Materiały źródłowe

• #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. […] Dermatillomania is a mental health condition where a person compulsively picks or scratches their skin, causing injuries or scarring. […] When this condition is severe, it can lead to skin damage that’s extensive enough that it may need surgery, such as skin grafting, to repair the damage. Infected wounds may also need antibiotic treatment. […] The main symptom of dermatillomania is compulsively meaning, the impulse or urge is impossible or incredibly difficult to resist picking at your skin.

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

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

  Skin picking disorder is when you repeatedly and uncontrollably pick at your skin, sometimes resulting in injury and scarring. It’s also called pathological skin picking, neurotic excoriation, dermatillomania, or psychogenic excoriation. […] The main symptom of dermatillomania is the impulse or urge to pick at your skin and that’s impossible or extremely hard for you to resist. „Picking” may include any of the following: Scratching, Digging, Squeezing, Rubbing. […] Most of us pick at our skin sometimes, but it becomes a disorder when you have the following signs and symptoms: Skin picking to the point that it results in sores, bruises, or scratches on your skin, You’ve tried to stop and you can’t, You feel upset or embarrassed or it’s affecting your daily life. […] People with dermatillomania are more likely to have other medical or mental health conditions, such as: OCD and related disorders, such as hairpulling (trichotillomania) or nail-biting, Depression, Anxiety disorder, Bipolar disorder, Prader-Willi syndrome (a genetic condition that affects the metabolism, body, and behavior).

• #3 Excoriation Disorder Workup: Approach Considerations, Diagnosis, Histologic Findings

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

  The American Psychiatric Associations Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition, Text Revision (DSM-5-TR), places excoriation (skin-picking) disorder in the category of obsessive-compulsive and related disorders and notes that it is characterized by recurrent body-focused repetitive behavior (skin picking) and repeated attempts to decrease or stop the behavior. […] The specific DSM-5-TR criteria for excoriation (skin-picking) disorder are as follows: Recurrent skin-picking, resulting in skin lesions. Repeated attempts to decrease or stop skin picking. The skin picking causes clinically significant distress or impairment in social, occupational, or other important areas of functioning. The skin picking cannot be attributed to the physiologic effects of a substance (eg, cocaine) or another medical condition (eg, scabies). The skin picking cannot be better explained by the symptoms of another mental disorder (eg, delusions or tactile hallucinations [psychotic disorder], attempts to improve a perceived defect or flaw in ones appearance [body dysmorphic disorder], stereotypies [stereotypic movement disorder], or intention to harm oneself [nonsuicidal self-injury]).

• #4 Table 3.28, Excoriation (Skin Picking) Disorder – Impact of the DSM-IV to DSM-5 Changes on the National Survey on Drug Use and Health – NCBI Bookshelf

  https://www.ncbi.nlm.nih.gov/books/NBK519704/table/ch3.t28/

  Recurrent skin picking resulting in skin lesions […] Repeated attempts to decrease or stop skin picking […] 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 physiological effects of a substance (e.g., cocaine) or another medical condition (e.g., scabies) […] The skin picking is not better explained by symptoms of another mental disorder (e.g., delusions or tactile hallucinations in a psychotic disorder, attempts to improve a perceived defect or flaw in body dysmorphic disorder, stereotypies in stereotypic movement disorder, or intention to harm oneself in nonsuicidal self-injury).

• #5 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. […] 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.

• #6 Excoriation Disorder/ Dermatillomania/ Skin-picking Disorder: Symptoms, Causes, and Treatment – Los Angeles Outpatient Center

  https://laopcenter.com/mental-health/disorder/skin-picking/

  The DSM-5 criteria for diagnosing Excoriation (Skin Picking) Disorder include several important components. Firstly, there must be recurrent skin picking that results in noticeable lesions. Secondly, individuals must have repeatedly attempted to decrease or stop this behavior. The condition causes significant distress or impairment in various areas of functioning, such as social or occupational settings. […] According to Grant JE et al.s 2020 study on Prevalence of Skin Picking (excoriation) Disorder, published in the Journal of Psychiatric Research, between 1.4% and 5.4% of adults may be affected by excoriation disorder, with a higher prevalence observed among women than men; however, recent research shows that about 55% of those diagnosed are female. The onset typically occurs during adolescence, around ages 13-15, but can manifest at any age.

• #7 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. […] Dermatillomania is a mental health condition where a person compulsively picks or scratches their skin, causing injuries or scarring. […] When this condition is severe, it can lead to skin damage that’s extensive enough that it may need surgery, such as skin grafting, to repair the damage. Infected wounds may also need antibiotic treatment. […] The main symptom of dermatillomania is compulsively meaning, the impulse or urge is impossible or incredibly difficult to resist picking at your skin.

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

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

  Skin picking disorder is when you repeatedly and uncontrollably pick at your skin, sometimes resulting in injury and scarring. It’s also called pathological skin picking, neurotic excoriation, dermatillomania, or psychogenic excoriation. […] The main symptom of dermatillomania is the impulse or urge to pick at your skin and that’s impossible or extremely hard for you to resist. „Picking” may include any of the following: Scratching, Digging, Squeezing, Rubbing. […] Most of us pick at our skin sometimes, but it becomes a disorder when you have the following signs and symptoms: Skin picking to the point that it results in sores, bruises, or scratches on your skin, You’ve tried to stop and you can’t, You feel upset or embarrassed or it’s affecting your daily life. […] People with dermatillomania are more likely to have other medical or mental health conditions, such as: OCD and related disorders, such as hairpulling (trichotillomania) or nail-biting, Depression, Anxiety disorder, Bipolar disorder, Prader-Willi syndrome (a genetic condition that affects the metabolism, body, and behavior).

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

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

  Skin picking disorder is when you repeatedly and uncontrollably pick at your skin, sometimes resulting in injury and scarring. It’s also called pathological skin picking, neurotic excoriation, dermatillomania, or psychogenic excoriation. […] The main symptom of dermatillomania is the impulse or urge to pick at your skin and that’s impossible or extremely hard for you to resist. „Picking” may include any of the following: Scratching, Digging, Squeezing, Rubbing. […] Most of us pick at our skin sometimes, but it becomes a disorder when you have the following signs and symptoms: Skin picking to the point that it results in sores, bruises, or scratches on your skin, You’ve tried to stop and you can’t, You feel upset or embarrassed or it’s affecting your daily life. […] People with dermatillomania are more likely to have other medical or mental health conditions, such as: OCD and related disorders, such as hairpulling (trichotillomania) or nail-biting, Depression, Anxiety disorder, Bipolar disorder, Prader-Willi syndrome (a genetic condition that affects the metabolism, body, and behavior).

