What is Skin Picking Disorder?
Skin picking disorder, also known as excoriation disorder or dermatillomania, is a mental health condition characterized by recurrent picking at one's own skin, leading to tissue damage and significant distress.
Key Characteristics
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Repetitive behavior: Frequent picking, scratching, or touching of skin
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Physical damage: Visible wounds, scars, and infections
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Emotional impact: Significant distress and impairment in daily functioning
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Time consumption: Often spending hours per day picking
Common Triggers
- Stress or anxiety
- Boredom
- Skin irregularities (real or perceived)
- Specific textures or sensations
- Strong urges or compulsions
Health Risks
Physical Complications
- Infections
- Scarring
- Tissue damage
- Possible disfigurement
Psychological Impact
- Social anxiety
- Depression
- Low self-esteem
- Relationship difficulties
Treatment Options
Behavioral Therapies
- Cognitive Behavioral Therapy (CBT)
- Habit Reversal Training
- Acceptance and Commitment Therapy
Medical Interventions
- Selective Serotonin Reuptake Inhibitors (SSRIs)
- N-acetylcysteine
- Topical antibiotics when needed
Self-Help Strategies
- Keep hands busy with fidget toys
- Maintain good skin care routine
- Identify and manage triggers
- Use protective barriers (gloves, bandages)
- Practice stress management techniques
When to Seek Help
Consult a healthcare provider if:
- Picking causes significant distress
- Wounds become infected
- Daily activities are impaired
- Self-help strategies aren't effective
Support Resources
- Mental health professionals
- Support groups
- Online communities
- Educational materials