Advice to medical professionals helping young people with alopecia

Some young people were happy with the help they received from GPs and dermatologists, but many had advice they wanted to share with medical professionals treating young people with alopecia. Key messages were:

  • be aware of the emotional and social impacts alopecia can have, including that seeing doctors can add to distress;

Many of those affected felt that alopecia wasn’t always taken seriously by medical professionals, even though it can have a big emotional impact. As Elizabeth explained, it’s not just the visible hair loss but also the “invisible stuff” of the emotional and social effects. Many people talked about the way alopecia had affected their confidence and self-esteem as well as experiences of bullying. Often, they didn’t feel their doctors really understood this. Some talked about times when seeing a doctor about alopecia had actually caused more upset and made them feel worse by making comments or ushering them out of the appointment too quickly.

Annie X says you shouldn’t wish away’ your time in the hope alopecia goes away. She thinks doctors need to be aware of this when they talk about regrowth.

Age at interview 15

Gender Female

Age at diagnosis 11

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Arti feels her doctors haven’t always listened or taken her concerns seriously.

Age at interview 22

Gender Female

Age at diagnosis 22

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Meghan had a bad experience with a dermatologist who asked her to remove her hair extensions to look at her scalp, but didn’t give her time to put them back in.

Age at interview 20

Gender Female

Age at diagnosis 10

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  • give young people time in appointments to make sense of their diagnosis of alopecia and ask questions about it;

Be aware that people may have waited a long time for the first appointment about hair loss and could be frightened about what their symptoms mean. Krista thinks it’s important people with alopecia areata are given more time in appointments to think and talk about the condition. Her advice to doctors is “don’t just turn them away from your office and say ‘it might get better, it might get worse’.”

Krista had a long wait before she saw a dermatologist. She was told that all the information she needed was online and she left the appointment feeling let down.

Age at interview 23

Gender Female

Age at diagnosis 22

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Rosie says it’s important people who think they might have alopecia don’t have to wait too long to see doctors.

Age at interview 18

Gender Female

Age at diagnosis 12

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  • provide information about alopecia to those who want it;

Young people wanted different types and amounts of information. The main things people wanted to know were about alopecia causes and triggers, treatment options and what the future might hold. Hearing that there are no certain answers can be difficult. Beth found that her dermatologists explained things well, but it could still be a lot to take in. Some people talked about wanting more input with treatment decisions, but others felt they had been left with all the responsibility to look into options. Many people wanted their doctors to give them information about side effects and risks of treatments as well as being realistic about the chances of success. Becky feels she and her mum had to do this for themselves after treatment options were listed without detail. Many people wanted information about wigs, including how NHS entitlement processes works. Laurel feels the option of wigs should have been raised with her sooner.

Emma says she wanted an explanation of alopecia causes, but doesn’t like when doctors insist that stress is a trigger.

Age at interview 23

Gender Female

Age at diagnosis 14

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Rochelle felt she was given no further help after being diagnosed with alopecia. She would have liked more information from her doctors.

Age at interview 23

Gender Female

Age at diagnosis 14

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  • offer emotional support as well as medical treatment options;

Emma thinks it’s important doctors discuss different types of psychological support and avoid “jumping to offering somebody antidepressants for when you’re feeling low”. She suggests counselling as one option as well as signposting to alopecia support groups. It was helpful for many people to find out from their doctors that there are support groups online and meetings all over the country where they could talk to others with alopecia. However, some people cautioned that online information and support isn’t a replacement for what doctors can or should offer.

Ben would like doctors to think not only about treatments but also the emotional side of alopecia, including uncertainty and confusion about the condition.

Age at interview 18

Gender Male

Age at diagnosis 14

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Hannah thinks doctors should consider emotional support for alopecia more, but that they also need to be aware of stigma associated with this.

Age at interview 21

Gender Female

Age at diagnosis 16

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