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

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

  Skin picking disorder is when you repeatedly and uncontrollably pick at your skin, sometimes resulting in injury and scarring. It’s also called pathological skin picking, neurotic excoriation, dermatillomania, or psychogenic excoriation. […] The main symptom of dermatillomania is the impulse or urge to pick at your skin and that’s impossible or extremely hard for you to resist. „Picking” may include any of the following: Scratching, Digging, Squeezing, Rubbing. […] Most of us pick at our skin sometimes, but it becomes a disorder when you have the following signs and symptoms: Skin picking to the point that it results in sores, bruises, or scratches on your skin, You’ve tried to stop and you can’t, You feel upset or embarrassed or it’s affecting your daily life. […] People with dermatillomania are more likely to have other medical or mental health conditions, such as: OCD and related disorders, such as hairpulling (trichotillomania) or nail-biting, Depression, Anxiety disorder, Bipolar disorder, Prader-Willi syndrome (a genetic condition that affects the metabolism, body, and behavior).

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

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

  Skin picking disorder is when you repeatedly and uncontrollably pick at your skin, sometimes resulting in injury and scarring. It’s also called pathological skin picking, neurotic excoriation, dermatillomania, or psychogenic excoriation. […] The main symptom of dermatillomania is the impulse or urge to pick at your skin and that’s impossible or extremely hard for you to resist. „Picking” may include any of the following: Scratching, Digging, Squeezing, Rubbing. […] Most of us pick at our skin sometimes, but it becomes a disorder when you have the following signs and symptoms: Skin picking to the point that it results in sores, bruises, or scratches on your skin, You’ve tried to stop and you can’t, You feel upset or embarrassed or it’s affecting your daily life. […] People with dermatillomania are more likely to have other medical or mental health conditions, such as: OCD and related disorders, such as hairpulling (trichotillomania) or nail-biting, Depression, Anxiety disorder, Bipolar disorder, Prader-Willi syndrome (a genetic condition that affects the metabolism, body, and behavior).

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

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

  Picking usually involves fingernails and fingertips but can also include biting with your teeth (especially when the skin surface affected is on your lips. It can also involve sharp items like tweezers or pins. […] This activity usually happens in one of two ways, automatic or focused. […] Dermatillomania usually isn’t a dangerous condition unless it’s very severe. The main risk from this condition is from open wounds, which might develop infections because of repeated picking or damage. […] Dermatillomania is a life-long condition because of the risk of relapse. However, people with this condition can go into remission meaning, they no longer feel the urge to pick their skin or can avoid doing it for long periods, if not indefinitely. […] The outlook for the condition depends on how severe it is and other factors. Most people with this condition don’t suffer physically dangerous effects. But without treatment, most people with this condition will struggle with mental health effects like anxiety, shame or embarrassment.

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

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

  Picking usually involves fingernails and fingertips but can also include biting with your teeth (especially when the skin surface affected is on your lips. It can also involve sharp items like tweezers or pins. […] This activity usually happens in one of two ways, automatic or focused. […] Dermatillomania usually isn’t a dangerous condition unless it’s very severe. The main risk from this condition is from open wounds, which might develop infections because of repeated picking or damage. […] Dermatillomania is a life-long condition because of the risk of relapse. However, people with this condition can go into remission meaning, they no longer feel the urge to pick their skin or can avoid doing it for long periods, if not indefinitely. […] The outlook for the condition depends on how severe it is and other factors. Most people with this condition don’t suffer physically dangerous effects. But without treatment, most people with this condition will struggle with mental health effects like anxiety, shame or embarrassment.

• #14 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. […] Most people pick at their skin from time to time, but you may have skin picking disorder if you: […] you cannot stop picking your skin […] cause cuts, bleeding or bruising by picking your skin […] do not always realise you’re picking your skin […] pick your skin when you feel anxious or stressed. […] Non-urgent advice: See a GP if: […] you cannot stop picking your skin […] you’re causing serious damage to your skin by picking it, like cuts that do not heal within a few days […] picking your skin is causing you emotional distress or affecting your daily life. […] Talking therapy is currently thought to be an effective treatment to help change skin picking behaviour.

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

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

  Picking at scabs or bumps from time to time isnt uncommon. But for some people, picking can become chronic. Frequent picking can irritate existing sores and even cause new ones to form. This can cause additional scabbing and lead to scarring. […] Skin-picking disorder isnt common, but its well documented. Its considered a mental health condition related to obsessive compulsive disorder (OCD). Not everyone with OCD will develop skin-picking disorder, but many people who have this disorder often experience OCD, too. […] People with skin-picking disorder, however, may pick at scabs, bumps, pimples, or other skin lesions until they bleed again or become inflamed. They may also pick at the skin around their fingernails and toenails. […] Other signs and symptoms of skin-picking disorder include: Spending large amounts of time picking: Some people with this condition will pick at their skin several times a day. Others may pick for several hours at a time. Either way, the behavior can be a significant disruption to their social and professional lives.

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

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

  To be diagnosed with excoriation disorder, a person must show the following signs and symptoms: Recurrent skin picking that results in skin lesions. Repeated attempts to stop the behavior. Significant distress or impairment caused by the symptoms. Not caused by a substance, medical, or dermatological condition. Not better explained by another psychiatric disorder.

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

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

  To be diagnosed with excoriation disorder, a person must show the following signs and symptoms: Recurrent skin picking that results in skin lesions. Repeated attempts to stop the behavior. Significant distress or impairment caused by the symptoms. Not caused by a substance, medical, or dermatological condition. Not better explained by another psychiatric disorder.

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

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

  To be diagnosed with excoriation disorder, a person must show the following signs and symptoms: Recurrent skin picking that results in skin lesions. Repeated attempts to stop the behavior. Significant distress or impairment caused by the symptoms. Not caused by a substance, medical, or dermatological condition. Not better explained by another psychiatric disorder.

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

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

  To be diagnosed with excoriation disorder, a person must show the following signs and symptoms: Recurrent skin picking that results in skin lesions. Repeated attempts to stop the behavior. Significant distress or impairment caused by the symptoms. Not caused by a substance, medical, or dermatological condition. Not better explained by another psychiatric disorder.

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

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

  To be diagnosed with excoriation disorder, a person must show the following signs and symptoms: Recurrent skin picking that results in skin lesions. Repeated attempts to stop the behavior. Significant distress or impairment caused by the symptoms. Not caused by a substance, medical, or dermatological condition. Not better explained by another psychiatric disorder.

