I am not sure what you should do. I think if you just keep deterring the little one when you notice it happening and take note of stressors in her life it might help.

My sister-in-law suffers from Trich. She's had it since she was a little girl as well. It sounds exactly like her. It gets worse with stress. It's extremely difficult to treat. In my state there is one therapist that is really good and specializes in this treatment and even their success rate is not 100%. It's so sad and so hard to be the one with this illness. My sister-in-law has gone through two wigs due to hair loss---she even pulls out the hair from the wigs. It's very embarrassing for her and she secludes herself because of it.

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