Arti

(Audio or text only clips) Arti developed alopecia areata 10 months ago. She had a small initial patch which turned into more rapid hair loss. Alopecia has had a huge emotional and social impact on Arti, though she is coping better now since using hair pieces and wigs.

Arti developed alopecia areata about 10 months ago. Her doctors have repeatedly said that they think she developed alopecia because of stress; however, Arti disagrees and thinks that the alopecia produced stress, rather than being the other way round. Arti thinks that she is more predisposed to having alopecia because of some autoimmune health conditions in her family and because she herself has thyroid problems.

Arti initially thought that her first bald patch was a scar from a childhood injury. She thought it strange when the hair regrew but didn’t think too much of it. A few months later, she discovered other patches on different parts of her scalp. She went to her GP who diagnosed it as alopecia and told her that it would probably go away with time. However, Arti’s alopecia became more extensive and she rapidly lost a lot of her hair. She continued to go back to her GP, taking encouragement from online discussion forums that she should be persistent, before eventually being referred to a dermatologist. Arti was able to get an appointment more quickly because of her parents having private medical cover, but she still had to wait several weeks.

Arti has used prescribed steroid creams and been given steroid injections in two of her bald patches by her dermatologist. Whilst there seems to be some early signs of hair growth from the steroid injections, her hair has continued to fall out elsewhere on her scalp. Arti began to look into wigs by visiting a local shop and posting in an online forum for living with alopecia. She learnt a lot about wigs, including that a partial wig might be suitable because it would allow her to include her own hair. When this no longer covered her hair loss, she bought a synthetic full wig and she has recently been given a real hair wig from her parents which they bought whilst on holiday in India. The cost of wigs is a concern and Arti plans to get an NHS wig eventually; when she first looked into it, she found that the paperwork involved is long and would have caused a delay in getting a wig at the time when it mattered most to her.

Developing alopecia has been very stressful and confusing for Arti. She disliked the way she looked and would spend several hours re-arranging her hair so that others wouldn’t see the bald patches. She struggled with this a great deal and found social situations difficult to cope with. As a result, she wasn’t able to go to her lectures or seminars, which meant that she missed out on valuable opportunities for learning at university. Arti told only a few very close people, such as her parents and her boyfriend, about her alopecia but didn’t let anyone else know for several months. She began telling her friends when she felt more comfortable with wearing hair pieces. She also spoke to her university about the impact on her and was given some practical help with assignments as well as a referral to a welfare representative. Arti wishes that she had spoken to friends and her university earlier and she encourages other young people with alopecia to talk about it, even if they are reluctant at first. Arti thinks doctors and dermatologists should make sure to ask young people with alopecia about mental health and the emotional impacts.

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

Age at interview 22

Gender Female

Age at diagnosis 22

Arti used the Alopecia UK website and posted on their forum to get advice about wigs.

Age at interview 22

Gender Female

Age at diagnosis 22

At first, Arti’s dermatologist did not refer her for an NHS hair wig because her hair loss wasn’t severe enough. A wig she bought herself cost £100-£200.

Age at interview 22

Gender Female

Age at diagnosis 22

Social anxiety made going out in the evening difficult for Arti.

Age at interview 22

Gender Female

Age at diagnosis 22

Arti talks about washing and freshening up her synthetic wig.

Age at interview 22

Gender Female

Age at diagnosis 22

Worrying about her hair was a big preoccupation for Arti when she was studying and meant sometimes missing lectures and seminars.

Age at interview 22

Gender Female

Age at diagnosis 22

Arti finds it easier to talk to people about her alopecia now that she wears a wig.

Age at interview 22

Gender Female

Age at diagnosis 22

Arti’s read online about home remedies for alopecia, but would like to try the conventional medical options first.

Age at interview 22

Gender Female

Age at diagnosis 22

Arti describes having steroid injections and what it was like afterwards.

Age at interview 22

Gender Female

Age at diagnosis 22

Arti’s GP referred her to a counsellor. She says it helped to talk to someone who doesn’t know her.

Age at interview 22

Gender Female

Age at diagnosis 22

Arti says she’s been told as much about alopecia as is currently known.

Age at interview 22

Gender Female

Age at diagnosis 22

Arti went back to her GP’s several times asking to see a specialist.

Age at interview 22

Gender Female

Age at diagnosis 22

Arti thinks changing her medication for an underactive thyroid might have been a factor for her alopecia.

Age at interview 22

Gender Female

Age at diagnosis 22

Arti’s been to her GP about feeling physically weaker and achy, but she’s not sure if this is linked to her alopecia.

Age at interview 22

Gender Female

Age at diagnosis 22

Arti has a family history of autoimmune conditions.

Age at interview 22

Gender Female

Age at diagnosis 22

Arti did some online research about hair loss’ before she went to her GP and was diagnosed, as well as after the appointment.

Age at interview 22

Gender Female

Age at diagnosis 22

Arti thought she felt an old scar on her scalp at first.

Age at interview 22

Gender Female

Age at diagnosis 22

Arti’s hair has regrown in the past but she says it’s hard to tell whether that’s still happening.

Age at interview 22

Gender Female

Age at diagnosis 22