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

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

  Picking usually involves fingernails and fingertips but can also include biting with your teeth (especially when the skin surface affected is on your lips. It can also involve sharp items like tweezers or pins. […] This activity usually happens in one of two ways, automatic or focused. […] Dermatillomania usually isn’t a dangerous condition unless it’s very severe. The main risk from this condition is from open wounds, which might develop infections because of repeated picking or damage. […] Dermatillomania is a life-long condition because of the risk of relapse. However, people with this condition can go into remission meaning, they no longer feel the urge to pick their skin or can avoid doing it for long periods, if not indefinitely. […] The outlook for the condition depends on how severe it is and other factors. Most people with this condition don’t suffer physically dangerous effects. But without treatment, most people with this condition will struggle with mental health effects like anxiety, shame or embarrassment.

• #22 Excoriation Disorder/ Dermatillomania/ Skin-picking Disorder: Symptoms, Causes, and Treatment – Los Angeles Outpatient Center

  https://laopcenter.com/mental-health/disorder/skin-picking/

  Psychological symptoms are related to a persons thoughts, feelings, and emotions and include: Feelings of anxiety, relief from picking, guilt or shame, and negative impact on self-esteem. […] The different types of skin picking are automatic and focused picking. Automatic Picking occurs without conscious awareness, while Focused Picking is characterized by a conscious urge to pick at specific areas of the skin. […] The causes of excoriation disorder are biological and are categorized into three main factors: biological, psychological, and environmental. […] Dermatillomania is not classified as ADHD, but there is a notable connection between the two. Individuals with ADHD often exhibit impulsive behaviors, which include skin picking. […] The treatment options for dermatillomania include cognitive behavioral therapy, medications, and natural remedies.

• #23 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. […] Most people pick at their skin from time to time, but you may have skin picking disorder if you: […] you cannot stop picking your skin […] cause cuts, bleeding or bruising by picking your skin […] do not always realise you’re picking your skin […] pick your skin when you feel anxious or stressed. […] Non-urgent advice: See a GP if: […] you cannot stop picking your skin […] you’re causing serious damage to your skin by picking it, like cuts that do not heal within a few days […] picking your skin is causing you emotional distress or affecting your daily life. […] Talking therapy is currently thought to be an effective treatment to help change skin picking behaviour.

• #24 Excoriation Disorder/ Dermatillomania/ Skin-picking Disorder: Symptoms, Causes, and Treatment – Los Angeles Outpatient Center

  https://laopcenter.com/mental-health/disorder/skin-picking/

  Psychological symptoms are related to a persons thoughts, feelings, and emotions and include: Feelings of anxiety, relief from picking, guilt or shame, and negative impact on self-esteem. […] The different types of skin picking are automatic and focused picking. Automatic Picking occurs without conscious awareness, while Focused Picking is characterized by a conscious urge to pick at specific areas of the skin. […] The causes of excoriation disorder are biological and are categorized into three main factors: biological, psychological, and environmental. […] Dermatillomania is not classified as ADHD, but there is a notable connection between the two. Individuals with ADHD often exhibit impulsive behaviors, which include skin picking. […] The treatment options for dermatillomania include cognitive behavioral therapy, medications, and natural remedies.

• #25 Excoriation disorder – Wikipedia

  https://en.wikipedia.org/wiki/Excoriation_disorder

  Excoriation disorder, more commonly known as dermatillomania, is a mental disorder on the obsessive-compulsive spectrum that is characterized by the repeated urge or impulse to pick at one’s own skin, to the extent that either psychological or physical damage is caused. […] Episodes of skin picking are often preceded or accompanied by tension, anxiety, or stress. […] The act of skin picking can occur both consciously (focused picking) and unconsciously (automatic picking). […] Complications arising from excoriation disorder include infection at the site of picking, tissue damage, and sepsis. […] Excoriation disorder can cause feelings of intense helplessness, guilt, shame, and embarrassment in individuals, and this greatly increases the risk of self-harm. […] Typically, individuals with excoriation disorder find that the disorder interferes with daily life. […] When untreated, excoriation disorder can last anywhere from 5 to 21 years. However, many doctors consider this disorder to be a permanent diagnosis. […] Excoriation has been documented as showing active from an onset in childhood and remaining active through adulthood.

• #26 Skin-Picking (Excoriation) Disorder – Mental Health Disorders – Merck Manual Consumer Version

  https://www.merckmanuals.com/home/mental-health-disorders/obsessive-compulsive-and-related-disorders/skin-picking-excoriation-disorder

  In skin-picking disorder, people repeatedly pick at their skin, damaging it. […] People with skin-picking disorder may feel tense or anxious just before they do it, and skin picking may relieve that feeling. […] People with the disorder repeatedly pick at or scratch their skin. […] Skin picking often begins during adolescence, although it may begin at other ages. […] The methods and areas people pick at vary from person to person. […] Some people pick at their skin somewhat automatically, without thinking about it. […] People do not pick at their skin because they are concerned about their appearance (which may be a symptom of body dysmorphic disorder). However, they may feel tense or anxious just before they do it, and skin picking may relieve that feeling. Afterward, they often feel a sense of gratification. […] If done excessively, skin picking can cause scarring, infections, excessive bleeding, and even a serious infection of the bloodstream (septicemia). […] Symptoms typically vary in intensity but may continue throughout life.

• #27 Excoriation (Skin Picking) Disorder – PsychDB

  https://www.psychdb.com/ocd/excoriation

  The majority of individuals spend at least 1 hour per day picking, thinking about picking, and/or resisting urges to pick. […] Skin picking can last anywhere from months to years. […] Skin picking may also be preceded or accompanied by various emotional states and triggered by feelings of anxiety or boredom, or may be preceded by an increasing sense of tension (either immediately before picking the skin or when attempting to resist the urge to pick). […] There may also be a sense of gratification, pleasure, or a sense of relief when the skin or scab has been picked.

• #28 Excoriation Disorder/ Dermatillomania/ Skin-picking Disorder: Symptoms, Causes, and Treatment – Los Angeles Outpatient Center

  https://laopcenter.com/mental-health/disorder/skin-picking/

  Dermatillomania is closely linked to anxiety disorders. Individuals with this condition often experience heightened anxiety, shame, and depression due to the visible effects of their skin picking. […] Anxiety acts as a trigger for skin-picking behaviors. Many individuals use skin picking as a coping mechanism to manage feelings of stress or anxiety. This behavior may temporarily relieve negative emotions but ultimately leads to further distress and a cycle of picking. […] The symptoms of dermatillomania are physical, behavioral, and psychological, including skin picking, scarring, and feelings of anxiety. […] Physical symptoms are those that affect the appearance of the skin and include: Redness and inflammation, scabs and sores, bruising, bleeding, and skin lesions. […] Behavioral symptoms are the actions or behaviors that are associated with dermatillomania and include: Picking at the skin, preoccupation with perceived imperfections, use of tools, and hiding behavior.

