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Stress and hair loss: what is the link between them?

Excessive hair loss, beyond what is normal, can be very stressful; however, stress itself can also cause significant hair loss – it’s a vicious circle, isn’t it?

Emotional stress can take its toll on the body. Whilst a little stress is inevitable and can even present inspiring challenges, chronic stress can have a serious impact on the immune system, brain function, heart health and, last but not least, your hair.

A traumatic event, or consistently high stress levels caused by problems at work or in your personal life, can disrupt the hair growth cycle and ultimately lead to hair loss. What can we do to stop stress-induced hair loss? Find out now!
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Causes of hair loss

There are many different underlying causes of hair loss, which are often interrelated. Stress-induced hair loss is one of the most common triggers, but we must not overlook other types of hair loss, which lead to hair loss through different mechanisms; in every case, however, an accurate diagnosis is essential.

Androgenetic alopecia, or male-pattern hair loss, is also common and is mainly attributable to genetic and hormonal causes. Hair loss can also occur as a side effect of certain medicines, particularly if they affect hormone levels or the body’s metabolism. Hormonal changes – such as pregnancy, childbirth, the menopause or thyroid problems – can also have a significant impact on the condition of the hair.

Identifying the causes of hair loss is essential for selecting the appropriate treatment. As stress-induced hair loss (telogen effluvium), alopecia areata (patchy hair loss), androgenetic alopecia, certain medicines and hormonal changes all require different treatment approaches, it is advisable to consult a specialist to identify the true cause of the hair loss and find the most effective solution.

Stress-related hair loss: the basics you need to know

Contrary to popular belief, stress is not linked to the development of male-pattern hair loss, or androgenetic alopecia, as this condition is primarily caused by genetic factors. Male baldness follows an easily recognisable pattern, characterised by a receding hairline and, in later stages, balding on the crown of the head.
Stress, on the other hand, can trigger telogen effluvium or exacerbate the condition. This type of hair loss is a form of temporary hair loss, manifesting as hair loss affecting the entire scalp. During telogen effluvium, the hair becomes thinner and falls out.
Excessive stress can also cause a worsening of trichotillomania, a mental condition characterised by compulsive hair-pulling. A common feature of both telogen effluvium and trichotillomania is that they are triggered by chronic stress or traumatic events.

Types of stress-related hair loss

There are three main types of stress-related hair loss: telogen effluvium, trichotillomania and alopecia areata, also known as patchy hair loss.

Telogen effluvium

If your hair starts to fall out a few months after a stressful period or a traumatic event, telogen effluvium is likely to be the cause of the change in your hair’s condition.
This type of hair loss has a significant impact on the hair by disrupting its natural growth cycle. Normally, 5–10% of hair follicles are in the resting phase, that is, prior to shedding, however, during telogen effluvium, up to 30% of hair strands may suddenly enter the resting phase, resulting in significant hair loss.
Telogen effluvium does not occur immediately, so you may have long since got through the stressful period, yet still find yourself experiencing sudden hair loss. Telogen effluvium can last for several months, so it is worth consulting a specialist as soon as possible.
This type of hair loss may not only be caused by emotional stress; a number of other factors may also play a part in its development: other common causes include nutritional deficiencies, hormonal changes, physical stress – such as surgery, illness or the postnatal period – as well as chronic health conditions or illnesses, such as thyroid problems; it can even occur as a side effect of certain medicines.

Trichotillomania

Trichotillomania, or compulsive hair-pulling, is a type of obsessive-compulsive disorder in which the sufferer constantly pulls out their hair, leading to hair strand thinning and hair loss.
Although this obsessive-compulsive disorder is not caused by stress, hair-pulling is much more common in stressful situations; patients try to relieve the tension caused by stressful periods or situations by pulling out their hair.

Alopecia areata, also known as patchy hair loss

Alopecia areata is not a form of hair loss directly caused by stress, but a stressful life situation can make the condition much worse.
Alopecia areata is an autoimmune condition in which the immune system attacks the hair follicles, causing damage and patchy hair loss. In severe cases, alopecia areata can affect the entire scalp, or bald patches may appear all over the body, including on the eyebrows or limbs. Recognising the bald patches that are a symptom of alopecia areata can help in diagnosing the condition.
Alopecia areata is caused by autoimmune processes, so in most cases it is linked to the presence of other autoimmune diseases. It is not caused by stress, but according to the latest research, stress does play a significant role in the severity of hair loss and can worsen the condition of alopecia areata.

