Peotillomania is a rare disorder characterized by the compulsive and recurrent pulling or plucking of one's eyelashes. Derived from the Greek words "peos," meaning eyelash, and "tillo," meaning to pull or pluck, the term reflects the nature of this behavioral disorder. It falls under the broader category of body-focused repetitive behaviors (BFRBs), which encompass various conditions such as trichotillomania (hair-pulling disorder) and dermatillomania (skin-picking disorder).
Individuals with peotillomania experience an irresistible urge to tug, twist, or extract their eyelashes, resulting in their removal. This compulsive behavior provides temporary relief or gratification, but it can inflict significant distress, shame, and impairment on the individual's social, occupational, and personal functioning. The condition may range in severity, with some individuals only plucking a few eyelashes intermittently, while others subjectively experience a full-blown compulsion to pull out all their lashes.
Peotillomania is often associated with underlying emotional or psychological factors, such as anxiety, stress, or a history of trauma. It can occur in both children and adults, with females being slightly more affected. The exact cause of peotillomania remains unknown, but it is believed to involve a combination of genetic, neurobiological, and environmental influences.
Treatment for peotillomania usually involves a multidisciplinary approach, including therapy, counseling, and, in more severe cases, medication. Cognitive-behavioral therapy (CBT) and habit reversal training (HRT) are commonly used to help individuals gain awareness of their triggers, develop coping mechanisms, and modify their behavior. Support groups, education, and self-help techniques also play a
