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Why Does My Baby Pull Their Hair Before Sleep?

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Why does my baby pull their hair before sleep

Why Does My Baby Pull Their Hair Before Sleep?

Many parents ask, “Why does my baby pull their hair before sleep?” This curious behavior, though often harmless, can leave caregivers feeling uncertain or concerned. Understanding the reasons behind hair pulling at bedtime is key to supporting your baby’s emotional well-being. From self-soothing to sensory exploration, babies exhibit this action for a variety of developmental and psychological reasons. In this article, we explore these causes, signs to monitor, and expert-recommended strategies to help your little one rest comfortably.

Understanding the Behavior: A Developmental Lens

One common answer to why does my baby pull their hair before sleep? lies in self-soothing. Around six months of age, babies begin developing ways to calm themselves. For some, this takes the form of thumb sucking or cuddling a soft toy. For others, it may be hair twirling or gentle pulling. Moreover, studies show that many infants and toddlers use repetitive, sensory behaviors to regulate emotions or transition into sleep.

According to research from UCLA, hair pulling and sleep disturbances are closely linked in early childhood, and these behaviors are often observed during moments of boredom, tiredness, or separation. Therefore, rather than being pathological, they may reflect your child’s temperament and coping style.

The Role of Self-Soothing and Sensory Input

Self-soothing behaviors help babies manage stress or sensory overload. In fact, hair pulling is often associated with tactile exploration, much like thumb sucking or rubbing a soft blanket. These activities provide predictable, comforting sensory feedback.

Additionally, some babies tug their hair during nursing or when lying awake in bed. This typically occurs in quiet, non-stimulating environments, particularly at night. These repetitive behaviors, known as body-focused repetitive behaviors (BFRBs), are generally considered normal in infancy and toddlerhood.

Is It Trichotillomania? What to Know

While the term trichotillomania refers to a psychiatric condition involving compulsive hair pulling, it’s rarely diagnosed in children under 3 years old. True trichotillomania usually includes an urge-tension-relief cycle, often accompanied by noticeable hair loss. However, most babies who pull their hair before sleep do not meet the diagnostic criteria.

Furthermore, a study published in Clinical Child Psychology and Psychiatry emphasizes that pediatric hair pulling is best understood on a developmental continuum, rather than through adult psychiatric lenses.

Signs to Watch For

Occasional hair twirling or light pulling is usually harmless. However, watch for the following signs that may require professional support:

  • Bald spots or skin irritation
  • Frequent, intense pulling
  • Sucking or eating pulled hair (trichophagia)
  • Pairing with other repetitive behaviors (e.g., nail biting, skin picking)

In a 2024 study, children with problematic hair pulling were more likely to show sleep disturbances, heightened sensory sensitivity, and observable mood differences.

Why Babies Pull Hair: Common Triggers

Sleepiness or Tiredness

Hair pulling can be a bedtime cue. As babies wind down, they might seek sensory input to help relax.

Frustration or Discomfort

During teething or illness, babies may pull their hair in response to discomfort, particularly around the ears or head.

Boredom

Low stimulation often increases the likelihood of repetitive behaviors, including pulling hair while lying in a crib.

Nursing Associations

Some infants develop the habit of tugging hair while breastfeeding or bottle-feeding—a self-comforting ritual.

Stress or Separation

Children experiencing change—such as a new sibling or sleep training—may use hair pulling as a way to cope with internal distress.

What You Can Do: Supportive Strategies

Offer Alternative Comforts

To begin with, redirect your baby’s attention with soft sensory toys, textured blankets, or plush dolls. This helps satisfy their need for tactile input without reinforcing the hair-pulling habit.

Use Gentle Distractions

Also, introduce hand games like patty cake or itsy-bitsy spider. These provide fine motor stimulation and bonding moments.

Create a Calming Bedtime Routine

A consistent pre-sleep routine with dim lights, soothing sounds, and cuddles may reduce your baby’s stress before sleep. Consequently, this may reduce the urge to pull hair.

Limit Negative Reactions

Instead of scolding or drawing attention to the behavior, remain neutral. Negative reinforcement can unintentionally increase hair pulling.

Monitor for Underlying Causes

If the behavior is intense or persistent, consult a pediatrician. They can help rule out dermatologic, neurologic, or psychological conditions.

When to Seek Professional Help

If your child’s hair pulling is leading to hair loss, causing distress, or is part of a broader pattern of repetitive behaviors, a consultation with a pediatric psychologist or behavioral therapist may be helpful. In such cases, cognitive-behavioral strategies and habit reversal training are often used with older children and may be adapted for toddlers.

Final Thoughts: Helping Your Baby Through Healthy Sleep Habits

So, why does my baby pull their hair before sleep? In most cases, it’s a natural self-soothing response to fatigue, discomfort, or sensory need. Understanding this behavior can help parents respond with empathy and calm. By offering alternative comforts and maintaining supportive routines, you can help your child gradually grow out of this phase.

Remember: Stay observant, stay calm, and don’t hesitate to consult your healthcare provider if concerns persist.


The following post may interest you

What to Do If My Baby Won’t Sleep at Night?

How to Sleep Train a Baby – Proven Techniques for Better Sleep

What to Do If My Baby Won’t Sleep at Night?


Sources

Clinical Characteristics, Sleep, and Temperament in Infants and Young Children with Problematic Hair Pulling and Skin Picking

https://link.springer.com/article/10.1007/s10608-023-10435-z

Pulling of Hair While Sleeping: a Pediatric Case

https://citeseerx.ist.psu.edu/document?repid=rep1&type=pdf&doi=4ca06e3c9dac355b52d32fbb1aebae4b101c0d86

Is it Trichotillomania? Hair Pulling in Childhood: A Developmental Perspective

https://journals.sagepub.com/doi/abs/10.1177/1359104508090604

Trichotillomania in Childhood: Case Series and Review

https://publications.aap.org/pediatrics/article-abstract/113/5/e494/66719

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