Trichotillomania advice?

Does anyone have any advice on managing this without medicine or therapy? I will consider therapy and/or medicine but I just wonder if anything else would be an option as well. I have been pulling my hair out since I was about 12 and I’m 23 now. I don’t really know what brought it on. I feel like it’s putting a strain on my relationship with my family and my significant other. I wish there was a quick fix for this problem but I know there isn’t.