Stress Induced Hair Loss? Black Women Are Among the Most Vulnerable

Photo by Jessica Felicio on Unsplash

Victoria Thomas is a beauty brand strategist currently blogging for Vegamour, where this article was originally published. 

“Black hair and stress is not a light or trite subject,” said Professor Dr. Angela Neal-Barnett, speaking by telephone from her home-office near Kent State University.

Neal-Barnett directs her university’s Program for Research on Anxiety Disorders among African-Americans, exploring cognitive behavioral therapy techniques. “Data show that for Black women, anxiety is more chronic and the symptoms more intense than for their white counterparts,” she said. 

Mainstream stress-management techniques may backfire, because they often reinforce cultural mistrust among Black women, Neal-Barnett reports. Add to the equation that Afro-textured hair is fragile. The classic, tight, S or Z wave pattern — “Every postman on his beat,” as described by Harlem Renaissance writer and cultural story-keeper, Zora Neal Hurston — risks breakage at every turn. Dryness, common to curls everywhere, adds to the damage and frizz-factor.

Then Came 2020

“COVID has added to the hair-stress among Black women everywhere,” said Dr. Neal-Barnett. “To put it simply, the stores have run out of grease! We can’t get our hands on the products we like to use! Look in your pantry and try masking your hair with olive oil, coconut oil or avocados. Wrap your hair in a silk scarf, especially when you go to bed. The other thing that we’re feeling is isolation. Beauty parlors have always been where women connect, and now we don’t have that.”

There's no escaping the fact that 2020 was a year of supersonic stress for all Americans. But these universal traumas are especially harrowing for African-Americans as the result of what clinical psychologist Dr. Joy DeGruy describes as "Post-Traumatic Slave Syndrome".

DeGruy researches epigenetics, the study of how certain genes are turned on or off in response to environmental factors. It's an accepted fact that trauma can alter our DNA and the DNA of our descendants. Epigenetics takes this line of exploration back into the genetic past, and today strong evidence suggests that embedded trauma occurring in generations past continues to affect the structure of the DNA of people living today.

Chronic, inherited PTSD is a vivid illustration of how unaddressed, residual trauma affects the health and well-being of Black Americans. Many continue to carry the centuries of multigenerational trauma, affecting their health and well-being.

Tension (of All Kinds) Is the Enemy of Hair

Kelsie Lyn is a celebrity hair and makeup artist who serves clients in Los Angeles and Atlanta. Pre-COVID, her salon, For the Culture, was sought out for Lyn’s expertise with natural hair.

“I do not offer relaxers, keratin or Brazilian treatments, because these chemicals can really break down the hair,” she said.

“As a culture, we wear a lot of tension styles such as braids and weaves," Lyn said. "Over time, tension creates trauma to the scalp, resulting in traction alopecia and scalp inflammation, which cause hair follicles to retreat and retire. We have to be trained and educated on how to braid without tension, but still create long-lasting styles that don’t hurt.”

To encourage healthy hair growth, she recommends less tension and less weight in creating locs and braids, and scalp massage as general practices. For women who decide to transition from chemically relaxed hair to a natural state, she said: “Wear protective styles for a year or two, and while it’s at a short or medium length, learn your hair. Love your hair.”

While scalp cleanliness is key, she adds that hair worn in a protective style may be happiest with a monthly shampoo, while brushed-out hair attracts more dirt and needs a weekly wash.

Michelle Anderson, a Phoenix, AZ salon-owner, master-extensionist and the founder of her eponymous product line, agrees. "I found that my customers needed more than just my salon services," Anderson said. "They were in search of missing products especially made for Black women, so I launched my at-home products to assist them, even while we are apart.” Her specialty is edge-control, with practices and products targeting the most delicate part of the hairline.

