Materiały źródłowe

• #1 Excoriation (Skin-Picking) Disorder – Psychiatric Disorders – Merck Manual Professional Edition

  https://www.merckmanuals.com/professional/psychiatric-disorders/obsessive-compulsive-and-related-disorders/excoriation-skin-picking-disorder

  Patients with excoriation disorder try to stop picking their skin or to do it less often, but they cannot. […] Treat using cognitive-behavioral therapy that is tailored to treat specific excoriation symptoms (including habit reversal training) and/or an SSRI, clomipramine, N-acetylcysteine, or memantine.

• #1 Excoriation Disorder (Skin Picking or Dermatillomania) | Mental Health America

  https://mhanational.org/conditions/excoriation-disorder-skin-picking-or-dermatillomania/

  Excoriation disorder (also referred to as chronic skin-picking or dermatillomania) is a mental illness related to obsessive-compulsive disorder. It is characterized by repeated picking at one’s own skin which results in areas of swollen or broken skin and causes significant disruption in one’s life. […] Skin picking is a body-focused repetitive behavior (BFRB) that typically begins during adolescence, often with, or after the onset of, puberty around ages 13-15, but may also occur among children or adults. The condition affects between 1.4 and 5.4% of American adults and is experienced by women more often than men. […] Individuals may pick at healthy skin, minor skin irregularities (e.g., pimples or calluses), open wounds, blisters, scabs, or other types of lesions. This disorder is usually chronic, with periods of time where there is no picking alternating with periods of greater symptom intensity. If untreated, skin-picking behaviors may come and go for weeks, months, or years at a time. It is common for individuals with this disorder to spend significant amounts of time, sometimes even several hours a day, on their picking behavior. People may use their fingers or other tools, such as tweezers, pins, or pimple extractors, to do their picking.

• #1 Clinical Classification of Excoriation Disorder (skin picking disorder) | OCD-UK

  https://www.ocduk.org/related-disorders/skin-picking/clinical-classification-of-skin-picking/

  Excoriation disorder is characterized by recurrent picking of one’s own skin leading to skin lesions, accompanied by unsuccessful attempts to decrease or stop the behaviour. […] The symptoms result in significant distress or significant impairment in personal, family, social, educational, occupational or other important areas of functioning. […] The essential feature of excoriation (skin-picking) disorder is recurrent picking at one’s own skin (Criterion A). […] Criterion C indicates that skin picking causes clinically significant distress or impairment in social, occupational, or other important areas of functioning. […] Excoriation disorder is associated with distress as well as with social and occupational impairment. […] A significant proportion of students with excoriation disorder report having missed school, having experienced difficulties managing responsibilities at school, or having had difficulties studying because of skin picking.

• #1 Excoriation Disorder: Can’t Stop Picking at Your Skin | Banner

  https://www.bannerhealth.com/healthcareblog/teach-me/excoriation-disorder-when-you-cant-stop-picking-at-your-skin

  People with excoriation disorder can spend a lot of time picking their skin, and then spend even more time covering up the damaged spots. This can add up to several hours a day in severe cases, Dr. Singh said. […] Treatment for excoriation disorder starts with a comprehensive psychiatric examination. Behavioral therapy can help people learn what triggers their skin picking and find an alternate activity, like playing with a fidget toy. Wearing gloves or Band-Aids can also help. […] Mild cases of excoriation disorder might not need treatment. But people who spend a lot of time picking their skin, are developing scars, are upset about picking their skin, or find that skin-picking impacts their social life could benefit from expert care.

• #1 Skin Picking | Excoriation | BFRB

  https://www.bfrb.org/skin-picking

  Recurrent skin picking that results in skin lesions. […] The symptoms cause clinically significant distress or impairment. […] Skin picking disorder is currently classified as Obsessive-Compulsive and Related Disorders in the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5). […] Comprehensive evaluation and accurate diagnosis is important in determining an appropriate treatment plan. […] The impact of skin picking disorder on one’s life may be significant. […] The most successful management strategies make use of a variety of therapeutic techniques that address actionable emotional and behavioral components. […] Medical complications as a result of skin picking disorder are not uncommon. Infection, which may require medical treatment, scabbing, open wounds, discoloration, scarring, or disfigurement are possible consequences of chronic skin picking behavior. […] Skin picking can also lead to strained relationships with family members and friends. Family members may need professional help in coping with this problem.

• #1 Assessing and Treating Excoriation Disorder (Skin Picking)

  https://www.blueprint.ai/blog/assessing-and-treating-excoriation-disorder-skin-picking

  Excoriation disorder significantly affects an individual’s physical and emotional well-being. […] The persistent picking and scratching lead to visible skin damage, ranging from minor lesions to severe tissue damage and scarring. […] Many with excoriation disorder feel intense shame and embarrassment about their appearance and actions. […] The scars and marks from skin picking can deeply affect a person’s self-esteem and perception of their body. […] Excoriation disorder can take up a significant amount of time and energy, disrupting work, school, and personal relationships. […] Accurate assessment and diagnosis of excoriation disorder are important for providing effective treatment. […] Mental health professionals use various screening tools, clinical interviews, and comprehensive assessments to gather a complete picture of the individual’s skin-picking behaviors and their impact on daily life.

• #1 Excoriation (Skin Picking) Disorder – CEH Web

  https://thecenterforemotionalhealth.com/disorder/excoriation-skin-picking-disorder/

  Excoriation disorder, also known as skin picking disorder or dermatillomania, is characterized by the repetitive picking of ones own skin. […] Individuals who struggle with skin picking may experience shame and embarrassment, and as a result, may avoid certain social situations or activities (e.g., pools, gyms, beaches, physical intimacy), and medical care. […] CEH provides evidence-based treatment for excoriation disorder and other BFRBs including individually-tailored cognitive behavioral therapies (CBT), namely habit reversal training (HRT) and comprehensive behavioral model (ComB) intervention. […] Family involvement in treatment may also be included to assist loved ones in learning how to best support their family member.

• #1 Excoriation Disorder Treatment & Management: Approach Considerations, Pharmacologic Therapy, Hypnosis

  https://emedicine.medscape.com/article/1122042-treatment

  The patients denial of psychic distress and the possible negative feelings aroused in health care personnel make management of excoriation (skin-picking) disorder difficult. It is has been estimated that about 20% of patients with excoriation (skin-picking) disorder look for treatment. This is thought to be due to the belief that the condition is untreatable or considering it a bad habit or due to fear of social embarrassment. A dermatologist rather than a psychiatrist or psychologist often first sees those that do seek treatment. […] Setting limits for the protection of both the physician and patient; creating an accepting, empathic, and nonjudgmental environment; and closely supervising symptomatic dermatologic care permit the development of a therapeutic relationship in which psychological issues may be gradually introduced, which may occasionally permit referral to a psychiatrist.

