Trichotillomania is a chronic disease characterized by an inability to resist the urge to pluck hair, and was introduced by French dermatologists in 1889. They will have repetitive plucking behavior, resulting in a noticeable lack of hair; when they feel great stress before plucking hair, they will fight against this behavior and also generate a lot of stress; when plucking hair there will be pleasure, satisfaction and relaxation. The following is the clinical diagnosis of hair breakage fetish. Usually, during the consultation, parents and children will mostly deny that this hair loss is due to human factors; all patients, admit that this disorder, which affects their creativity and interpersonal relationships. They often use hats, wigs, false eyelashes, or makeup to conceal the absence of hair, and the affected area often has a mixture of short and long hairs. Slices can be used to distinguish between natural baldness and skin disease. If the condition persists, a psychiatric referral is needed for a more careful treatment evaluation. These children often engage in ritualistic behavior, chewing or ingesting the hair. They do not feel pain from pulling out the hair, but rather a strong desire to pull out the hair, a feeling of relief when they do so, and then a feeling of disappointment and guilt.