Living with alopecia

Nell Bryden, 36, American singer-songwriter, talks about losing her hair - and living with alopecia totalis Losing my bouncy blonde hair was challenging. My whole identity was called into question and I felt incredibly vulnerable. But it proved one of the best things that ever happened.

The hair loss started in London in 2012. Iโ€™d had five years of stress, pushing myself hard and working with the wrong people. I fired them three months before my hair fell out. Around then, a hairdresser glued on hair extensions for a photo shoot. She had to tug them out and the next day I had a really sore scalp.

I first noticed a bald spot above one of my ears, and then that my hairline had started receding. I panicked but thought, โ€˜If it stops now it will be all right.โ€™ But it didnโ€™t. Within two weeks I had cut my hair short and started buying hats.

A trichologist diagnosed me with alopecia totalis, an autoimmune disorder [see www.alopeciaonline.org.uk]. He told me to prepare for total fallout. I started crying on the tube going home and went on crying for weeks.

I went back to my family in New York to figure out what had happened. When I saw myself in the mirror, my hair was so thin and sparse โ€“ my brows and lashes had practically gone โ€“ that I looked like a sick old woman. I hid under the duvet with the curtains drawn.

About a month later something changed in me. I thought, โ€˜This is an autoimmune condition that affects me cosmetically โ€“ I am not sick.โ€™ I stopped crying and shaved my head.

As a musician I can put emotional roller coasters into songs, which helps me deal with the process. I didnโ€™t know if I could bare my head publicly, so at first I wore a very realistic human-hair wig, but I never felt it looked like my hair. Ironically, I became more ashamed of people knowing I was wearing a wig than of being bald.

I went on a family vacation to a remote island and my mother said, โ€˜You should consider being who you are. You have a beautiful head โ€“ embrace what has happened because it is the graceful thing to do.โ€™

When I walked around the village without my wig, I thought people would look at me as if I was a freak, but I found most didnโ€™t care. So the next show I did in London, I went on stage bald. I said, โ€˜This is meโ€™, and the audience stood up and started clapping.

I was scared about the prospect [of living bald], but I lost weight, got healthy and I looked better than I had in years.

I tried all sorts of treatments and at one point my hair started growing back, but then stopped. I accept there is a good chance it may never grow back.

But if my hair had not fallen out, I would never have got off the work treadmill, gone into therapy to see why I had got into such a stressful position or become open to meeting my husband [Alistair, who she married this summer], who says itโ€™s wonderful to be with someone unique. I am now pregnant and the happiest I have ever been.

Nellโ€™s latest album 'Wayfarer' is available now...

 

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