Riqua Hailes is a Los Angeles-based entrepreneur who founded her business, Just Extensions, to create versatile looks for Black women. “I’m often asked if extensions are a good or bad idea," Hailes said. "Extensions are amazing for so many different reasons. You can go from red to blonde, curly then straight without committing to anything but protecting your hair underneath. Keeping in mind that extensions are a process, and require attention — and lots of it.”

To prevent hair loss and encourage hair growth, Hailes cautions that wet extensions always be sectioned before bed, and learning the proper use of hot tools which she describes as key to “the difference between a good at-home hair styles and a hairdo tragedy.”

She also cautions against DIY extensions-removal. "Always have your extensions removed by a professional. More times than not, self-removal leads to clip-slip.." meaning accidentally cutting off the hair you've so patiently nurtured and grown out.

The Cultural Context

Lynn Fountain Campbell, owner of the Los Angeles salon Shear Perfection, goes a step further. “In some places, Black women have had to go to court to obtain the ‘right’ to wear their natural hair, because the dress code at their jobs wouldn’t allow it," Campbell said. "The stress of trying to look white when you are not is enough to make your hair fall out.”

Campbell cites two common conditions that she has been called upon to correct in her salon. First, “Braided hair extensions attached around the edges where the hair is fragile puts more weight on the hair than it can support. The hair is pulled out of the follicle and it produces a receding hairline. If you catch it in time, the hair loss can be reversed.”

In addition to mechanical damage, chemical services can be a major cause of permanent hair loss. Campbell adds, “Sometimes bald spots come about through overuse of chemical relaxers. This chemical damage is sometimes beyond redemption. It happened to my sister, who ended up shaving her head to give the whole system a rest. Fortunately, her hair grew back and now she sports a more natural style.”

The 411 on the Take-Down

Licensed trichologist, salon-owner and CEO Abra McField said "Hair is my talent and healing is my gift." Her St.Louis salon, Abra Kadabra Hair & Healing, specializes in sew-in extensions, easing the transition from relaxed and heat-damaged hair to natural curly hair, and offers a broad range of growth therapies.

Although her branding references magic, McField is all about the science. When a client reports hair loss, she recommends a visit to a medical professional first, to identify any serious condition. Services she offers include low-light laser therapy and collagen-induced therapy, also called micro-needling, which enhances the absorption of topical treatment products.

McField witnessed a dramatic uptick in client hair loss in 2020, attributing the spike to long-term stress. "The stress is causing us to eat more," she said. "And we pull our hair out, which is called traction alopecia, due to tight ponytails, braids, locs, weaves, heat and chemicals. When salons shut down, clients were forced to figure things out on their own, and that was stressful."

She's adamant that the take-down of sew-ins be handled by a professional. "It's not rocket-science, but it's my science," McField said. She schools her clients in what's required of them: installation, retouch, maintenance and the salon take-down, and faithful commitment to the process is non-negotiable.

She also educates clients about the need for thorough shampooing and conditioning, using products which are free of sulfates, parabens and other irritants that can derail hair growth. She recommends a shampoo every four days, followed by a 30-minute conditioning session with the hydrated hair in a cap under a warm dryer on a low setting.

Her key advice: "Retire the relaxer if you haven't done so yet. Accept the true essence of how you were made and learn as much as there is to know about who you are when it comes to your hair."

A Clean Pate — and a Clean Slate

A close clip or even a shave can be the beginning of a new creative journey. Lesley Bryant, owner of Lady Clipper Barbershop in Washington, D.C., offers an alternative to high-maintenance regimens. “Less is more … this means the less chemicals, heat and stress we apply to our hair, the better," she said. "As Black women, we are creative and want to experiment with color, braids and a variety of styles. But the truth is, the simpler the hair regimen, the healthier the hair.”

The study of epigenetics is just beginning to reveal the lasting impact of ancestral memory on African-American life. And of course, there is no overnight recovery to be had.

Meanwhile, Dr. Neal-Barnett comments, "We're still on the journey. For today, be kind to yourself, and start by being kind to your hair."

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