• #1 Excoriation Disorder (aka Skin Picking, Dermatillomania): Information for Healthcare Providers : Ottawa-Carleton, ON : eMentalHealth.ca

  https://primarycare.ementalhealth.ca/index.php?m=fpArticle&ID=52634

  Patients may describe a minor skin pathology or noticing an imperfection (e.g. seeing blemishes, or feeling bumps in the skin). […] Irresistible urge to pick, scratch, dig or scrape the skin that results in noticeable tissue damage. […] A feeling of temporary relief from emotional distress after the behaviour occurs. […] Considerable time spent picking, often several hours per day, and worse in the evenings. […] Attempts to resist or stop the behaviour. […] The skin picking causes clinically significant distress or impairment in social, occupational or other important areas of functioning. […] The skin picking is not attributable to the physiologic effects of a substance (eg. cocaine) or another medical condition (eg. scabies). […] The skin picking is not better explained by the symptoms of another mental disorder (eg. delusions or tactile hallucinations in a psychotic disorder, attempts to improve a perceived defect or flaw in appearance in body dysmorphic disorder, stereotypes in stereotypic movement disorder, or intention to harm oneself in nonsuicidal self-injury). […] Referral to a psychologist or social worker for CBT and/or HRT. […] Referral to a dermatologist if there are signs of dermatologic complications (infection, scarring, disfigurement) or a co-existent primary skin disorder.

• #1 Excoriation (Skin Picking) Disorder: What Is It?

  https://www.healthline.com/health/skin-disorders/excoriation

  Skin-picking disorder is classified as a type of OCD. The compulsive urge to pick is often too powerful for many people to stop on their own. The more a person picks at their skin, the less control they have over the behavior. […] The treatment options available for skin-picking disorder fall into two main categories: medication and therapy. […] A mental health professional or counselor can help you identify the triggers that lead to skin picking. Then, together, you can develop ways to stop the behavior when you feel these triggers. […] Antidepressants may help ease self-picking behaviors. Selective serotonin reuptake inhibitors (SSRIs) are most commonly prescribed for this condition. […] Once a diagnosis has been made, your doctor will work with you to develop a treatment plan. Finding a treatment plan that works for you may take a process of trial and error. […] As you take steps toward management, there are a few things you can do to help steer your treatment plan: Find a support group in your community. This group of people will understand your experience and can support you as you try to find a treatment plan that works for you.

• #1 Excoriation Disorder (aka Skin Picking, Dermatillomania): Information for Healthcare Providers : Ottawa-Carleton, ON : eMentalHealth.ca

  https://primarycare.ementalhealth.ca/index.php?m=fpArticle&ID=52634

  Excoriation disorder is a condition where individuals develop an irresistible urge to pick or scratch their skin to the point that it causes skin damage. It can become quite severe with complications such as infection, scarring and disfigurement. It can cause severe impairment of function, and individuals may also be coping with other co-occurring conditions as well, such as anxiety and depression. Patients often turn to their primary care providers when faced with emotional distress. Interventions include counseling, medication and treatment of skin complications. […] She describes an intense urge to scratch and pick the skin on her arms and legs, which has resulted in bleeding, scabbing and even some scars. […] The behaviour is getting worse and she is worried about developing more scars.

• #1 Management of Skin Picking in Patients with Prader Willi Syndrome: A Vexing Problem

  https://dd.networkofcare.org/solano/HealthLibrary/Article?docType=noc&articleId=1028

  Prader-Willi syndrome (PWS) is a disorder that produces a wide variety of symptoms affecting all aspects of the lives of persons with the condition and their families. […] Skin-picking behaviors are found in about 80% of persons with PWS and this problem appears to be more challenging with increased age. […] The problem should be aggressively treated when first noted to prevent a „small problem” from becoming a major one. […] There is no single approach or effective treatment in caring for these individuals. […] The goal of therapy is to allow for at least 14 days of healing without any touching or picking of the lesions. […] Nursing Interventions are as follows: Give frequent attention to keeping finger nails short. […] Involve child (or adult) in plan to decrease picking. […] Closely monitor the skin picking behavior and record the number of times (per hour) skin picking behavior occurs.

• #1 Skin picking disorder – NHS

  https://www.nhs.uk/mental-health/conditions/skin-picking-disorder/

  Also called dermatillomania or excoriation disorder, skin picking disorder is where you cannot stop picking at your skin. […] If you have skin picking disorder there are things you can try that may help. […] A GP will ask you about your skin picking behaviour and look at your skin. […] If they think you have skin picking disorder, they may refer you to a specialist for diagnosis and possible treatment. […] Talking therapy is currently thought to be an effective treatment to help change skin picking behaviour. […] Your doctors may recommend some types of medicine to help you control your skin picking behaviour.

• #1 Skin Picking Disorder: How to Diagnose and Treat It | Vogue

  https://www.vogue.com/article/skin-picking-disorder

  „The two main triggers of picking are either when a person is bored and underwhelmed, or a person is distressed and overwhelmed,” explains Yip. […] „Understanding one’s triggers for picking can help guide which treatment to pursue,” explains Zakhary. […] „It’s all in an effort to bring barriers to skin picking,” explains Yip of habit reversal training, which she offers at the Renewed Freedom Center. […] „People living with skin-picking disorder need to be engaged in treatment, willing to do work at home to help themselves, and see a therapist on a regular (sometimes weekly) basis to make improvements,” says Rieder.

• #1 Skin Picking and Autoimmune Diseases: Signs and How to Treat

  https://www.healthline.com/health/skin-picking-and-autoimmune-disorders

  Excoriation disorder, also known as dermatillomania, is a skin-picking condition. People with excoriation disorder will pick, scrape, rub, scratch, or pull at their skin, sometimes to the point where it begins to hurt or cause damage to the skin tissue. […] Skin-picking disorder often occurs along with other conditions, including: anxiety disorders, including panic disorder and post-traumatic stress disorder (PTSD), depression, attention deficit hyperactivity disorder (ADHD), autism spectrum disorder, body dysmorphia, which can be a symptom of other mental health conditions or a condition on its own, bipolar disorder, borderline personality disorder, substance use disorder. […] Autoimmune conditions that affect your skin can cause excoriation disorder to develop. This is more likely if you already have a history of other mental health or psychological conditions.

• #1 Skin Picking Disorder: Wound Care – Dr Davin Lim

  https://drdavinlim.com/skin-picking-disorder-wound-care/

  Skin Picking Disorder: Wound Care […] Correct wound dressings care can markedly reduce scars from chronic skin picking. Gouges, scratches ulcers heal better in a sterile yet moist environment. Simple steps including regular trimming of nails can markedly decrease the damage to your skin. Hydrocolloid dressings are cost-effective invaluable. […] Prevention of permanent scarring is the primary focus of wound care. Disinfect picking areas with chlorhexidine, iodine, Bactroban or Fucidin. Provide a moist but sterile atmosphere for wound healing. Compression bandages can reduce picking. Taped cotton gloves are invaluable. Hydrocolloid patches can reduce picking of spots. Early scar treatments can mitigate permanent scarring. […] Because it can prevent infection reduce scars. If you are not open to help, at least I can help you reduce permanent scarring. This is super important as skin picking scars can be bloody challenging to treat, especially hypopigmented scars. By reducing scars, my team I may have an easier job when it comes to helping you, should you require scar revision.

