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Trichotillomania (TTM) is an impulse disorder that causes people to pull out the hair from their scalp, eyelashes, eyebrows, or other parts of the body, resulting in noticeable bald patches. It is currently defined as an impulse-control disorder, but there are still questions about how it should be classified. It may seem, at times, to resemble a habit, an addiction, a tic disorder or an obsessive-compulsive disorder. It is estimated to affect one to two percent of the population, or four to eleven million Americans.