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Depression
21 min read
Written by Klarity Editorial Team
Published: Dec 6, 2023
Medically Reviewed by Dr. Zoe Russell
Finding clumps or strands of hair on your pillow can be distressing. It’s normal to shed some hair every day, like in the shower, but noticeable hair loss can be a sign that something deeper is at play. For those grappling with depression, the question often arises: can depression cause hair loss?
This article covers the relationship between mental health conditions and hair health, uncovering how emotional turmoil can manifest physically and affect hair. From exploring the direct connection between depression and hair loss to examining other contributing factors, we aim to provide an understanding of this complex issue throughout the blog. You’ll learn about the types of hair loss linked to depression, and crucially, we discuss when hair growth may return.
In the pursuit of solutions for depression symptoms, Klarity Health stands out as a beacon of support. Klarity Health allows you to choose your own licensed healthcare provider on our user-friendly platform. The board-certified providers on Klarity Health understand that the journey to healing is personal, and they’re ready to help you navigate the challenges of depression—including the less talked about symptom of hair loss.
Find a provider on Klarity Health who can help.
Depression doesn’t just affect your mental or emotional health; its effects can ripple out to physical health, including that of your hair. Chronic stress, anxiety, and depression are linked to a condition known as telogen effluvium, a temporary form of hair loss. When the body is under stress, it can shock the hair follicles into a resting phase, halting growth and causing hair to shed more than usual.
While not all hair loss is directly caused by depression, the physiological stress response triggered by prolonged mental health conditions can exacerbate or lead to hair shedding.
The science behind this involves the stress hormones, such as cortisol, which rise during periods of depression. These hormones can disrupt the hair growth cycle, leading to an imbalance that favors the shedding phase over the growth phase.
Depression can also lead to behavioral changes like poor nutrition and neglect of personal care, which can contribute to hair health deterioration. Therefore, understanding the connection between mind and body is crucial for those experiencing hair loss while battling depression, as this awareness can guide effective treatment strategies.
Hair loss can stem from a variety of sources or other mental health conditions beyond depression, each with its unique set of triggers and mechanisms. Understanding these can help pinpoint the root cause of hair thinning and lead to more effective solutions.
It’s important to consider all potential factors for losing hair, as it can often be a complex issue with more than one contributing element. By acknowledging the diversity of causes, individuals can take a comprehensive approach to diagnosis and treatment.
Hormonal birth control can lead to hair loss as the body adjusts to altered hormone levels, affecting the hair growth cycle. This type of hair loss often mirrors postpartum shedding due to similar hormonal fluctuations.
For some, this effect may diminish over time as the body adapts to the new hormonal milieu. In cases where hair loss persists, exploring hormone-free alternatives or other forms of contraception with a healthcare provider can offer a resolution.
While hair loss is a less common side effect of antidepressants, it can occur and may cause considerable concern for those affected. The sudden hair loss associated with antidepressants is often dose-dependent, and managing the dosage under careful medical supervision may help mitigate this issue without significantly affecting the therapeutic benefits of the medication.
In many instances, the body adapts to the medication over time, and hair loss may cease, leading to a gradual regrowth of hair. It’s important to maintain open communication with a healthcare provider before making any changes to prescription medication. Sometimes, a switch to a different class of antidepressants may be recommended if hair loss persists and is particularly distressing for the patient.
Dramatic weight loss can shock the body, potentially leading to a form of hair loss known as telogen effluvium. Nutrient deficiencies that often accompany rapid weight reduction can exacerbate this condition.
A multidisciplinary approach involving a dietitian can ensure that weight loss programs provide adequate nutrition, thereby minimizing the impact on hair health. Additionally, focusing on a weight loss plan that promotes slow and steady reduction can prevent the sudden shock to the system that precipitates hair loss.
Depression is more than just a bout of the blues; it is a complex mental health condition that impacts every aspect of a person’s life. Depression symptoms are varied and can be physical as well as emotional, often persisting for extended periods and interfering with day-to-day functioning.
