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Hair loss can be physically and emotionally overwhelming. While some hair loss is inevitable as we age, premature hair loss can damage our self-image and confidence. Genetics, medical conditions and hormones all play a role, but stress is an overlooked culprit. Although we tend to think of stress as manifesting itself in headaches, insomnia, and anxiety, it can also wreak havoc on our hair.
In this article, we’ll explore the science behind stress and hair loss, including the different types of hair loss and their various causes. We’ll also provide tips and tricks for managing stress more effectively to support healthy hair growth.
Understanding Hair Loss: Types and Causes

Hair loss can be caused by a variety of factors, including genetic predispositions, hormonal changes, medical conditions and lifestyle choices. The three most common types are:
- Androgenic alopecia (pattern alopecia): This is the most common type of hair loss and is largely hereditary. It occurs in both men and women and often causes hair thinning and widening of the hair.
- Telogen effluvium: Telogen effluvium is a temporary condition triggered by physical or emotional stress, illness, or a major life change. It causes hair to prematurely transition from the anagen to the resting phase, resulting in brief periods of excessive shedding.
- Alopecia areata: This autoimmune disease causes sudden, patchy hair loss. Although stress is not the only cause, it may exacerbate the condition.
Early intervention is crucial. Hair loss treatments like minoxidil and finasteride can stimulate hair regrowth.
How stress affects hair health

Stress affects nearly every system in the body, including hair follicles. Cortisol, a hormone released during stress, is a key factor in stress-related hair loss. 1 Here’s what it does to your hair:
- Interruption of the hair growth phase: The hair growth cycle consists of three phases: anagen (growth), catagen (transition), and telogen (rest). Cortisol accelerates the transition from anagen to telogen, increasing shedding.
- Hair damage: High levels of cortisol can disrupt the balance of certain proteins in your skin and hair called proteoglycans and hyaluronic acid. These proteins are essential for keeping hair follicles healthy and cycling through their natural growth phases. When cortisol levels are too high, the breakdown of these proteins is accelerated and production is reduced by about 40%.
- Hair loss: Researchers can measure chronic stress by analyzing cortisol levels in hair. Since hair grows approximately 1 centimeter per month, it can serve as a timeline to reveal how much cortisol builds up over weeks or months. Over time, elevated cortisol levels are associated with increased hair loss in both men and women.
Prolonged stress can cause hair follicles to shrink, causing hair to become thinner and more brittle. This means stress can not only cause temporary hair loss, but it can also lead to long-term hair health problems if not addressed.
Understanding stress-related hair loss

Stress-induced hair loss can be recognized by the following signs:
- increased shedding: You may notice more hair on your brush, pillow, or in the shower.
- thinning hair: Diffuse thinning, where hair appears thin, is a sign of telogen effluvium.
- brittle or brittle hair: Stress can weaken the hair shaft, leading to breakage and a dull appearance.
- patchy bald spots: Round bald spots may indicate alopecia areata, which can be exacerbated by stress.
It’s important to note that stress-induced hair loss may not occur immediately. Hair loss can occur weeks to months after a stressful event, making it more difficult to pinpoint the cause.
Strategies to Combat Stress and Hair Loss
Addressing stress-related hair loss requires a holistic approach to address stress and its impact on your hair. You can do the following:
1. Manage stress levels
- Incorporate relaxation techniques: Practices such as yoga, meditation, and deep breathing exercises can help reduce stress levels.
- Maintain a regular exercise routine: Physical activity can reduce stress hormones and improve blood flow to the scalp.
- sleep well: Aim for seven to nine hours of sleep each night to support hair recovery and overall health.
2. Promote hair and scalp health
- Pay attention to nutrition: Promote hair growth and strength by consuming foods rich in biotin, zinc, iron, and omega-3 fatty acids.
- Use gentle hair care products: Choose a sulfate-free shampoo and avoid over-styling or excessive heat, which can further weaken your hair.
- Scalp massage: Massaging your scalp regularly can stimulate blood circulation in your scalp.
3. Address Cortisol-Induced Damage
- topical treatment: Minoxidil is a common hair loss treatment that promotes hair regrowth.
- Ketoconazole: This antifungal shampoo not only effectively controls dandruff and seborrheic dermatitis, but also promotes hair growth. Research shows that long-term use of 2% ketoconazole shampoo can improve hair density and increase the proportion of anagen (growth phase) hair follicles, especially in cases of androgenic alopecia. Additionally, ketoconazole has been shown to have additive effects when used with finasteride to improve the results of androgenic alopecia by addressing scalp health and hormonal factors. 1
When to seek professional help
If hair loss persists despite your best efforts, it’s time to consult a professional. A dermatologist or trichologist can evaluate your condition and determine the underlying cause of hair loss.
Seek professional help if:
- Shedding that lasts for months: Chronic telogen effluvium may require medical intervention.
- You notice scalp problems: Redness, itching, or flaking may indicate a more complex problem.
- Severe or patchy hair loss: Sudden, noticeable bald spots or noticeable thinning require immediate attention. 3
in conclusion
Stress-related hair loss can be disturbing, but understanding its connection to cortisol and the hair growth cycle can provide valuable insights into effectively managing the condition. By identifying the signs of stress-induced hair loss early and addressing the underlying causes, you can take control of your hair health and stress levels.
Taking a proactive approach is key. Combining stress-reducing techniques with a comprehensive hair care regimen can significantly improve your chances of reversing or minimizing the effects of stress-related hair loss. Habits like mindfulness, regular exercise, and a nutritious diet are not only good for your hair, but also for your physical and mental health.
bibliography
- Tom, E. (August 2016). Stress and the hair growth cycle: Cortisol-induced disruption of hair growth. Journal of Dermatological Drugs.
- Reggain. (nd). How minoxidil works.
- Penn Medicine. (June 7, 2023). Alopecia (hair loss).
- Fisher, J. (2024, April 22). Vitamins, minerals and hair loss: Is there a connection? Harvard Health.