Symptoms of stress-related hair loss

Stress-related hair loss is relatively easy to spot if you look out for the tell-tale signs. This is also important so that you can seek expert help as soon as possible, as the health of your hair can only be fully restored using professional methods.

The symptoms of stress-related hair loss may include the following:

  • If your hair is falling out more than usual and you find more strands than normal on your pillowcase, bed linen, hairbrush and in the drain
  • A noticeable reduction in hair density
  • Noticeable thinning of the hair
  • Your scalp becomes visible, particularly in bright light

Stress-related hair loss and male-pattern hair loss

The biggest problem with hair loss is that it is difficult to tell at a glance what type of hair loss is involved; for this very reason, it is always advisable to seek expert help. Identifying the underlying causes of hair loss is also of paramount importance, and this too requires professional equipment and expertise.

There are, however, some fundamental differences between stress-related hair loss and male-pattern hair loss.

The differences between stress-related hair loss and male-pattern hair loss:

  • Male-pattern hair loss is associated with permanent baldness, whilst telogen effluvium is usually temporary.
  • Androgenetic alopecia typically results in receding hairlines and a characteristic pattern of baldness. Telogen effluvium, by contrast, causes diffuse hair loss affecting the entire scalp, whilst alopecia areata results in bald patches or complete baldness.
  • Telogen effluvium is not linked to androgenic hormones, so treatments designed for male-pattern hair loss are not effective in treating stress-induced hair loss.
  • Alopecia areata can also affect body hair, whilst androgenetic alopecia can only cause hair loss on the scalp. 

Hair care and prevention in times of stress

Preventing and treating stress-related hair loss requires a comprehensive approach, in which both hair care and lifestyle changes play a key role. Under the influence of stress, hair follicles can easily enter a resting phase, which can lead to increased hair loss. It is therefore important to adapt our daily hair care routine accordingly.
Regular, gentle massage of the scalp stimulates blood circulation, thereby supporting the health of the hair follicles. A balanced diet rich in vitamins and minerals – particularly B vitamins, iron and zinc – can contribute to the strength of the hair strands and promote natural hair growth. It is advisable to avoid excessive heat styling and tight hairstyles, and to opt for natural hair care products that do not place unnecessary strain on the scalp and hair strands.
To reduce chronic stress, it is important to take regular exercise, ensure you get enough sleep of good quality, and incorporate relaxation techniques – such as meditation or yoga – into your daily routine. These not only reduce stress levels but also support the body’s general health, thereby indirectly helping to prevent hair loss.
In the case of alopecia areata or telogen effluvium, it is essential to seek specialist medical advice, as these types of hair loss require specialised treatment – this is available to you as part of the Denza protocol.* The prevention and treatment of hair loss always require a personalised approach that takes into account the causes of hair loss, hair type and individual needs. In the case of stress-related hair loss, mindful hair care and stress management go hand in hand in maintaining the health of your hair.

How can stress-related hair loss be treated?

As there are many possible causes of stress-related hair loss, there has not previously been a universal treatment capable of stopping hair loss in every case – until now.
The Denza laser hair treatment protocol improves the condition of the hair regardless of the underlying cause, and is therefore able to stop stress-induced hair loss. Laser hair treatment supports the hair growth cycle; it can induce the growth phase and keep hair strands in this phase for a long time, thereby restoring the health of the scalp. As part of the treatment protocol, we also provide personalised recommendations, using dietary supplements and at-home hair care products to maximise the effectiveness of the treatment.
Professional treatments are essential for restoring your hair’s health, but your lifestyle also makes a huge difference to your hair. As well as eating healthily, it’s worth learning some stress-management techniques and reducing tension, for example through exercise. Physical activity, such as regular exercise, can help reduce stress and support your body’s general health.
If your hair loss is caused by chronic stress, understanding and managing that stress can help your hair to regrow more quickly.

* The cost of specialist medical examinations is not included in the Denza treatment packages.
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