• #1 Skin Picking Disorder (Excoriation): Symptoms, Treatment, and Causes

  https://www.webmd.com/mental-health/skin-picking-disorder

  People with dermatillomania often feel ashamed or embarrassed so they don’t seek out treatment. But dermatillomania isn’t just a bad habit. It’s a medical condition that you may need help to treat. […] Several different methods may help you reduce how often you pick at your skin or keep you from hurting yourself if you do pick. […] Fidget toys or handcrafts such as knitting or beading can also help keep your hands busy. […] Treatment usually involves a combination of medicine and therapy. It is a lifelong condition, but with treatment, you can go into remission.

• #1 Management of Skin Picking in Patients with Prader Willi Syndrome: A Vexing Problem

  https://dd.networkofcare.org/solano/HealthLibrary/Article?docType=noc&articleId=1028

  Substitute an item to keep hands busy. […] Establish a behavior plan with rewards for decreasing the episodes of picking by over a period of a few weeks; if this goal is met, try to decrease the frequency by another 1/2 over a few weeks and then try to eliminate the behavior entirely. […] Apply occlusive bandages or dressings. […] Extreme cases may require 24 hour monitoring of the patient for a few weeks to stop any picking behaviors as soon as they start until good healing has been established. […] Close medical follow up is necessary to monitor the effect of the treatment plan and to coordinate comprehensive care plans to meet the multiple needs of these patients. […] Persons with Prader Willi Syndrome require special attention to their skin among other problems.

• #1 Pediatric Skin-Picking: Parent Do’s and Don’ts

  https://www.kairoswellnesscollective.com/blog/pediatric-skin-picking-parent-dos-and-donts-xn85e

  When supporting a child with pediatric skin picking disorder (excoriation disorder), it’s important for parents to approach the situation with empathy, understanding, and appropriate strategies. […] Pediatric excoriation disorder, also known as skin picking disorder or dermatillomania, is a condition characterized by recurrent picking at one’s own skin, leading to tissue damage. […] Here are some general dos and don’ts for parents: […] Educate Yourself: Learn about pediatric skin picking disorder, its causes, symptoms, and available treatment options. This will help you better understand your child’s condition and provide appropriate support. […] Seek Professional Help: Consult with a mental health professional who specializes in working with children and adolescents to receive an accurate diagnosis and develop a comprehensive treatment plan.

• #1 Pediatric Skin-Picking: Parent Do’s and Don’ts

  https://www.kairoswellnesscollective.com/blog/pediatric-skin-picking-parent-dos-and-donts-xn85e

  Maintain Open Communication: Encourage your child to share their feelings and experiences related to their skin picking. Create a safe and non-judgmental space for open conversations about their struggles and concerns. […] Be Empathetic and Supportive: Show understanding and empathy towards your child’s challenges. Let them know that you are there to support them and that their condition does not define their worth. […] Establish Routines and Distractions: Help your child establish structured routines and engage in activities that can distract them from skin picking behaviors. […] Teach Healthy Coping Strategies: Help your child develop healthy coping strategies for managing stress, anxiety, or boredom. […] Encourage Self-Care: Promote good self-care habits for your child, including maintaining a regular sleep schedule, practicing good hygiene, and engaging in activities that promote overall well-being.

• #1 Pediatric Skin-Picking: Parent Do’s and Don’ts

  https://www.kairoswellnesscollective.com/blog/pediatric-skin-picking-parent-dos-and-donts-xn85e

  Don’t Shame or Blame: Avoid shaming or blaming your child for their skin picking behaviors. It is essential to approach the issue with understanding and compassion rather than criticism. […] Don’t Force Stoppage: Avoid pressuring or forcing your child to stop picking their skin abruptly. This can create additional stress and may lead to increased resistance. […] Don’t Punish or Condemn: Punishing or scolding your child for skin picking can exacerbate their distress and negatively impact their self-esteem. […] Remember, each child’s experience with skin picking is unique, so it’s crucial to tailor your approach based on their specific needs. Consulting with professionals and involving them in the treatment process will provide the best chance for managing and overcoming pediatric skin picking disorder.

• #1 Im new here and need help! | SkinPick.com

  https://www.skinpick.com/node/101085

  I’m pretty sure I have dermatillomania, I have a pretty bad compulsions when it comes to my fingers and destroying my skin, I do this daily: consciously and subconsciously. […] Have you tried creating barriers like wearing gloves or using adhesive bandages on the fingertips to make picking more difficult? Keeping your hands busy with activities like drawing, knitting, or playing an instrument might also help redirect the urge. Additionally, practicing mindfulness and deep breathing exercises can assist in managing the impulse to pick. […] I’d highly recommend considering therapy as it can help minimize the urges and provide effective tools to manage skin picking behaviors. […] They can assist in developing personalized strategies to cope with the urges, identify triggers, and work towards reducing skin picking episodes.

• #1 Dermatillomania (Skin Picking): Symptoms & Treatment

  https://my.clevelandclinic.org/health/diseases/22706-dermatillomania-skin-picking

  Dermatillomania, also known as skin picking disorder or excoriation disorder, is a mental health condition where you compulsively pick at your skin. This can cause injuries, infections and scarring, leading to stress, anxiety and a reduced sense of well-being. This condition is often treatable with a combination of medication and therapy. […] Treating dermatillomania usually involves a combination of medication and therapy. Research shows that combining the two tends to help more than just one type of treatment alone. […] People with severe damage to their skin or their tissue underneath may need additional medical treatment and care. Your healthcare provider is the best person to explain the treatments they recommend, which might include surgery and skin grafting, antibiotics and more.

• #1 Compulsive skin picking, neurotic excoriations

  https://dermnetnz.org/topics/compulsive-skin-picking

  Compulsive skin picking is a disorder characterised by the repetitive picking of one’s own skin to the point of causing open sores that may bleed and leave scarring. […] Treatment for compulsive skin picking depends on the cause and the level of awareness the patient has regarding the problem. Compulsive skin picking stemming from a psychological disorder is best treated with psychotherapy. […] Habit Reversal Training this is a form of psychotherapy that helps patients to become more consciously aware of situations and events that trigger skin-picking episodes. […] Medications used for the treatment of OCDs are also frequently used in compulsive skin picking. They are often used in conjunction with cognitive behaviour therapy.

