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You can be happy with trichotillomania. I am happy. I am successful. I have friends and family, a dog, a good job. I am okay. I came to terms with my pulling years ago, and that seems to be the thing I needed to do to be able to move on in my life and remember how to live life. I have no energy for this "pull free" racket many folks push. It took so much of my emotional and physical labour to be able to hate myself actively for every hair I pulled that one day I just up and decided I wasn't going to beat myself up anymore and that I was going to work towards loving me again. This is what you have to do to be happy first....just love yourself, be patient and kind to yourself and allow for mistakes .