L.B.
Hi J.. I have a sister who has trichotillomania. We are old now (in our 40s), but I clearly remember that it started at a very young age. Back then, of course, no one had a clue as to what was going on. I have done some research on it over many years and as you probably know, i think its considered an Obsessive Compulsive Disorder. However, the Kennedy Krieger website describes it as as habit disorder. So I guess the other option is that it could simply be behavioral stage.
I would definitely keep seeking professionals who can tell you more about what steps you can take to modify behavior b/c what little i know from our personal experience is that it does not seem to cease on its own. Maybe the cause will not be clear, and maybe it doesn't need to be, but if you can find a way to treat the behavior and divert it, it will go a long way. Its important given that as she grows up, it will become an issue of self-esteem, as you can imagine. I feel for you as I know its distressing,and support you wholeheartedly in continuing to seek out help. Maybe your ped can recommend a child psychiatrist w/ whom you can touch base.
BTW, The information on KKI is at kennedykrieger.org and its under the Pediatric Development Disorders Clinic. It lists Nancy Grace PhD as the lead. It would be worth a call and an assessment if you haven't gone there already.
Here is the info:
To make a referral or request an initial evaluation:
Contact our Care Management Office
Toll-Free Referral: (888) 554-2080
Local Referral: ###-###-####
Wish the best for you. L.