• #29 Excoriation Disorder – A Quick Guide – Child Mind Institute

  https://childmind.org/guide/quick-guide-to-excoriation-disorder/

  Excoriation disorder (or skin-picking) is a mental health condition that can cause children to pick at their skin constantly. Children with excoriation disorder pick at their skin so much that they cause harm and pain to the spots they pick at. They can’t stop picking even if they want to. […] Some kids pick at their skin because it makes them feel good, and it can be triggered by stress or anxiety. Many children do not even know they are doing it. Skin picking can cause bleeding, scabs, infection and scars. It can also cause shame and embarrassment if other people see the damage. Excoriation disorder usually starts in the early teen years. […] Marks or scabs on the child’s body from picking their skin are the main symptom. Some children pick at the same spot over and over. Others move from one spot to another. Usually, kids with excoriation use their own fingernails to pick, but some might use tweezers or other tools.

• #30 Excoriation Disorder – A Quick Guide – Child Mind Institute

  https://childmind.org/guide/quick-guide-to-excoriation-disorder/

  Children with excoriation disorder may pick at any part of their body. The face is the most common area. Other common spots that kids might pick include arms, legs, back, gums, lips, shoulders, scalp, stomach, chest, fingernails, toenails and cuticles. […] Three things have to happen for a child to be diagnosed with excoriation disorder: They must pick at their skin so much and for so long that the picking causes wounds. They must have tried and failed to stop on their own. The picking must make them very upset or cause problems in their day-to-day activities. […] Usually, skin picking can be stopped with the help of a therapist. Cognitive behavioral therapy (CBT) can help the child become aware of what feelings and situations make them pick. CBT teaches kids other ways to deal with the feelings that cause them to pick.

• #31 Excoriation Disorder/ Dermatillomania/ Skin-picking Disorder: Symptoms, Causes, and Treatment – Los Angeles Outpatient Center

  https://laopcenter.com/mental-health/disorder/skin-picking/

  Dermatillomania is closely linked to anxiety disorders. Individuals with this condition often experience heightened anxiety, shame, and depression due to the visible effects of their skin picking. […] Anxiety acts as a trigger for skin-picking behaviors. Many individuals use skin picking as a coping mechanism to manage feelings of stress or anxiety. This behavior may temporarily relieve negative emotions but ultimately leads to further distress and a cycle of picking. […] The symptoms of dermatillomania are physical, behavioral, and psychological, including skin picking, scarring, and feelings of anxiety. […] Physical symptoms are those that affect the appearance of the skin and include: Redness and inflammation, scabs and sores, bruising, bleeding, and skin lesions. […] Behavioral symptoms are the actions or behaviors that are associated with dermatillomania and include: Picking at the skin, preoccupation with perceived imperfections, use of tools, and hiding behavior.

• #32 Excoriation Disorder/ Dermatillomania/ Skin-picking Disorder: Symptoms, Causes, and Treatment – Los Angeles Outpatient Center

  https://laopcenter.com/mental-health/disorder/skin-picking/

  Psychological symptoms are related to a persons thoughts, feelings, and emotions and include: Feelings of anxiety, relief from picking, guilt or shame, and negative impact on self-esteem. […] The different types of skin picking are automatic and focused picking. Automatic Picking occurs without conscious awareness, while Focused Picking is characterized by a conscious urge to pick at specific areas of the skin. […] The causes of excoriation disorder are biological and are categorized into three main factors: biological, psychological, and environmental. […] Dermatillomania is not classified as ADHD, but there is a notable connection between the two. Individuals with ADHD often exhibit impulsive behaviors, which include skin picking. […] The treatment options for dermatillomania include cognitive behavioral therapy, medications, and natural remedies.

• #33 Excoriation (Skin-Picking) Disorder | Abnormal Psychology

  https://courses.lumenlearning.com/wm-abnormalpsych/chapter/excoriation-skin-picking-disorder/

  Excoriation disorder can cause feelings of intense helplessness, guilt, shame, and embarrassment in individuals, and this greatly increases the risk of self-harm. Studies have shown that excoriation disorder presented suicidal ideation in 12% of individuals with this condition, suicide attempts in 11.5% of individuals with this condition, and psychiatric hospitalizations in 15% of individuals with this condition. […] In some patients, excoriation disorder begins with the onset of acne in adolescence, but the compulsion continues even after the acne has gone away. Skin conditions such as keratosis pilaris, psoriasis, and eczema can also provoke the behavior. […] Traumatic childhood events may initiate the behavior.

• #34 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

  Excoriation disorder is characterized by recurrent picking of one’s skin, resulting in skin lesions. […] Patients with excoriation disorder repeatedly pick at or scratch their skin; the picking is not triggered by appearance or health concerns (eg, to remove a lesion that they perceive as unattractive or possibly cancerous). […] Skin picking is usually chronic, with waxing and waning of symptoms if untreated. […] Patients with excoriation disorder repeatedly try to stop picking their skin or to pick less often, but they are unable to do so. […] Excoriation disorder causes visible skin lesions.

• #35 Excoriation (Skin Picking) Disorder – PsychDB

  https://www.psychdb.com/ocd/excoriation

  Excoriation (Skin-Picking) Disorder is an obsessive-compulsive and related disorder characterized by the repeated urge to pick at one’s own skin, often to the extent that significant skin damage is caused. […] Skin picking most often develops an onset during adolescence, commonly coinciding with or following the onset of puberty. […] The usual course of skin picking is chronic, with waxing and waning symptoms if left untreated (lasting weeks, months, or years at a time). […] Medical complications of skin picking include tissue damage, scarring, and infection which can rarely become life-threatening. Rarely, synovitis of the wrists due to chronic picking has been reported. […] Skin picking can result in significant tissue damage and scarring, and may require antibiotic or surgical treatment for infection.

• #36 Skin-Picking (Excoriation) Disorder – Mental Health Disorders – Merck Manual Consumer Version

  https://www.merckmanuals.com/home/mental-health-disorders/obsessive-compulsive-and-related-disorders/skin-picking-excoriation-disorder

  In skin-picking disorder, people repeatedly pick at their skin, damaging it. […] People with skin-picking disorder may feel tense or anxious just before they do it, and skin picking may relieve that feeling. […] People with the disorder repeatedly pick at or scratch their skin. […] Skin picking often begins during adolescence, although it may begin at other ages. […] The methods and areas people pick at vary from person to person. […] Some people pick at their skin somewhat automatically, without thinking about it. […] People do not pick at their skin because they are concerned about their appearance (which may be a symptom of body dysmorphic disorder). However, they may feel tense or anxious just before they do it, and skin picking may relieve that feeling. Afterward, they often feel a sense of gratification. […] If done excessively, skin picking can cause scarring, infections, excessive bleeding, and even a serious infection of the bloodstream (septicemia). […] Symptoms typically vary in intensity but may continue throughout life.