• #1 What Causes a Skin Picking Disorder and How to Treat It

  https://lightfully.com/what-causes-a-skin-picking-disorder-and-how-to-treat-it/

  What causes a skin picking disorder and how to treat it […] Skin picking disorder, also known as dermatillomania or excoriation, refers to consistent picking, scratching, pulling or scraping of the skin. The picking is often excessive and may lead to tissue damage. […] Skin picking becomes a diagnosable disorder if the habit causes distress or interferes with your day-to-day lifestyle, such as work or social connections. […] Skin picking disorder is known as an obsessive-compulsive spectrum disorder, as its a body-focused repetitive behavior caused by involuntary recurrent urges. […] Five potential ways to treat skin picking disorder are: Recognizing triggers […] Cognitive behavioral therapy […] Habit reversal training […] Comprehensive behavioral treatment analyzes what occurs internally and externally before, during, and after a repetitive behavior like skin picking. […] At Lightfully, we offer four programs that can help you address your skin picking disorder: residential treatment, Virtual Intensive Outpatient Program (vIOP), Intensive Outpatient Program (IOP), and Partial Hospitalization Program (PHP), also called our Day Treatment Program.

• #1 Excoriation Disorder: Assessment, Diagnosis and Treatment – The Professional Counselor

  https://tpcjournal.nbcc.org/excoriation-disorder-assessment-diagnosis-and-treatment/

  Cognitive behavioral therapy (CBT) is an effective strategy for working with clients who have excoriation disorder (Grant et al., 2012; Schuck, Keijsers, Rinck, 2011). […] Habit reversal training (HRT) is an effective strategy for working with clients who have excoriation disorder (Capriotti et al., 2015; Grant et al., 2012; Teng, Woods, Twohig, 2006). […] Acceptance and commitment therapy (ACT), when used in conjunction with HRT, demonstrates clinical promise in treating those who have excoriation disorder (Capriotti et al., 2015; Flessner, Busch, Heideman, Woods, 2008). […] If pharmacotherapy is used to treat excoriation disorder, it should be used in conjunction with counseling; medication can control physical symptoms, but contributing mental health factors must be addressed in order to holistically help the client make enduring behavior changes (Grant et al., 2012).

• #1

  https://www.termedia.pl/Exploring-skin-picking-disorder-aetiology-treatment-r-nand-future-directions,7,54674,1,1.html

  Exposure and response prevention (ERP) is another intervention that involves gradual exposure to situations or stimuli that trigger skin picking urges while refraining from engaging in the behaviour. […] Several studies have demonstrated that CBT that includes HRT and ERP components is effective in reducing skin picking symptoms and improving overall functioning among individuals with SPD. […] Pharmacotherapy may be considered as an adjunctive treatment for skin picking disorder, particularly in cases where psychotherapy alone is insufficient or when comorbid conditions require pharmacological management. Selective serotonin reuptake inhibitors (SSRIs), such as fluoxetine and sertraline, are the main prescription medicines used to treat SPD due to their efficacy in also treating accompanying conditions such as obsessive-compulsive disorder (OCD) and anxiety disorders.

• #1 Trichotillomania and Skin-Picking Disorder: An Update

  https://pmc.ncbi.nlm.nih.gov/articles/PMC9063575/

  The diagnostic criteria for skin-picking disorder require that picking be recurrent and result in skin lesions, thereby reflecting the frequency and intensity of the picking. […] The skin picking causes clinically significant distress or impairment in social, occupational, or other important areas of functioning. […] HRT has demonstrated benefit for both trichotillomania and skin-picking disorder, but finding someone trained in HRT is essential for appropriate treatment outcomes. […] On the basis of controlled studies, HRT appears to be superior to waitlist and minimal attention control. […] In terms of pharmacotherapy, there is little evidence that SSRIs are beneficial, although they can play a role in treating comorbid conditions for some patients. […] N-acetylcysteine in doses of as much as 3,000 mg a day has been quite helpful in reducing urges to pick and pull in adults and probably should be considered as the initial pharmacotherapy treatment. […] Because treatment response is often only partial, attending to quality of life and long-term functioning is critical.

• #1 Trichotillomania and Skin-Picking Disorder: An Update

  https://pmc.ncbi.nlm.nih.gov/articles/PMC9063575/

  Trichotillomania (hair pulling disorder) and skin-picking (excoriation) disorder are common neuropsychiatric disorders (each with a point prevalence of around 2%) but are underrecognized by professionals. […] Affected individuals repeatedly pull out their own hair or pick at their skin, and these symptoms not only have a negative impact on these individuals because of the time they occupy but can also lead to considerable physical disfigurement, with concomitant loss of self-esteem and avoidance of social activities and intimate relationships. […] Behavioral therapy currently appears to be the most effective treatment for both. Pharmacotherapy, in the form of N-acetylcysteine or olanzapine, may also play a role in treatment. […] Skin-picking (excoriation) disorder is characterized by the repetitive and compulsive picking of skin, leading to tissue damage.

• #1 Use of Topiramate in Skin-Picking Disorder: A Pilot Study

  https://www.psychiatrist.com/pcc/topiramate-in-skin-picking-disorder/

  Topiramate appears to be a promising agent in the treatment of skin-picking symptoms. […] Treatment of skin-picking disorder is challenging for most physicians. […] Current literature suggests that most pharmacologic treatments for skin-picking disorder have shown limited success. […] A trial of topiramate may help patients with skin-picking disorder. […] The total time spent skin picking per day was reduced from 85 minutes per day at baseline to 30 minutes per day at the end of the study. […] Positive effects of topiramate were noted in those participants whose skin-picking symptoms were relatively mild and of short duration, in those who had good family support systems, and in those who were married and more educated. […] Topiramate was generally well tolerated. […] Our study suggests that topiramate ameliorates the symptoms observed in skin-picking disorder.

• #1 Skin Picking Disorder: Wound Care – Dr Davin Lim

  https://drdavinlim.com/skin-picking-disorder-wound-care/

  Skin picking leads to loss of collagen as well as pigmentation changes either darkened scars, or loss of colour (deeper scars). […] If you develop an infection in picked scars, your rate of permanent scarring exponentially rises. You can prevent or more accurately reduce infection by cleaning your wounds with chlorhexidine or iodine. Do not use alcohol as it stings. Ideally clean once a day, using a sterile dressing pack. Apply antibacterial ointments such as Bactroban, or Bepanthen. Use appropriate wound dressings, such as Melolin, Bactrigras, Opsite- ask a pharmacist. Wrap the area in Tubi grip. For facial lesions, clean as above, then apply acne hydrocolloid patches. The patches provide a clean moist environment for wounds to heal. They also act as a way of giving you haptic feedback if you re-pick these spots.

• #1 F42.4 – ICD-10 code for excoriation (skin-picking) disorder

  https://www.upheal.io/icd-10-codes/excoriation-disorder-skin-picking

  These medication management sessions should be integrated with ongoing psychotherapy for optimal treatment outcomes. […] The impact of excoriation disorder extends beyond physical scarring to affect social relationships, occupational functioning, and emotional well-being. […] Maintaining accurate clinical documentation is crucial for ensuring continuity of care and supporting insurance coverage.

