This is a unique case of a patient with trichotillomania, depression, and anxiety Bumpers for 2 years, serving as coping strategies for underlying gender dysphoria.To our knowledge, a case of a patient presenting with this unique constellation of comorbid conditions has not previously been reported.This case stresses the importance of providers obtaining a full social history consistently and repeatedly while providing a nonjudgmental environment for patients to disclose sensitive and potentially fluid information Originals Cashmere Cardigan related to gender identity and sexuality.