• #37 Excoriation disorder – Wikipedia

  https://en.wikipedia.org/wiki/Excoriation_disorder

  Excoriation disorder, more commonly known as dermatillomania, is a mental disorder on the obsessive-compulsive spectrum that is characterized by the repeated urge or impulse to pick at one’s own skin, to the extent that either psychological or physical damage is caused. […] Episodes of skin picking are often preceded or accompanied by tension, anxiety, or stress. […] The act of skin picking can occur both consciously (focused picking) and unconsciously (automatic picking). […] Complications arising from excoriation disorder include infection at the site of picking, tissue damage, and sepsis. […] Excoriation disorder can cause feelings of intense helplessness, guilt, shame, and embarrassment in individuals, and this greatly increases the risk of self-harm. […] Typically, individuals with excoriation disorder find that the disorder interferes with daily life. […] When untreated, excoriation disorder can last anywhere from 5 to 21 years. However, many doctors consider this disorder to be a permanent diagnosis. […] Excoriation has been documented as showing active from an onset in childhood and remaining active through adulthood.

• #38 Excoriation disorder – Wikipedia

  https://en.wikipedia.org/wiki/Excoriation_disorder

  Excoriation disorder, more commonly known as dermatillomania, is a mental disorder on the obsessive-compulsive spectrum that is characterized by the repeated urge or impulse to pick at one’s own skin, to the extent that either psychological or physical damage is caused. […] Episodes of skin picking are often preceded or accompanied by tension, anxiety, or stress. […] The act of skin picking can occur both consciously (focused picking) and unconsciously (automatic picking). […] Complications arising from excoriation disorder include infection at the site of picking, tissue damage, and sepsis. […] Excoriation disorder can cause feelings of intense helplessness, guilt, shame, and embarrassment in individuals, and this greatly increases the risk of self-harm. […] Typically, individuals with excoriation disorder find that the disorder interferes with daily life. […] When untreated, excoriation disorder can last anywhere from 5 to 21 years. However, many doctors consider this disorder to be a permanent diagnosis. […] Excoriation has been documented as showing active from an onset in childhood and remaining active through adulthood.

• #39 Excoriation (Skin Picking) Disorder – PsychDB

  https://www.psychdb.com/ocd/excoriation

  The majority of individuals spend at least 1 hour per day picking, thinking about picking, and/or resisting urges to pick. […] Skin picking can last anywhere from months to years. […] Skin picking may also be preceded or accompanied by various emotional states and triggered by feelings of anxiety or boredom, or may be preceded by an increasing sense of tension (either immediately before picking the skin or when attempting to resist the urge to pick). […] There may also be a sense of gratification, pleasure, or a sense of relief when the skin or scab has been picked.

• #40

  https://link.springer.com/article/10.1007/s12144-024-06300-1

  Excoriation (Skin Picking) Disorder (SPD) is a psychiatric condition characterized by repetitive skin picking, often affecting areas like the face, arms, and hands. […] Individuals with SPD may use various tools to pick at their skin and often struggle to stop the behavior. […] The disorder typically arises during adolescence and is more common in females, with a lifetime prevalence of 1.4% in adults. […] SPD is associated with decreased quality of life and increased rates of anxiety disorders, depression, and substance abuse. […] Compulsive skin picking can persist for extended periods, often lasting for multiple hours each day and potentially continuing for months or even years. […] Another characteristic of SPD is that individuals persistent attempts to diminish or cease the activity without achieving success.

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

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

  Picking usually involves fingernails and fingertips but can also include biting with your teeth (especially when the skin surface affected is on your lips. It can also involve sharp items like tweezers or pins. […] This activity usually happens in one of two ways, automatic or focused. […] Dermatillomania usually isn’t a dangerous condition unless it’s very severe. The main risk from this condition is from open wounds, which might develop infections because of repeated picking or damage. […] Dermatillomania is a life-long condition because of the risk of relapse. However, people with this condition can go into remission meaning, they no longer feel the urge to pick their skin or can avoid doing it for long periods, if not indefinitely. […] The outlook for the condition depends on how severe it is and other factors. Most people with this condition don’t suffer physically dangerous effects. But without treatment, most people with this condition will struggle with mental health effects like anxiety, shame or embarrassment.

• #42 Skin picking (excoriation disorder): Causes and treatment

  https://www.medicalnewstoday.com/articles/325925

  People may pick their skin occasionally. For example, they might itch a scab or pop a pimple. However, occasional skin picking can develop into a chronic behavior called skin picking disorder, or excoriation disorder. […] Skin picking disorder can significantly impact a persons quality of life and overall health. […] Skin picking disorder occurs more frequently in females than males. Symptoms most often develop during adolescence and adulthood. […] Symptoms of skin picking disorder include: engaging in skin picking despite multiple attempts to address the behavior, developing recurring skin lesions or open wounds due to picking, experiencing significant psychological, physical, or social impairment as a result of skin picking. […] Skin picking behaviors can last anywhere from a few minutes to several hours or several months, with periods of remission in between.

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

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

  Picking usually involves fingernails and fingertips but can also include biting with your teeth (especially when the skin surface affected is on your lips. It can also involve sharp items like tweezers or pins. […] This activity usually happens in one of two ways, automatic or focused. […] Dermatillomania usually isn’t a dangerous condition unless it’s very severe. The main risk from this condition is from open wounds, which might develop infections because of repeated picking or damage. […] Dermatillomania is a life-long condition because of the risk of relapse. However, people with this condition can go into remission meaning, they no longer feel the urge to pick their skin or can avoid doing it for long periods, if not indefinitely. […] The outlook for the condition depends on how severe it is and other factors. Most people with this condition don’t suffer physically dangerous effects. But without treatment, most people with this condition will struggle with mental health effects like anxiety, shame or embarrassment.

• #44 Excoriation (Skin Picking) Disorder – PsychDB

  https://www.psychdb.com/ocd/excoriation

  Excoriation (Skin-Picking) Disorder is an obsessive-compulsive and related disorder characterized by the repeated urge to pick at one’s own skin, often to the extent that significant skin damage is caused. […] Skin picking most often develops an onset during adolescence, commonly coinciding with or following the onset of puberty. […] The usual course of skin picking is chronic, with waxing and waning symptoms if left untreated (lasting weeks, months, or years at a time). […] Medical complications of skin picking include tissue damage, scarring, and infection which can rarely become life-threatening. Rarely, synovitis of the wrists due to chronic picking has been reported. […] Skin picking can result in significant tissue damage and scarring, and may require antibiotic or surgical treatment for infection.

