I cut, scratch and hit myself, but I am trying my best to minimise this. I haven't cut in over a week. Trichotillomania is an ongoing struggle. I have done this both compulsively and as a form of self-harm. I have cut my hair short to making pulling more difficult, but I still tend to target my eyelashes and eyebrows. It looks awful and it causes my eyelids and brow area to swell up, develop rashes and sometimes bleed.