This is a condition where there's a significant stress-induced shedding of hair. Stress can push hair follicles into a resting phase (telogen phase) prematurely, causing them to shed more than usual. This type of hair loss is usually temporary.

Trichotillomania

This is a psychological disorder characterized by repetitive hair pulling, often as a coping mechanism for stress or anxiety. Constant pulling can damage hair follicles and lead to hair loss in affected areas.

Alopecia Areata

While the exact cause of alopecia areata is unknown, it's believed to be an autoimmune disorder where the immune system attacks hair follicles, resulting in hair loss. Stress may trigger or exacerbate this condition in susceptible individuals.

Hormonal Changes

Chronic stress can disrupt hormonal balance in the body, leading to conditions like hormonal alopecia. For example, increased levels of stress hormones like cortisol can interfere with the normal hair growth cycle.

Poor Self-Care Habits

When someone is struggling with mental health issues, they may neglect self-care habits, such as maintaining a balanced diet or getting enough sleep. Nutritional deficiencies and inadequate rest can contribute to hair loss.

Inflammation

Chronic stress can trigger inflammatory responses in the body, which may affect the scalp and hair follicles, leading to hair loss.

Medication Side Effects

Some medications prescribed for mental health conditions may have hair loss as a side effect. For example, certain antidepressants or mood stabilizers may cause hair thinning or loss in some individuals.

What treatments should you avoid if you have depression

If you have depression, it's essential to be cautious about certain hair loss treatments that may exacerbate your condition or interact with medications commonly prescribed for depression. Here are some treatments to approach with care:

Oral Medications

Some oral medications used to treat hair loss, such as finasteride (Propecia) or dutasteride (Avodart), can have potential side effects that may impact mood or exacerbate depressive symptoms. These side effects can include changes in libido, mood swings, or depressive symptoms. Consult with a healthcare professional, preferably a dermatologist or psychiatrist, before starting any oral hair loss medication, especially if you're already being treated for depression.

Topical Medications

While topical treatments like minoxidil (Rogaine) are generally considered safe for most people, they may not directly interact with depression. However, if you're experiencing scalp irritation or other side effects from topical treatments, it could potentially worsen your mood or contribute to feelings of distress. If you notice any adverse effects, discuss them with your healthcare provider.

Hair Transplant Surgery

While hair transplant surgery is generally safe, it's essential to consider the stress and potential emotional impact of undergoing a surgical procedure, especially if you're already dealing with depression. Ensure you're in a stable mental state and have realistic expectations before pursuing this option.

Experimental or Alternative Therapies

Be cautious of experimental or alternative treatments for hair loss, as their safety and efficacy may not be well-established. These treatments could potentially interact with medications you're taking for depression or exacerbate your symptoms.

Stressful Treatments

Any hair loss treatment that adds stress or anxiety to your life should be approached with caution. For example, treatments that require frequent monitoring or have a demanding regimen might increase your stress levels and potentially worsen your depression.

It's crucial to consult with both a dermatologist specialising in hair loss and a mental health professional if you're considering any treatment for hair loss while managing depression. 

They can help you navigate the potential risks and benefits and develop a treatment plan that's safe and suitable for your unique situation. Additionally, maintaining open communication with your healthcare providers ensures that any adverse effects can be addressed promptly.