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

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

  Picking usually involves fingernails and fingertips but can also include biting with your teeth (especially when the skin surface affected is on your lips. It can also involve sharp items like tweezers or pins. […] This activity usually happens in one of two ways, automatic or focused. […] Dermatillomania usually isn’t a dangerous condition unless it’s very severe. The main risk from this condition is from open wounds, which might develop infections because of repeated picking or damage. […] Dermatillomania is a life-long condition because of the risk of relapse. However, people with this condition can go into remission meaning, they no longer feel the urge to pick their skin or can avoid doing it for long periods, if not indefinitely. […] The outlook for the condition depends on how severe it is and other factors. Most people with this condition don’t suffer physically dangerous effects. But without treatment, most people with this condition will struggle with mental health effects like anxiety, shame or embarrassment.

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

  https://www.therecoveryvillage.com/mental-health/excoriation/

  Though the condition presents differently in different people, there are three main signs and symptoms of excoriation: Picking the skin to the extent that it produces cuts, scratches, sores or open wounds; Repeatedly attempt to stop or limit skin picking without success; Experiencing stress from the condition that hinders a persons ability to work, go to school or maintain relationships. […] A person with excoriation may spend long periods inspecting their body to find a place to pick and pull. They may use also use tools during the act, like tweezers, scissors or pins. Others will rub, squeeze, cut or bite the skin. […] Many people with excoriation will not pick in front of others. While most people with this condition pick in private, several symptoms of excoriation are visible to outside observers, including: Sores on the face, hands, arms and legs; Significant scarring from previous picking; Frequent skin infections that require antibiotics to treat; Wearing seasonally inappropriate clothing to conceal sores; Using makeup to hide picking marks.

• #47 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. […] Dermatillomania is a mental health condition where a person compulsively picks or scratches their skin, causing injuries or scarring. […] When this condition is severe, it can lead to skin damage that’s extensive enough that it may need surgery, such as skin grafting, to repair the damage. Infected wounds may also need antibiotic treatment. […] The main symptom of dermatillomania is compulsively meaning, the impulse or urge is impossible or incredibly difficult to resist picking at your skin.

• #48 Skin Picking | Excoriation | BFRB

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

  Occasional picking at cuticles, acne, scabs, calluses, or other skin irregularities is a very common human behavior; however, research indicates that approximately 2%-5% of the population picks their skin to the extent that it causes noticeable tissue damage and marked distress or impairment in daily functioning. […] The DSM-5 diagnostic criteria include: Recurrent skin picking that results in skin lesions, Repeated attempts to stop the behavior, The symptoms cause clinically significant distress or impairment, The symptoms are not caused by a substance or medical, or dermatological condition, The symptoms are not better explained by another psychiatric disorder. […] Those who engage in skin picking tend to pick from multiple body sites, for extended periods of time, targeting both healthy and previously damaged skin.

• #49 Skin Picking (Excoriation) | Symptoms & Treatments | Zencare — Zencare

  https://zencare.co/mental-health/skin-picking

  Excoriation (skin picking) disorder is a recurrent skin picking behavior of a severity that causes distress or impacts daily life. […] People with skin picking disorder spend a lot of time picking skin, resulting in wounds or infections, and possible scarring. They also have difficulty reducing or stopping skin picking. […] Understandably, the lives of people with skin picking disorder are affected; many experience pain, scarring, distress, or mental health challenges, such as anxiety or depression. […] The patterns of skin picking behavior can differ from person-to-person. People may pick skin from various parts of the body, with their fingers, tweezers, or by biting. […] The disorder is characterized by repeated attempts to stop or reduce the picking behavior. […] The condition, understandably, causes distress and impacts functioning in daily life. People may spend a great deal of time trying to conceal the picking, avoid social situations, and often also experience feelings of: […] Many people with the condition are unaware that help is available.

• #50 Skin Picking | Excoriation | BFRB

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

  Commonly reported experiences following picking behavior include: urge reduction, sense of relief or pleasure, psychosocial difficulties or embarrassment, avoidance, reduced productivity, emotional sequelae such as anxiety or depression, skin infections, scars, lesions, and/or disfigurement. […] Although the severity of skin picking disorder varies greatly, many people who struggle with skin picking exhibit noticeable skin damage, which they attempt to camouflage with makeup, clothing, or other means of concealing affected areas. […] The impact of skin picking disorder on one’s life may be significant. Individuals may experience shame and embarrassment and, as a result, may avoid certain social situations or activities (e.g., pools, gyms, beaches), and medical care. […] 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.

• #51 Excoriation Disorder Workup: Approach Considerations, Diagnosis, Histologic Findings

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

  Associated features supporting the diagnosis include a range of behaviors or rituals involving the skin that has been picked. Examples include examining, playing with or even swallowing the skin after it has been pulled off. Picking can be accompanied by different emotional states. The act of picking can be triggered by anxiety or boredom and be preceded by a sense of tension. Afterwards individuals might feel a sense of pleasure, relief or gratification. Pain is not routinely reported. […] Functional MRI can define abnormal brain activation in picking disorders.

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

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

  „People who have skin picking disorder do not enjoy picking their skin—often, they’ll have tried to stop without success in the past.” […] „Therefore, when it does happen and it reaches a point of bleeding, there’s a lot of embarrassment, shame, and guilt.” […] „The two main triggers of picking are either when a person is bored and underwhelmed, or a person is distressed and overwhelmed.” […] „While skin picking is typically a chronic condition with occasional flares, dermatologic treatments, therapy, and medications can help—but different patients will need different support.” […] „Understanding one’s triggers for picking can help guide which treatment to pursue.” […] „Once triggers have been pinpointed, most experts will recommend some form of specialized Cognitive Behavioral Therapy (CBT).”

• #53 Excoriation (Skin-Picking) Disorder | Abnormal Psychology

  https://courses.lumenlearning.com/wm-abnormalpsych/chapter/excoriation-skin-picking-disorder/

  Excoriation disorder is an obsessive-compulsive spectrum disorder that is characterized by the repeated urge or impulse to pick at ones own skin to the extent that either psychological or physical damage is caused. […] Episodes of skin picking are often preceded or accompanied by tension, anxiety, or stress. In some cases, following picking, the affected person may feel depressed. During these moments, there is commonly a compulsive urge to pick, squeeze, or scratch at a surface or region of the body, often at the location of a perceived skin defect. When picking, one may feel a sense of relief or satisfaction. […] Complications arising from excoriation disorder include infection at the site of picking, tissue damage, and sepsis. Damage from picking can be so severe as to require skin grafting. Severe picking can cause epidermal abscesses. Severe cases of excoriation disorder can cause life-threatening injuries.