• #1 A case report of an atypical severe case of skin picking disorder managed by a multidisciplinary team | BMC Psychiatry | Full Text

  https://bmcpsychiatry.biomedcentral.com/articles/10.1186/s12888-024-05712-4

  Skin picking disorder is only a recent new entity in the psychiatric classification system of the Diagnostic and Statistical Manual of Mental Disorder (DSM) 5th edition. It is described as recurrent picking of skin leading to skin lesions, repeated attempts to decrease or stop skin picking, and it is associated with significant distress or functional impairment. […] Healthcare providers need to be aware that skin picking disorder can have significant impact on a patients life. If presenting primarily to a non-psychiatrist, the treating clinician needs to be aware of when to escalate for further treatment. Diagnosis, education, psychotherapy and potentially pharmacological management may be required. Severe cases should be referred to a psychiatrist specialist service and due to the level of mortality, comorbidity and even mortality that can be associated with this, may even need to be prioritized as urgent.

• #1 Clinical Classification of Excoriation Disorder (skin picking disorder) | OCD-UK

  https://www.ocduk.org/related-disorders/skin-picking/clinical-classification-of-skin-picking/

  Medical complications of skin picking include tissue damage, scarring, and infection and can be life-threatening. […] Skin picking often results in significant tissue damage and scarring. […] It frequently requires antibiotic treatment for infection, and on occasion it may require surgery. […] Excoriation disorder is often accompanied by other mental disorders.

• #1 Skin Picking Disorder: Wound Care – Dr Davin Lim

  https://drdavinlim.com/skin-picking-disorder-wound-care/

  Skin picking will leave scars of some sort. Hyperpigmented scars are almost universally seen in Asian ethnic patients. They occur when the superficial layers of skin are picked. Fortunately, most will fade within 6-18 months. Dig deeper hypopigmented scars can result. This occurs because pigment cells are gouged out (they are supposed to reside in the epidermis not under your fingernails). […] PIH or pigment can be reduced with adequate sunscreen application. When the skin is completely healed, pigment inhibitors such as abrutin, kojic acid, vitamin C, niacinamide, liquorice root botanicals can help. I use lasers such as pico, nano fractional to treat PIH. Treating the primary source of picking gives permanent results. […] If you have this type of scarring, you have removed the pigment cells in the upper parts of skin. Hypopigmentation is much harder to treat compared to other skin scars. You can try sensible DIY microneedling at 0.2 mm. Add tacrolimus or bimatoprost topically. See the section on home treatments. Failing that, my team at Cutis can employ other lasers topicals, including phototherapy. I am the final step in scar revision as I use surgical methods of melanocyte transfer.

• #1 Management of a Complex Excoriation Disorder–induced Wound with a Viable Cryopreserved Placental Membrane

  https://pmc.ncbi.nlm.nih.gov/articles/PMC5222646/

  Excoriation disorder (ED), also known as dermatotillomania, is a condition characterized by repeated skin picking that leads to the formation of skin lesions. […] To manage skin picking, patients can be put on selective serotonin re-uptake inhibitors (SSRIs). SSRIs help decrease the skin-picking behavior and reduce the size of skin lesions. […] A clear guideline for treatment of patients with severe wounds that have this condition is lacking. […] In addition, even after definitive closure, reinjury can be problematic. […] Treatments that can minimize the risk of further morbidity and minimize the need for hospitalization while maximizing patient compliance are lacking. […] vCPM is a safe and effective modality in the treatment of complex wounds. It should be considered in patients who present with ED as it reduces the morbidity of donor sites.

• #1 Dermatillomania (Skin Picking): Symptoms & Treatment

  https://my.clevelandclinic.org/health/diseases/22706-dermatillomania-skin-picking

  If you have dermatillomania, its important to see a healthcare provider (or multiple providers, depending on your specific needs) with training and experience in treating this disorder. They can give you the best guidance on caring for yourself and what you can do to improve your outcome. […] Dermatillomania is a mental health condition that can severely affect your life due to feelings of shame, embarrassment or guilt. These feelings are common, and seeing a healthcare provider can help you overcome them and receive treatment for this condition.

• #1 Assessing and Treating Excoriation Disorder (Skin Picking)

  https://www.blueprint.ai/blog/assessing-and-treating-excoriation-disorder-skin-picking

  Treating excoriation disorder involves addressing the psychological, behavioral, and emotional factors contributing to the condition. […] Cognitive behavioral therapy (CBT) serves as the main psychological intervention for excoriation disorder. […] A strong therapeutic alliance forms the foundation for effective treatment of excoriation disorder. […] Normalizing the client’s experiences plays a key role in building a therapeutic alliance. […] Setting realistic goals collaboratively with the client is important for maintaining motivation and progress.

• #1 Skin Picking Disorder (Dermatillomania)

  https://www.mentalhealth.com/library/dermatillomania

  As with most mental health conditions, treating skin picking disorder is often most effective when therapy and medications are combined. This is a general rule of thumb, though. What’s best for someone else might not be the proper course of action for you. […] If someone you know has skin picking disorder, the best thing you can do is offer your unconditional support. As mentioned earlier, skin picking can cause intense embarrassment, depression, and social withdrawal, and it can be challenging for people with this disorder to ask for, let alone, accept help.

• #1 International OCD Foundation | What is Skin Picking Disorder?

  https://iocdf.org/about-ocd/related-disorders/skin-picking-disorder/

  Yes. Research suggests that the most effective treatment for skin picking is cognitive behavioral therapy (CBT), including the specific types of CBT called Habit Reversal Training (HRT) and the Comprehensive Behavioral Model (ComB). Acceptance and commitment therapy (ACT) may also be helpful in treating skin picking disorder. Research also suggests that skin picking may be effectively treated with medications such as SSRI’s (selective serotonin reuptake inhibitors). SSRI’s include: fluoxetine, fluvoxamine, and escitalopram. Some research suggests that the anti-seizure medicine lamotrigine may also be helpful in treating skin picking disorder. Unfortunately, because many people do not know that there is help for skin picking disorder, many people with the disorder continue to suffer with it.

• #1 Excoriation Disorder (skin picking disorder) | OCD-UK

  https://www.ocduk.org/related-disorders/skin-picking/

  The treatments for skin picking are very similar to those for OCD, with the treatment found to be the most effective being a talking therapy called Cognitive Behavioural Therapy (CBT). […] With skin picking an additional element of therapy may be introduced, a technique called habit reversal training. Habit reversal training works by helping the person recognise and be more aware of their skin picking and what is triggering it and sometimes help a person replace skin picking with a less harmful behaviour. […] There are of course some things you can do to help yourself whilst waiting for talking therapy, for example: Keep your hands busy try squeezing a stress toy or putting on gloves to help you identify when and where you most commonly pick your skin. […] Tell loved ones you to tell you when you are picking to help you recognise when youre picking. […] Keep your skin clean to avoid infection.

