Alopecia areata (AA) can be defined as a common cause of non-scarring hair loss that may be in the form of different patterns as patchy, confluent or diffuse patterns. AA mostly involves the scalp and also can affect other parts of the skin as beard, mustache or any other hairy areas of the skin. AA is considered a therapeutic challenge and cannot be treated easily due to different reasons as disease prognosis, non-predictable course and variable efficacy of available lines of treatment. AA may have a serious psychological effect on many patients. AA has no direct impact on general health that justifies the use of hazardous treatments particularly of unproven efficacy. Fortunately many patients may experience regrowth of hair spontaneously without use of any treatment. The psychological effects of alopecia that is mainly due to change in body image may have obvious hazardous effects on the patient general health. AA is not easily treated, and unfortunately, no universal totally accepted treatment exists for all cases. As regard a relationship between psychiatric comorbidities, stressful life events, and AA was detected so, adjuvant psychotherapy and support groups should be considered beside the different lines of AA treatment as topical, systemic, intra lesion and phototherapy modalities.