Recognizing these symptoms is the first step toward seeking help and managing this condition. Here are the main symptoms of depression, each with a brief description:
If you or someone you know is struggling with thoughts of self-harm or has made an attempt on their life, urgent support is accessible at all times. Reach out without delay by calling or texting the number 988 for 24/7 help.
Depression can manifest physically in various ways, one of which is hair loss. This section explores the different types of hair loss that can be linked to depression, each with its unique causes and symptoms. Understanding these types can be the first step toward targeted treatment and recovery.
Telogen effluvium is a common form of hair loss often triggered by stress and psychological distress, like that caused by depression. When an individual is experiencing severe depression, the body can send hair follicles into a resting phase, halting growth and leading to shedding.
This condition typically results in widespread hair thinning rather than bald patches.
Recovery from telogen effluvium is possible, and hair may return to its normal fullness once stress is reduced and emotional equilibrium is restored. However, it’s important to address the root cause, which is depression, to prevent recurrence.
Trichotillomania, or hair-pulling disorder, is a psychological condition that may accompany depression and involves an irresistible urge to pull out one’s hair. This condition goes beyond occasional twirling or pulling at hair strands – it is repetitive and results in noticeable hair loss, which can lead to significant distress and impact social functioning.
Hair pulling is often a way of dealing with uncomfortable feelings or stress. Therapy and medication can help manage the impulses that lead to hair-pulling, but a comprehensive approach that includes depression treatment is crucial for long-term improvement.
Alopecia areata is an autoimmune condition that can be exacerbated by stress and depression. It involves the body’s immune system attacking hair follicles, leading to round patches of hair loss. While not caused directly by depression, the stress from battling a chronic mood disorder can contribute to the development or worsening of alopecia areata.
Treatment can be challenging, as it involves managing both the immune response and the psychological stressors. Often, a combination of therapies, including corticosteroids and counseling, is employed to encourage hair regrowth and manage depression.
The question of hair regrowth is a pressing concern for many experiencing depression hair loss. Fortunately, in most cases related to depression, like telogen effluvium or trichotillomania, hair loss is not permanent, and hair can grow back. The duration and success of hair regrowth can be influenced by the severity and duration of the depression, the extent of the hair loss, and how effectively the depression is managed.
For those with telogen effluvium, once the body recovers from the stress of depression and re-enters its normal rhythm, the hair cycle often resumes its typical growth pattern. It may take several months for hair to start growing back and up to a year or more for hair to return to its pre-loss thickness. With trichotillomania, successful treatment of depression and the hair-pulling disorder usually results in the cessation of hair pulling, allowing new hair to grow. However, repeated pulling over long periods can sometimes cause damage to hair follicles, which might affect regrowth.
For both conditions, engaging in comprehensive depression treatment with a licensed mental health care provider is key, as alleviating the mental strain can directly impact the body’s ability to regenerate hair.
Depression’s reach extends beyond the confines of mental health, often manifesting in various physical symptoms that can impact one’s overall well-being. Recognizing these symptoms is crucial for understanding the full scope of depression and advocating for comprehensive treatment plans that address both mental and physical health concerns.
Below are several ways depression can influence the body, highlighting the importance of a holistic approach to managing this mental health condition:
Understanding the spectrum of depressive disorders is essential for effective treatment and management. Depression encompasses various types, each with unique characteristics, symptoms, and implications for treatment. This broad categorization helps medical professionals tailor treatment strategies and provides individuals with a clearer understanding of their specific conditions.
Major Depressive Disorder (MDD), also known as clinical depression, is characterized by a pervasive and persistent low mood accompanied by low self-esteem and a loss of interest or pleasure in normally enjoyable activities. This intense level of depression significantly impairs daily functioning and is often recurrent, with episodes lasting at least two weeks.
Physical symptoms might include changes in sleep, appetite, energy level, concentration, daily behavior, or self-esteem. It’s crucial to address major depression proactively as it can severely hinder one’s quality of life.
Previously known as dysthymia, Persistent Depressive Disorder (PDD) is a chronic form of depression where individuals experience a depressed mood for most of the day, more days than not, for at least two years. Symptoms may not be as severe as those of major depression, but long-term persistence can significantly impact a person’s life and functioning.