• #1 Excoriation Disorder And Addiction l Mind Body Optimization

  https://mindbodyo.com/excoriation-disorder-and-addiction/

  Excoriation disorder is also known as skin-picking disorder. It’s a condition where a person repeatedly picks at their skin, causing wounds. […] Our approach integrates physical, emotional, and spiritual health for a whole-person recovery experience. […] We develop personalized wellness plans to address each client’s specific struggles with excoriation disorder and addiction. […] At MBO, we focus on all aspects of health, such as physical, mental, and social factors, not just the absence of disease. […] We combine the best of evidence-based practices with alternative therapies to provide a well-rounded treatment experience. […] We offer various effective techniques and therapies to provide a comprehensive recovery experience for treating excoriation disorder and addiction. […] At Mind Body Optimization, we use CBT as a key part of our treatment program for people struggling with excoriation disorder and addiction.

• #1 SciELO Brazil – A skin-picking disorder case report: a psychopathological explanation A skin-picking disorder case report: a psychopathological explanation

  https://www.scielo.br/j/jbpsiq/a/483STJ4WyQhJr5St4Bdcd3B/

  Skin picking disorder (SPD) is characterized by repetitive and compulsive picking of skin, leading to tissue damage. […] Patients with SPD often resort to a general practitioner or to a dermatologist before consulting a psychiatrist, while most never appeal to an initial psychiatric consultation. The clinical impact of the disorder should not be underestimated, for its substantial functional impairment, as patients with SPD experience different psychosocial difficulties including anxiety, social embarrassment, avoidance and loss of productivity at work. […] Clinical evaluation of patients with SPD demands a broad physical and psychiatric examination, leading to an interdisciplinary approach to evaluation and treatment. […] Reports of nonpharmacologic treatments include acceptance-enhanced behaviour therapy, internet-based support groups, engaging in competitive activities, habit reversal, cognitive behavioural therapy, and contingent glove wearing. […] Although initial behavioural improvements may be accounted for the antidepressant, skin picking behaviours were better sustainably reduced when treatment included antipsychotic which might point out to the referred benefits of combined therapies and augmentation strategies.

• #1 Excoriation Disorder Treatment & Management: Approach Considerations, Pharmacologic Therapy, Hypnosis

  https://emedicine.medscape.com/article/1122042-treatment

  If the patient refuses referral to a psychiatrist, psychotropic drug therapy prescribed by dermatologists is helpful and appropriate. The upper dose range of selective serotonin reuptake inhibitors (SSRIs) or low-dose atypical antipsychotic agents may be effective. […] A meta analysis of 9 studies examined the efficacy of various psychiatric treatments available for excoriation disorder including cognitive-behavioral therapy (CBT), acceptance and commitment therapy (ACT), and habit reversal training (HRT). The overall findings suggest that behavioral treatments were associated with large reductions in severity of excoriation disorder from baseline to post treatment. […] Excoriation disorder can be associated with anxiety disorders, low self-confidence, generalized apprehension, meticulousness, depressive mood, and hypersensitivity to perceived self-negativism. Thus, the intervention of a psychiatrist or other trained mental health care professionals can be useful. Patients can benefit from psychotherapy and other forms of counseling.

• #1 Skin Picking Disorder: Wound Care – Dr Davin Lim

  https://drdavinlim.com/skin-picking-disorder-wound-care/

  Simple mind exercises such as cognitive behaviour therapy, habit reversal therapy and acceptance commitment therapy can help reduce your urge to pick. A clinical psychologist can help. You can also practice these techniques at home. There are heaps of informative videos on YouTube. […] My suggestion is to get skin picking under absolute remission before the task of chronic wound management. Remission may take 2 to never (depending on your insight your willingness to undertake therapy, either self-therapy or by a professional). The more insight you have, the faster the recovery. […] This is challenging. You can try DIY microneedling with a derma stamper. Do not try to go deeper than 0.2 mm on your face, you may cause more harm than good. If you compromise the skins barrier whilst you still have active picking, you may expose yourself to infection scarring.

• #1 Expert Advice

  https://slmdskincare.com/blogs/learn/could-you-have-skin-picking-disorder?srsltid=AfmBOorBIDuVaOHHnCo6FoOK43bHTxPkrzy-L0gIJ_3MY9XqhHPP0axN

  A dermatologist can treat the physical effects of skin picking, such as scarring or infections, and collaborate with mental health professionals for a comprehensive approach. […] Excoriation disorder, however, is a serious mental health issue that affects not just a persons skin health, but their overall well-being. Please reach out to a doctor if you, or someone you know, is struggling.

• #1 Skin Picking Disorder Test (Dermatillomania)

  https://peachtreewellnessmh.com/online-mental-health-assessments/skin-picking-disorder-test/

  This understanding informs our mental health treatment programs aimed at addressing not just the picking behaviors but the underlying factors that maintain them. […] Effective treatment for Excoriation Disorder typically involves a multifaceted approach tailored to the individual’s specific needs and circumstances. […] At Peachtree Wellness Solutions, we offer comprehensive, evidence-based treatment options designed to address both the picking behaviors and their underlying causes. […] Treatment outcomes are significantly improved when individuals receive proper support and comprehensive care. […] At Peachtree Wellness Solutions, we work collaboratively with each client to develop a personalized treatment plan that addresses their unique challenges and goals.

• #1 Skin picking – IPWSO

  https://ipwso.org/information-for-families/behaviour-and-mental-health/skin-picking/

  Skin picking often occurs in waves. These can be hard to work through but it is possible to lengthen the time between episodes and shorten the actual periods of skin picking. […] There are simple and practical strategies that help to minimise the severity and frequency of skin picking, despite the fact that it may still occur spasmodically. […] Below is a list of strategies that parents and carers have found successful to reduce this behaviour: tell the person how wonderful their unpicked skin is; tell the person you want to help their sore to heal; give verbal praise for periods of time spent not picking; offer the person a reward (not food) for time spent not picking; keep hands occupied at vulnerable times; dress any picked sores with antiseptic cream if necessary; cover the picked area with a gauze dressing and bandage to prevent access to the area; maintain supervision of the person if they are only picking in secret; try using a strong solution of salt and warm water to bathe picked areas; an Aloe Vera based cream works very well on the sores; using Calamine lotion to cover the area and make less attention attracting; in severe cases medication (only prescribed by a doctor) may be beneficial. […] Skin picking does not occur all the time. Prevention is always the better option, however, techniques used to avoid skin picking need to be practised regularly as with all PWS management.

