Tell your family that you suffer. The first step is to tell your family and the people close to you that you pull out your hair. They are the people who understand you the most, and they love you unconditionally. This means that no matter what they will love you, and knowing that you pull out your hair will not stop them from feeling this way. You may be worried at first about what they will think, but if they really are the close to you then they won't care.

Tell groups of people. It's hard to tell large groups of people that you pull out your hair, because you're afraid that they will judge you. Only about 3% pf the population has trichotillomania, so many people may not understand you at first. There are other way to tell them, though, without addressing them on a personal level. Post anonymous signs at your school or your work, or send out anonymous fliers. As friends and family to help if you need support.

Be persistant. Let people know that this is not just something that they can glance over. It's a problem that you deal with every day, and they need to understand that. Like quitting smoking or drinking, sometimes you can't do it alone. Keep talking until people understand that you're not the only one who suffers, and also that you need their help to be able to stop.

Be honest. If people ask you why you're missing eyelashes, or why you have a bald spot on your head, tell them. Don't try to hide your problem with makeup, because it's not something you should be ashamed of. It's not your fault - if it was, you would have stopped pulling long ago.