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These symptoms are usually seen in children:
- constant tugging, pulling, or twisting of hair
- increasing sense of tension is present before the hair pulling
- sense of relief, pleasure, or gratification is reported after the hair pulling
- hair pulling leads to an uneven appearance
- bare patches or diffuse loss of hair
- hair regrowth in the bare spots that feels like stubble
- some individuals may develop a bowel obstruction if they eat the hair they pull out
- other self-injury behaviors may be present
- people suffering from this disorder often deny pulling out their hair
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