• #1 Skin Picking and Autoimmune Diseases: Signs and How to Treat

  https://www.healthline.com/health/skin-picking-and-autoimmune-disorders

  If you have an autoimmune disorder, treating the underlying condition is necessary to ease skin symptoms like itching. Without treating the underlying trigger of excoriation disorder, the symptoms will come back. […] However, treating an underlying autoimmune condition isn’t enough by itself. People with severe excoriation disorder will pick open areas of skin that have healed. Mental health treatments are often necessary to help modify skin-picking behaviors. […] Medications used to treat excoriation disorder aim to limit the amount of compulsion you feel. […] You may benefit from cognitive behavioral therapy (CBT) or habit reversal therapy (HRT) to help treat symptoms of excoriation disorder. […] Autoimmune disorders have been linked to excoriation disorder, a type of OCD. Underlying inflammation, itching, and rashes can lead to skin picking, which then progresses to compulsive behavior. For people who already have mental health conditions that put them at risk, autoimmune symptoms can trigger excoriation disorder. […] Medications and therapeutic approaches can help you manage excoriation disorder. Without treatment, this condition can lead to complications such as infections and scarring. Speak with your doctor if you are experiencing the urge to pick your skin.

• #1 Skin Picking and Autoimmune Disorders

  https://www.verywellhealth.com/skin-picking-and-autoimmune-disorders-5324089

  Treatment for skin picking disorder tied to autoimmunity should involve multiple approaches. […] Its crucial to treat the autoimmune disease. This can help alleviate the symptoms that led to skin picking in the first place. […] Mental health treatment is usually necessary to stop the picking behavior. […] Skin picking disorder may come and go over time, but its unlikely to resolve without effort. […] You can prevent the condition from developingwhich can also prevent complicationsby recognizing early symptoms and getting medical help for them. […] Skin picking disorder is related to several autoimmune diseases, including rheumatoid arthritis, psoriasis, lupus, MS, and type 1 diabetes. Skin picking disorder involves an urge to pick, scratch, scrape, or pull the skin and an inability to stop these behaviors. Treatment generally involves medications for the autoimmune disease, wound care, and mental health interventions.

• #1 Skin Picking and Autoimmune Disorders

  https://www.verywellhealth.com/skin-picking-and-autoimmune-disorders-5324089

  Skin-picking disorder (dermatillomania or excoriation disorder) and autoimmune disorders often go together. […] In some people with autoimmune diseases, skin-picking symptoms may become a habit and a sign of a mental health disorder. […] Research suggests that skin picking is associated with certain mental health disorders such as anxiety and depression. It can also happen with autoimmune conditions. […] Some research suggests itchiness is a persistent symptom of many autoimmune connective-tissue diseases and is under-recognized and undertreated. This could make them prone to triggering excoriation. […] To be diagnosed with skin picking disorder, your symptoms cant be better explained by another psychiatric disorder and arent caused by another medical condition, a skin condition, or a substance (like a medication).

• #1 Excoriation Disorder And Addiction l Mind Body Optimization

  https://mindbodyo.com/excoriation-disorder-and-addiction/

  These practices boost self-awareness and cultivate calmness, benefiting those dealing with excoriation disorder and addiction. […] Yoga combines physical postures, breathing exercises, and meditation to promote mental and physical well-being. […] Movement therapies cater to each person’s unique needs and abilities. […] Working with a nutritionist can help people understand how specific foods and diets affect their mood and behavior. […] Taking part in support groups allows people to share experiences and strategies with others who understand the challenges of living with excoriation disorder and addiction. […] The road to recovery is not linear and comes with its own set of obstacles. […] People struggling with both excoriation disorder and addiction deal with a dual diagnosis, which complicates treatment.

• #1 Skin Picking Disorder: Wound Care – Dr Davin Lim

  https://drdavinlim.com/skin-picking-disorder-wound-care/

  A time-tested trick that dermatologists employ is to get you to cut your nails really short. This reduces the urge/ability to gouge. If you continue to pick at night, wear some cotton gloves. Get your partner-family-friends to use duct tape to secure them. If you feel the urge to pick, you could try techniques like habit reversal training. […] Yup. There are two forms of phototherapy. Medical phototherapy uses a special light source called narrowband UVB. This treatment can reduce the urge to pick by stabilizing inflammatory mast cells, reducing histamine release. This treatment is covered under Medicare. Light in the form of yellow red light can be useful for acute wounds. This type of phototherapy is not covered under Medicare. […] As mentioned, the single most useful tool is an acne patch, or hydrocolloid dressing. You do not need to buy Hero Patches or Zit Sticka, as these are more about marketing, packaging over medical therapy. You can purchase hydrocolloid dressings for less than one fifth the price of these brands. In the acute phase of wound management, it is about time numbers over microdart technology with time released skin care actives.

• #1 Excoriation (skin-picking) disorder: a systematic review of treatment | NDT

  https://www.dovepress.com/excoriation-skin-picking-disorder-a-systematic-review-of-treatment-opt-peer-reviewed-fulltext-article-NDT

  Excoriation (skin-picking) disorder (ED), also known as dermatillomania, psychogenic excoriation, or neurotic excoriation, is characterized by recurrent picking of skin, leading to skin lesions and significant distress or functional impairment. […] The severity of skin-picking ranges from mild to severe; in subclinical cases, intervention may not be needed, whereas when diagnostic criteria for ED are met, treatment is indicated. […] In terms of treatment, there is a paucity of data. Nevertheless, management currently relies on a comprehensive psychiatric examination, behavioral therapy, and medication. […] A significant benefit for nonpharmacological treatments, such as cognitive-behavioral therapy (CBT) and habit reversal therapy (HRT), in ED has been suggested. […] Cognitive-behavioral interventions for ED may also be useful when presented in a self-help format that patients access themselves.

• #1 Primary Care in Rochester and Kasson

  https://communityhealth.mayoclinic.org/featured-stories/body-focused-repetitive-behaviors

  Body-focused repetitive behaviors are treatable conditions, but they take work. […] Body-focused repetitive behaviors can be difficult to treat, and these behaviors are often frustrating and embarrassing for the people who struggle with them. […] Treating an underlying or co-occurring mental health condition also can reduce problems and impairments associated with body-focused repetitive behaviors. Working with a therapist to learn cognitive behavioral therapy, or meeting with a primary care provider or psychiatrist for medication management can improve one’s mood and overall functioning. […] A referral to a healthcare specialist, such as a dermatologist, can help treat body-focused repetitive behaviors. Sometimes, underlying medical conditions that cause skin, nail and hair problems can be properly addressed, thereby reducing certain triggers for these behaviors. […] Body-focused repetitive behaviors are treatable conditions. Talk with your primary care team about available treatment options. Gaining education on the nature and effective management of hair pulling, nail biting and skin picking is an important first step.

