Behavior therapy has been widely used as a treatment for trichotillomania. However, behavioral treatments for TTM have tended to focus on behavior reduction, while not paying as much attention to social and economic impact. The current study sought to clarify the social and economic impact of Trichotillomania (TTM) in two samples of persons with TTM. Members of the first sample attended a TTM patient conference (N = 36) and members of the second responded to an online survey (N = 381). Both samples completed self-report measures that examined the impact of TTM on avoiding activities and relationships, as well as financial costs. Results indicated that both groups reported similar amounts of avoidance in social situations, sought help from multiple health professionals, spent considerable time engaged in hair pulling activities, and had interference in both work and school. The study suggests a number of ways to decrease the negative impact of TTM.