• #54

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

  The symptoms of skin picking disorder can vary widely among affected individuals, but common behaviours and triggers are observed across cases. As previously noted, skin picking episodes often occur in response to emotional distress, anxiety, boredom, or tension, serving as a maladaptive coping mechanism for managing negative emotions. Additionally, individuals with SPD may engage in skin picking as a form of sensory stimulation or self-soothing behaviour. […] During skin picking episodes, individuals may exhibit repetitive, ritualistic behaviours such as scanning the skin for imperfections, using specific tools or instruments to extract or manipulate skin and then examine the extracted material. Skin picking may also result in visible skin lesions, including scabs, scars, excoriations, and open wounds, which can become infected if not properly cared for.

• #55 Compulsive skin picking causes and how to stop

  https://www.treatmyocd.com/blog/compulsive-skin-picking

  If you have OCD, using skin picking as a compulsion can reinforce the cycle, which comprises four stages: obsession, distress, compulsion, and temporary relief. […] Despite providing a brief sense of control, compulsive skin picking doesn’t offer long-lasting relief and can instead lead to ongoing frustration and distress. […] If you’re picking at your skin regularly and noticing damage—or finding it difficult to stop—you may be dealing with skin picking disorder.

• #56

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

  The symptoms of skin picking disorder can vary widely among affected individuals, but common behaviours and triggers are observed across cases. As previously noted, skin picking episodes often occur in response to emotional distress, anxiety, boredom, or tension, serving as a maladaptive coping mechanism for managing negative emotions. Additionally, individuals with SPD may engage in skin picking as a form of sensory stimulation or self-soothing behaviour. […] During skin picking episodes, individuals may exhibit repetitive, ritualistic behaviours such as scanning the skin for imperfections, using specific tools or instruments to extract or manipulate skin and then examine the extracted material. Skin picking may also result in visible skin lesions, including scabs, scars, excoriations, and open wounds, which can become infected if not properly cared for.

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

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

  Skin picking disorder is when you repeatedly and uncontrollably pick at your skin, sometimes resulting in injury and scarring. It’s also called pathological skin picking, neurotic excoriation, dermatillomania, or psychogenic excoriation. […] The main symptom of dermatillomania is the impulse or urge to pick at your skin and that’s impossible or extremely hard for you to resist. „Picking” may include any of the following: Scratching, Digging, Squeezing, Rubbing. […] Most of us pick at our skin sometimes, but it becomes a disorder when you have the following signs and symptoms: Skin picking to the point that it results in sores, bruises, or scratches on your skin, You’ve tried to stop and you can’t, You feel upset or embarrassed or it’s affecting your daily life. […] People with dermatillomania are more likely to have other medical or mental health conditions, such as: OCD and related disorders, such as hairpulling (trichotillomania) or nail-biting, Depression, Anxiety disorder, Bipolar disorder, Prader-Willi syndrome (a genetic condition that affects the metabolism, body, and behavior).

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

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

  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. […] Rheumatoid arthritis (RA) is an autoimmune condition linked to inflammation in your joints. This inflammation can lead to itching on your skin at the site of the affected areas. Itching from RA can then progress to skin picking.

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

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

  Lupus is an autoimmune condition that causes inflammation. If you have lupus, you can develop lesions on your lower legs or the ends of your fingers and toes. These lesions may be itchy, and scratching them can become a compulsive behavior. […] Psoriasis is an autoimmune condition that causes patches of raised scales on your skin. Inflammation causes these scales. They can be itchy and discolored. The urge to pick off these scales can become excoriation disorder. […] One of the symptoms of MS is the sensation of things crawling on your skin. This sensation can lead to an urge to scrape or itch. […] Type 1 diabetes is caused by an autoimmune response to cells in your pancreas. This type of diabetes often causes lesions to develop on your skin. Picking at these lesions can become a compulsion.

• #60 Excoriation Disorder | Signs and Symptoms – Genesis Recovery

  https://www.genesisrecovery.com/excoriation-disorder/

  Excoriation disorder is very closely related to OCD and shares some of its symptoms. Both individuals suffering from excoriation disorder and OCD experience feelings of distress, lack of control, impairment in their lives, and a lack of social interaction. […] Distress is a common symptom of both OCD and skin excoriation. Individuals with excoriation disorder may be triggered to pick at themselves when they feel distressed to self-soothe. […] Both disorders also are marked by a lack of control. This lack of control for individuals with skin excoriation is related to obsessive skin picking. Individuals may pick unconsciously or be unable to stop themselves from picking. […] Individuals with OCD and excoriation experience impairment in different areas of their lives. Both disorders can impair work, relationships, and home life.

• #61 Excoriation Disorder | Signs and Symptoms – Genesis Recovery

  https://www.genesisrecovery.com/excoriation-disorder/

  Individuals with both excoriation and OCD also experience social impairment, characterized by a lack of social interaction. […] Unlike individuals with OCD, individuals with excoriation disorder often do not have conscious awareness of their condition. […] Excoriation often begins as an unconscious behavior, later becoming a conscious way to self-soothe. […] While medical intervention helps treat OCD, skin excoriation often requires medical attention due to the damage done to the body. […] For individuals with OCD, compulsions often increase anxiety and stress. In contrast, excoriation skin picking is done to reduce general stress. Individuals may feel triggered to pick when they are anxious, angry, or uncomfortable. Many individuals also experience pleasure from picking at themselves and providing relief from stress.

• #62 Excoriation Disorder/ Dermatillomania/ Skin-picking Disorder: Symptoms, Causes, and Treatment – Los Angeles Outpatient Center

  https://laopcenter.com/mental-health/disorder/skin-picking/

  To stop dermatillomania, identify triggers, use Cognitive Behavioral Therapy (CBT), practice stimulus control, have a scheduled picking time, exercise emotion regulation techniques, and seek professional help. […] Managing long-term dermatillomania requires psychotherapy, medication, and a structured routine. Psychotherapy, especially cognitive behavioral therapy (CBT), is foundational in helping individuals identify triggers and develop healthier coping strategies. […] Excoriation disorder impacts quality of life, causing physical impacts, social and emotional toil, social withdrawal and anxiety, low self-esteem, and impact on daily functioning.