People with PDD might experience symptoms such as poor appetite or overeating, insomnia or hypersomnia, low energy, low self-esteem, poor concentration, and feelings of hopelessness. Due to its chronic nature, treatment may be longer-term, focusing on managing symptoms and improving quality of life.
Seasonal Affective Disorder (SAD) is a type of depression related to changes in seasons, beginning and ending at about the same times every year. Most commonly, symptoms start in the fall and continue into the winter months, sapping energy and causing mood swings.
The symptoms are similar to those of major depression but occur in a seasonal pattern, with the individual typically experiencing relief from symptoms during the spring and summer. Treatment for SAD may include light therapy (phototherapy), psychotherapy, and medications. Understanding this pattern of feeling can help individuals anticipate changes and seek early intervention before the seasons change.
The relationship between mental health and hair loss calls for a comprehensive approach to treatment. Addressing hair loss that stems from depression can involve a blend of therapeutic interventions, medical treatments, and modifications to lifestyle. Tailored to fit the individual’s unique situation, these treatments not only aim to restore hair growth but also to bolster mental well-being, thereby attacking the problem at its roots.
Therapeutic strategies can be particularly effective in addressing the psychological components contributing to hair loss. Cognitive-behavioral therapy (CBT) is often used to mitigate stress and depression, thereby indirectly promoting hair regrowth.
Therapy can also offer coping mechanisms for conditions like trichotillomania, a direct cause of hair loss linked to depressive episodes. Sessions with a licensed therapist can provide a safe space to explore emotional distress and develop practical strategies to manage the depressive symptoms contributing to hair loss.
In cases where hair loss is a result of chronic depression, you may get an antidepressant prescription from a licensed provider. While some individuals may experience hair loss as a side effect of these medications, for others, stabilizing mood can reduce stress levels, thus minimizing hair shedding.
It’s important to work closely with a healthcare provider to monitor any changes in hair density and adjust medications as necessary to strike a balance between mental health management and hair preservation.
A robust approach to treating hair loss involves incorporating healthy lifestyle changes that support overall well-being. Nutritional adjustments to ensure adequate intake of vitamins and minerals essential for hair growth, such as iron, vitamin D, and zinc, can be beneficial.
Regular exercise, which promotes blood circulation and reduces stress, can also create a healthier environment for hair growth. Additionally, mindfulness practices like meditation and yoga can alleviate stress and potentially reduce the incidence of stress-related hair loss.
When it comes to the intersection of depression and hair loss, understanding when to seek medical advice is crucial. If you’re noticing unusual hair shedding and simultaneously experiencing symptoms of depression, it’s essential to consult with a healthcare provider. Here’s what you should know:
Depression hair loss and depression doesn’t have to be permanent. With comprehensive treatment options and support systems available, taking the first step toward addressing your depression-related hair loss is within reach. The licensed providers on Klarity Health specialize in treating depression and its many manifestations, like hair loss or weight loss. These experienced professionals are committed to helping you find a path to recovery that’s tailored to your unique needs.
Don’t let depression dictate your life. Find a provider on Klarity Health today and take that decisive step toward reclaiming your hair, joy, and well-being.
*Appointments are generally available within 24 hours. Free initial consultations are available only with select providers. Prescriptions, particularly for controlled substances, may require an in-person evaluation depending on the state of residence and current federal regulations.
The information provided in this article is for educational purposes only and should not be construed as medical advice. Always seek the guidance of a qualified healthcare professional with any questions or concerns you have regarding your health. Providers on Klarity Health are independent practitioners with clinical autonomy. Nothing in this article is intended to diagnose or treat any condition, including guaranteeing prescription medication of any kind or dosage. Not all providers on Klarity Health prescribe all medications, particularly medications that are controlled substances.
If you’re having a mental health crisis or experiencing a psychiatric emergency, it’s crucial to seek immediate help from a mental healthcare professional, such as a psychiatrist, psychologist, or therapist. You can also call your local emergency services, visit your nearest emergency room, or contact a crisis hotline, such as the National Suicide Prevention Lifeline, by calling or texting 988 or dialing the Lifeline’s previous phone number, 1-800-273-TALK (1-800-273-8255) in the U.S.
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