I guess they would look at it that it is best to treat the cause and not the symptoms.  :) 

If you treat the cause in the case of LOCAH, then I would imagine there is no need to see a psychologist when things are balanced well because the hair problem would take care of itself eventually.  Hair follicles don’t change immediately.  I get the impression that if a LOCAH individual is exposed in later life, the change to the hair follicle is not so permanent.  For CAH women that may have been exposed to regular large amounts of androgens in elevated levels, they have over time a longer exposure and this would affect the actual way the hair follicle develops itself.  that is because the type of hair follicles that we have are often inherited.  People with curly hair have a hair follicle that is kinked.  That is hereditary.  Men lose their hair early because their fathers did and this is a lot to do with inheriting the hormone levels that your father had.  :)  That is hereditary.  However as we know there are certain things that can be over ridden by circumstance--such as in CAH where there are elevated levels of androgens that cause the follicle to develop differently.  Especially in girls that are not controlled well and androgens kept under wraps properly. 

With LOCAH, because CAH is diagnosed late in life, the follicle is only exposed when it had chance to fully develop.  So any change could theoretically be reversed when the hormones are brought back to normal ranges I would say.  We studied a lot about skin and hair follicle due to my training as a Hairdresser. 

What happens if you suffer male pattern baldness as a woman eventually though due to excess androgens climbing TOO high and thinning out your hair as in Locah?  Would THIS be reversible I wonder.  It isn’t in men because their hormone levels do not change like a woman’s would that has had that hair loss due to temporary exposure to androgens.  

Not that I’d want someone to test that theory.  :)