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“We first asked whether the stress hormone was regulating the stem cells directly and checked by taking out the receptor for corticosterone, but this turned out to be wrong. Instead, we found that the stress hormone actually acts on a cluster of dermal cells underneath the hair follicle, known as the dermal papilla,” said Sekyu Choi, the lead author of the study. When lifestyle changes such as diet and a healthy stress management plan don’t work to stop hair loss or encourage healthy hair growth, it may be time to see a medical provider. Significant stress pushes large numbers of hair follicles into a resting phase, known as telogen effluvium.
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You should incorporate an oil, serum, or other targeted hair treatment into your routine. Shampooing is the first step in any hair care routine, and it's an important one. "Having a good hair care routine is key to having strong hair," Hurtado says. "Using the proper shampoo for your hair type and texture is the first step to having healthy, luscious hair." The core reasons as to why this happens are ambiguous, but studies suggest a strong relation to unexpected stress as the trigger.
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The majority of these hair follicles are in the growth phase (anagen) at any given time. When the hair follicle transitions to telogen, or the resting phase, the hair is shed. During an episode of telogen effluvium, a trigger causes a sudden, abnormal shift of hairs into the telogen phase all at once.
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What does stress hair loss look like?
If your hair loss is stress related, your hair follicles haven’t been permanently damaged. Managing your stress and taking good care of your health could result in your hair returning to a normal rate of growth. "Telogen effluvium always happens 90 to 120 days after the stressful event," says Gaunitz. If there was some type of major incident, you may very well be experiencing TE. To that point, this isn't a subtle type of hair loss; it will be sudden, rapid, and intense.
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Stress-related hair loss is often temporary, so it's unlikely your hair will be lost forever. But it's still important to speak to a doctor about it, especially if it's bothering you. However, with the proper products and techniques, this concern can be addressed. Revamping your wash day routine with targeted shampoos, conditioners, and treatments can help restore strength and shine to your hair.
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When you pull your hair, you feel some sense of relief, as it can be a way of dealing with negative or uncomfortable feelings. However, it can also cause more stress, as some who deal with trichotillomania experience issues with body image due to hair loss. In degeneration (catagen), hair ceases to grow, and the follicle at the base of the strand shrinks. In rest (telogen), hair falls out and the process can begin again. Hair is among the few tissues that mammals can regenerate throughout their lifetime.
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Blame cortisol, aptly known as the stress hormone, which is released when we’re feeling frazzled. Cortisol interrupts hair growth, explains Jodi LoGerfo, DNP, a doctor of nursing practice certified in dermatology and a hair-loss specialist. But exactly how depends on the individual, their genetic predisposition to hair loss and other factors. In other words, not all hair loss from stress is created equal, and stress can play a different role in each scenario. Although reducing your stress levels might seem insurmountable, making sure you’re eating the right things will go a long way to setting a good foundation for optimum hair growth. A healthy balanced diet is also important in stress reduction too as it can support a healthy immune system, repair damaged cells and even reduce elevated cortisol levels.
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Being gentle with your hair while it’s experiencing change is important so as not to exacerbate any thinning. It goes without saying that excessive heat and chemical treatments aren’t a good idea, but try and opt for protective hairstyles too. “Opt for hairstyles that minimize tension on the hair follicles, such as loose braids, buns or ponytails,” advises Gaboardi. “Avoid tight hairstyles and hair accessories that pull on the hair and handle your hair with care to minimise breakage and damage. Healthy people shed around 50 to 100 strands of hair each day, according to the American Academy of Dermatology. But if you’re losing more than that, it could be a sign of a condition called telogen effluvium, or excessive hair shedding.
Will stress-related hair loss grow back?
Hair loss caused by stress is typically curable, and there are several treatment options available. These include stress management and dietary changes, along with topical treatments and medications. This April marks Stress Awareness month in the US, a calendar moment designed to raise awareness of the pervasive and damaging nature of stress. While we know that stress is an undeniable factor in most people’s lives, its impact on so many aspects of our physical and mental health is perhaps more far reaching than we might imagine.
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Everything from genetics to styling habits can play a role, and more than one factor is often to blame. That makes figuring out the root cause tricky, and once you understand what's causing your hair loss, treatment usually requires a multi-prong approach. In instances where there is no regrowth, or hair doesn’t grow back fully, a few different treatments are available. The type of treatment that’s best for you depends on the type of hair loss you’re experiencing. For most people, stress-related hair loss will be temporary, and it’s simply a case of “waiting it out”. This is particularly the case with telogen effluvium, which normally resolves within six to nine months.
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