When the Mind Pulls the Hair: A Narrative Case Study of Stress-Induced Alopecia Areata in a Medical Resident

This narrative case study explores the psychological factors contributing to the onset of alopecia areata (AA) in a 28-year-old medical resident experiencing significant occupational stress. Through clinical assessments and a semi-structured interview analyzed using thematic analysis, four themes were identified: professional identity and competence, the body reflecting emotional burden, feeling alone and holding back distress, and recovery as a process of reconnection. These findings suggest that stress and emotional suppression can manifest physically, emphasizing the need for a biopsychosocial approach in managing AA, particularly in high-pressure professions, to facilitate early recognition of stress-related triggers and support holistic recovery.