• #2 Assessing and Treating Excoriation Disorder (Skin Picking)

  https://www.blueprint.ai/blog/assessing-and-treating-excoriation-disorder-skin-picking

  Skin picking might initially seem harmless or just a nervous habit, but when done persistently and excessively, it can actually indicate a more serious condition. […] Excoriation disorder, also known as skin-picking disorder or dermatillomania, is a mental health condition that often goes overlooked and deserves more focus in clinical training. […] By exploring the classification, significance, and common misunderstandings of excoriation disorder, therapists can better support those seeking help. […] The DSM-5 classifies excoriation disorder as an obsessive-compulsive and related disorder. […] According to the DSM-5 estimates suggest that 1.4% of the general population may experience excoriation disorder, although three-quarters or more of individuals with the disorder are female. […] The disorder typically starts with a skin condition, such as acne.

• #2 Assessing and Treating Excoriation Disorder (Skin Picking)

  https://www.blueprint.ai/blog/assessing-and-treating-excoriation-disorder-skin-picking

  The condition tends to be chronic, with periods of worsening and improvement if left untreated. […] To accurately diagnose excoriation disorder, mental health professionals need to be familiar with the DSM-5 criteria. […] The skin picking causes clinically significant distress or impairment in social, occupational, or other important areas of functioning. […] Although excoriation disorder is labeled under the obsessive-compulsive disorder category of mental illnesses, it’s important to distinguish excoriation disorder from OCD and other conditions that may involve similar behaviors. […] Individuals may resort to picking as a maladaptive way to temporarily relieve negative emotions or distress. […] It’s important to note that excoriation disorder often appears alongside other mental health conditions, such as anxiety disorders, mood disorders, and body dysmorphic disorder (BDD).

• #2 Skin Picking Disorder: How to Diagnose and Treat It | Vogue

  https://www.vogue.com/article/skin-picking-disorder

  „We all pick at our skin on occasion, but for individuals with skin-picking disorder, it can be very difficult to stop,” explains Lisa Zakhary, M.D., Ph.D., the medical director of the Massachusetts General Hospital (MGH) Center for OCD and Related Disorders (CORD) and co-founder of the MGH Comprehensive Skin Management Clinic. […] „Chronic skin picking can lead to an endless cycle of itching/scratching, skin breakdown and infection, and many aesthetic stigmata, including hyperpigmentation, reactive skin thickening, and pickers nodules,” explains NYU Langone dermatologist Evan Rieder. […] „This can impact home and work life and lead to depression and anxiety,” says Zakhary. […] „People who have skin picking disorder do not enjoy picking their skin – often, they’ll have tried to stop without success in the past,” she explains.

• #2 Pediatric Skin-Picking: Parent Do’s and Don’ts

  https://www.kairoswellnesscollective.com/blog/pediatric-skin-picking-parent-dos-and-donts-xn85e

  Maintain Open Communication: Encourage your child to share their feelings and experiences related to their skin picking. Create a safe and non-judgmental space for open conversations about their struggles and concerns. […] Be Empathetic and Supportive: Show understanding and empathy towards your child’s challenges. Let them know that you are there to support them and that their condition does not define their worth. […] Establish Routines and Distractions: Help your child establish structured routines and engage in activities that can distract them from skin picking behaviors. […] Teach Healthy Coping Strategies: Help your child develop healthy coping strategies for managing stress, anxiety, or boredom. […] Encourage Self-Care: Promote good self-care habits for your child, including maintaining a regular sleep schedule, practicing good hygiene, and engaging in activities that promote overall well-being.

• #2 Excoriation (Skin Picking) Disorder – Center for OCD and Related Disorders

  https://mghocd.org/excoriation/

  The most distinguishing symptom of Excoriation (Skin Picking) Disorder (SPD) is the recurrent picking of one’s skin resulting in noticeable skin damage. Individuals with SPD often spend at least 1 hour per day (sometimes several hours) picking their skin, thinking about their skin picking, and resisting the urge to pick. SPD can also cause significant distress and impairment in various areas of functioning, such as the avoidance of social situations. […] Current consensus suggests that CBT is the best treatment intervention for Excoriation (Skin-Picking) Disorder. A form of CBT called Habit Reversal Training (HRT) is considered to be the core approach. […] Our center specializes in evidence-based treatment for Excoriation (Skin Picking) Disorder with cognitive behavioral therapy (CBT) and medication.

• #2 Effective approach to skin picking and hair pulling disorders brings patients relief | Rogers Behavioral Health

  https://rogersbh.org/blog/effective-approach-skin-picking-and-hair-pulling-disorders-brings-patients-relief/

  Skin picking and hair pulling can be signs of very serious disorders. […] The first step in determining how skin picking and hair pulling should be addressed is figuring out the function the behavior has for a patient, says Dr. Brenda Bailey, clinical supervisor of OCD and Anxiety treatment in Oconomowoc. […] When seeking treatment, Dr. Bailey recommends finding someone with experience in habit reversal training, which is the main approach Rogers uses for addressing skin picking and hair pulling. […] Habit reversal involves assessment, awareness training, and competing response training, according to Dr. Bailey. […] If left untreated, continued skin picking and hair pulling can result in physical damage, such as scarring, infections, or tissue damage. […] Dr. Bailey says that someone should reach out for a higher level of care for skin picking or hair pulling if symptoms haven’t improved after traditional outpatient care, or if the habits are causing significant impairment of daily life. […] While these disorders can develop into serious medical concerns, they are both highly treatable.

• #2 Excoriation Disorder Treatment & Management: Approach Considerations, Pharmacologic Therapy, Hypnosis

  https://emedicine.medscape.com/article/1122042-treatment

  If the patient refuses referral to a psychiatrist, psychotropic drug therapy prescribed by dermatologists is helpful and appropriate. The upper dose range of selective serotonin reuptake inhibitors (SSRIs) or low-dose atypical antipsychotic agents may be effective. […] A meta analysis of 9 studies examined the efficacy of various psychiatric treatments available for excoriation disorder including cognitive-behavioral therapy (CBT), acceptance and commitment therapy (ACT), and habit reversal training (HRT). The overall findings suggest that behavioral treatments were associated with large reductions in severity of excoriation disorder from baseline to post treatment. […] Excoriation disorder can be associated with anxiety disorders, low self-confidence, generalized apprehension, meticulousness, depressive mood, and hypersensitivity to perceived self-negativism. Thus, the intervention of a psychiatrist or other trained mental health care professionals can be useful. Patients can benefit from psychotherapy and other forms of counseling.

• #2 Skin Picking Disorder (Excoriation): Symptoms, Treatment, and Causes

  https://www.webmd.com/mental-health/skin-picking-disorder

  People with dermatillomania often feel ashamed or embarrassed so they don’t seek out treatment. But dermatillomania isn’t just a bad habit. It’s a medical condition that you may need help to treat. […] Several different methods may help you reduce how often you pick at your skin or keep you from hurting yourself if you do pick. […] Fidget toys or handcrafts such as knitting or beading can also help keep your hands busy. […] Treatment usually involves a combination of medicine and therapy. It is a lifelong condition, but with treatment, you can go into remission.

Zobacz więcej