotherapists, EFT practitioners and coaches aren’t bound by these licensing rules.

You can also go through your insurance or your area’s Local Mental Health Authority. That route exists, and it often takes longer, usually without a choice of someone who understands hair pulling.

How to choose who to work with

People who pull find help from all kinds of practitioners: therapists, counselors, psychologists, social workers, hypnotherapists, EFT practitioners and coaches. Different people find different things helpful. What matters is that you feel understood.

If you’d like to check a licensed clinician, Texas makes it simple. One agency, the Texas Behavioral Health Executive Council, licenses psychologists, licensed professional counselors (LPCs), marriage and family therapists (LMFTs) and social workers. Its free license search covers all four. Many other good kinds of help aren’t licensed by the state at all and belong to their own professional associations.

Everyone on this site has one thing in common: they’ve told us they understand hair pulling. On a first call, you can ask:

Have you helped people who pull their hair before?
How do you work? What happens in the first few sessions?
What if I feel it isn’t right for me?

Charities and groups in Texas

Texas has no charity just for hair pulling or other body-focused repetitive behaviors (BFRBs). It does have an active affiliate of the national OCD organization. These are the groups most useful to Texans who pull.

International OCD Foundation (IOCDF)

The main US home for BFRB support, including trichotillomania. Its website explains hair pulling in plain terms, and its support-group listings include online BFRB groups open to people anywhere in the US.

OCD Texas

The official Texas affiliate of the IOCDF. It shares resources on OCD and related conditions and hosts an annual symposium and mental health fair.

BFRB Changemakers

A US nonprofit focused on hair pulling, skin picking and related behaviors. It hosts a free monthly online peer group for adults.

NAMI Texas

The state branch of the National Alliance on Mental Illness, with local affiliates across Texas. Its free weekly online peer and family groups aren’t specific to hair pulling but welcome anyone.

988 Suicide & Crisis Lifeline

Call or text 988, any time of day or night, if things ever feel too much to handle on your own.

Support groups in Texas

Texas has more in-person options than most states, though they’re still only in the biggest cities. Everyone else connects online.

Dallas/Fort Worth BFRB Support Group: a free, peer-led group in Dallas for adults who pull or pick, and their adult loved ones. Check the group’s site for current meeting dates.
Austin: a therapist-led BFRB group for adults meets in Austin and is listed in the IOCDF support-group directory.
Online: IOCDF-listed BFRB groups and the free BFRB Changemakers peer group are open to anyone in Texas.

For parents: our guide The Parent’s Guide to Trichotillomania helps you understand what your child is going through.

Do you run a Texas group? Tell us and we’ll list it for free.

Not All Pulling Is the Same

Hair pulling doesn’t look the same for everyone, or even for one person across a single day. People often describe two broad styles.

Automatic pulling happens outside awareness. Someone is reading, driving a long stretch of highway or scrolling in bed. A hand drifts to the scalp, brows or lashes. They may only notice later, when they see hair on the floor or the car seat.

Focused pulling feels different. It comes with attention, and often with an urge that builds. A hair might feel coarse, uneven or “wrong,” and pulling it brings a moment of relief. Some people then touch, inspect or play with the hair.

Most people who pull do both. The mix can shift with stress, boredom, tiredness or the time of day.

Knowing which kind you notice most can make it easier to describe what’s happening to someone who understands. It can also ease some of the shame. Automatic pulling can’t be a failure of willpower, because you weren’t choosing it in the first place. Focused pulling isn’t a lack of self-control either. Trichotillomania is a body-focused repetitive behavior. It isn’t a bad habit, attention-seeking or self-harm.

About this page

Sources: PSYPACT Commission; Texas Behavioral Health Executive Council; Texas Legislature (HB 1537 / SB 498, 2025); The Texas Tribune (Texas mental health workforce); TherapyRoute and Mental Health Counseling Group Texas therapy cost data (2026); International OCD Foundation; OCD Texas; BFRB Changemakers; NAMI Texas; Dallas/Fort Worth BFRB Support Group; 988 Suicide & Crisis Lifeline.

Things change. We check this page often, but always check prices and qualifications with the person you contact. This page is information, not medical advice.

Are you a Texas therapist or practitioner who works with trichotillomania?

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About Texas

Texas is the second-largest state by both area and population, and its 254 counties are more than any other state has. Houston, the largest city, is home to NASA’s Johnson Space Center. Dallas and Fort Worth anchor the north as a single metro area, known locally as the Metroplex. Austin is the state capital and home to the University of Texas.

San Antonio grew up around five Spanish missions along the San Antonio River. West of Austin, the Hill Country is limestone hills and spring-fed rivers. East Texas is the Piney Woods, and the Gulf Coast runs from Galveston down to Padre Island. Far to the west, El Paso sits on the Rio Grande across from Ciudad Juárez. Nearby, Guadalupe Peak rises to the highest point in the state.

Attractions in Texas

Texas draws visitors for its Spanish colonial and frontier history, the space program in Houston, and the desert and mountains of the far west.

The Alamo (San Antonio)

Founded in 1718 as Mission San Antonio de Valero, the Alamo was the first mission in San Antonio. In 1836, Texan defenders held it through a 13-day siege by General Santa Anna’s army, which ended on March 6. The church is free to enter, and the site is part of Texas’s only UNESCO World Heritage Site.

Texas State Capitol (Austin)

Completed in 1888 to a design by Detroit architect Elijah E. Myers, the Capitol is built of sunset red granite from Granite Mountain near Marble Falls. Its dome stands 14.64 feet taller than the U.S. Capitol. Texas paid for it with 3 million acres of Panhandle land, which became the XIT Ranch.

Space Center Houston (Houston)

The official visitor center of NASA’s Johnson Space Center opened in 1992. At Independence Plaza, a full-size shuttle replica sits on top of NASA 905, one of the original 747 shuttle carrier aircraft. You can walk inside both. A tram tour runs to Rocket Park and its Saturn V rocket.

Big Bend National Park (Brewster County)

Established in 1944, Big Bend covers 801,163 acres of Chihuahuan Desert along 118 miles of the Rio Grande border with Mexico. The Chisos Mountains are the only mountain range in the United States that sits entirely inside a national park. More than 450 bird species have been recorded here.

The Sixth Floor Museum at Dealey Plaza (Dallas)

The museum opened in 1989 on the sixth floor of the former Texas School Book Depository. It tells the story of President John F. Kennedy’s life, death and legacy, and of his assassination in Dealey Plaza on November 22, 1963. The sniper’s perch in the building’s southeast corner is preserved behind glass.