What it is
Patches of hair loss that develop in defined areas, most commonly associated with alopecia areata, scalp conditions, traction, or hormonal changes.
Patches of hair loss that develop in defined areas, most commonly associated with alopecia areata, scalp conditions, traction, or hormonal changes.

At a glance
What it is
Patches of hair loss that develop in defined areas, most commonly associated with alopecia areata, scalp conditions, traction, or hormonal changes.
Commonly experienced as
Evidence context
History & Origin
Bald spots — discrete areas of hair loss — have several possible causes that require distinguishing. Alopecia areata is an autoimmune condition producing coin-shaped patches of hair loss, often reversible. Tinea capitis (scalp ringworm) causes patchy hair loss with scaling. Traction alopecia results from hairstyles creating persistent pull. Trichotillomania involves compulsive hair-pulling. Androgenetic alopecia typically produces diffuse rather than patchy loss but can create apparent spots. The psychological impact of bald spots — particularly visible ones — can be significant regardless of cause, making holistic support important alongside identification of the underlying cause.
The Evidence
Bald spots have several distinct causes. Understanding which applies to you shapes which approaches may be relevant and when professional assessment is needed.
Cause identification matters before exploring support options
Evidence for complementary approaches to hair loss varies by cause. Nutritional, stress-related, and immune-mediated factors each have different levels of research support, and some causes require professional assessment before other approaches are considered.
Seek prompt care if bald spots appear with a spreading rash and fever, or if any skin lesion changes shape, colour, or size rapidly. A non-healing wound, ulcer, or signs of skin infection — increasing redness, warmth, swelling, or pus — also require professional attention without delay.
Alopecia areata, scalp infections, traction-related loss, and hormonal causes each have different implications. A dermatologist or GP can distinguish between these. Complementary approaches are best considered alongside, not instead of, professional assessment — particularly for new, spreading, or unexplained hair loss.
Nutritional assessment for deficiencies in iron, zinc, and vitamin D has reasonable clinical rationale for hair health. Acupuncture for alopecia areata has limited supporting evidence. Some herbal preparations show early-stage research interest. Overall, the evidence base is emerging rather than established, and findings vary by cause and approach.
Alopecia areata involves immune activity that stress may influence. Telogen effluvium — diffuse shedding triggered by physical or emotional stress — is a separate but related pattern. Stress management approaches are considered relevant support in these contexts, though they are not a substitute for professional assessment of the underlying cause.
The psychological impact of bald spots — particularly in visible areas — is well recognised and can affect confidence, identity, and wellbeing. Holistic practitioners may address emotional and lifestyle dimensions alongside physical factors. This kind of support can be valuable in parallel with, not as a replacement for, professional assessment of the underlying cause.
Scalp infections such as tinea capitis require antifungal treatment; complementary approaches alone are not appropriate. Autoimmune and hormonal causes may need medical management. Inflated outcome claims for any single supplement, herb, or therapy should be viewed with caution. Evidence in this area is still developing, and individual responses vary considerably.
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