• #63 Skin Picking | Excoriation | BFRB

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

  Commonly reported experiences following picking behavior include: urge reduction, sense of relief or pleasure, psychosocial difficulties or embarrassment, avoidance, reduced productivity, emotional sequelae such as anxiety or depression, skin infections, scars, lesions, and/or disfigurement. […] Although the severity of skin picking disorder varies greatly, many people who struggle with skin picking exhibit noticeable skin damage, which they attempt to camouflage with makeup, clothing, or other means of concealing affected areas. […] The impact of skin picking disorder on one’s life may be significant. Individuals may experience shame and embarrassment and, as a result, may avoid certain social situations or activities (e.g., pools, gyms, beaches), and medical care. […] 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.

• #64 Skin Picking | Excoriation | BFRB

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

  Commonly reported experiences following picking behavior include: urge reduction, sense of relief or pleasure, psychosocial difficulties or embarrassment, avoidance, reduced productivity, emotional sequelae such as anxiety or depression, skin infections, scars, lesions, and/or disfigurement. […] Although the severity of skin picking disorder varies greatly, many people who struggle with skin picking exhibit noticeable skin damage, which they attempt to camouflage with makeup, clothing, or other means of concealing affected areas. […] The impact of skin picking disorder on one’s life may be significant. Individuals may experience shame and embarrassment and, as a result, may avoid certain social situations or activities (e.g., pools, gyms, beaches), and medical care. […] 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.

• #65 Excoriation Disorder/ Dermatillomania/ Skin-picking Disorder: Symptoms, Causes, and Treatment – Los Angeles Outpatient Center

  https://laopcenter.com/mental-health/disorder/skin-picking/

  To stop dermatillomania, identify triggers, use Cognitive Behavioral Therapy (CBT), practice stimulus control, have a scheduled picking time, exercise emotion regulation techniques, and seek professional help. […] Managing long-term dermatillomania requires psychotherapy, medication, and a structured routine. Psychotherapy, especially cognitive behavioral therapy (CBT), is foundational in helping individuals identify triggers and develop healthier coping strategies. […] Excoriation disorder impacts quality of life, causing physical impacts, social and emotional toil, social withdrawal and anxiety, low self-esteem, and impact on daily functioning.

• #66 Excoriation Disorder/ Dermatillomania/ Skin-picking Disorder: Symptoms, Causes, and Treatment – Los Angeles Outpatient Center

  https://laopcenter.com/mental-health/disorder/skin-picking/

  To stop dermatillomania, identify triggers, use Cognitive Behavioral Therapy (CBT), practice stimulus control, have a scheduled picking time, exercise emotion regulation techniques, and seek professional help. […] Managing long-term dermatillomania requires psychotherapy, medication, and a structured routine. Psychotherapy, especially cognitive behavioral therapy (CBT), is foundational in helping individuals identify triggers and develop healthier coping strategies. […] Excoriation disorder impacts quality of life, causing physical impacts, social and emotional toil, social withdrawal and anxiety, low self-esteem, and impact on daily functioning.

• #67

  https://link.springer.com/article/10.1007/s12144-024-06300-1

  The lifetime prevalence of SPD in adults is 1.4%, with three-quarters of affected persons being female. […] However, emerging literature suggests that this problematic can get more severe and its prevalence is higher than previously thought. […] The onset typically occurs during adolescence and is frequently linked to the presence of acne. […] The severity of SPD is associated with decreased quality of life as well as increased anxiety disorders (up to 48%), major depression (828%), and substance abuse (1436%). […] Most of the available instruments for SPD are self-report, which implies that results can be influenced by the patients awareness of their disorder. […] Interindividual variability in symptom manifestation can also represent a potential factor hindering the accuracy of SPD assessment, as it is related to diverse experiences and symptom expression.

• #68 What Is Skin Picking Disorder (Dermatillomania)? | BetterHelp

  https://www.betterhelp.com/advice/impulse-control-disorder/what-is-skin-picking-disorder/

  Therefore, because skin-picking disorder can negatively impact a persons mental and physical well-being, its often crucial that people seek out help as soon as possible. This may be especially true since skin-picking disorder is usually chronic if left untreated. […] The initial onset of recurrent skin picking may happen during a period of prolonged or intense stress. […] The speed at which skin heals after being damaged by repetitive picking can depend a great deal on the severity of the damage. […] In cases of extremely severe dermatillomania, large skin wounds may become seriously infected. […] The severity of skin picking disorder can vary considerably between individuals. Many people with this condition experience significant personal consequences, such as embarrassment and shame, social isolation, low self-esteem, long-term skin damage, impaired romantic life, and diminished career opportunities. […] Researchers have found some evidence that trauma may play a role in causing skin picking disorder and trichotillomania. Individuals with these conditions were significantly more likely to report traumatic experiences in childhood.

• #69 Excoriation Disorder – A Quick Guide – Child Mind Institute

  https://childmind.org/guide/quick-guide-to-excoriation-disorder/

  Excoriation disorder (or skin-picking) is a mental health condition that can cause children to pick at their skin constantly. Children with excoriation disorder pick at their skin so much that they cause harm and pain to the spots they pick at. They can’t stop picking even if they want to. […] Some kids pick at their skin because it makes them feel good, and it can be triggered by stress or anxiety. Many children do not even know they are doing it. Skin picking can cause bleeding, scabs, infection and scars. It can also cause shame and embarrassment if other people see the damage. Excoriation disorder usually starts in the early teen years. […] Marks or scabs on the child’s body from picking their skin are the main symptom. Some children pick at the same spot over and over. Others move from one spot to another. Usually, kids with excoriation use their own fingernails to pick, but some might use tweezers or other tools.

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

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

  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. […] This condition usually starts in late childhood or early adolescence, with an average age of onset around 11 to 12 years. […] Pediatric excoriation disorder is characterized by repetitive picking or scratching at the skin, resulting in noticeable tissue damage. […] The most common areas targeted for picking in pediatric excoriation disorder include the face, scalp, arms, and legs. […] Pediatric excoriation disorder frequently co-occurs with other mental health conditions, such as anxiety disorders, obsessive-compulsive disorder (OCD), and body dysmorphic disorder.

• #71 Excoriation Disorder – A Quick Guide – Child Mind Institute

  https://childmind.org/guide/quick-guide-to-excoriation-disorder/

  Excoriation disorder (or skin-picking) is a mental health condition that can cause children to pick at their skin constantly. Children with excoriation disorder pick at their skin so much that they cause harm and pain to the spots they pick at. They can’t stop picking even if they want to. […] Some kids pick at their skin because it makes them feel good, and it can be triggered by stress or anxiety. Many children do not even know they are doing it. Skin picking can cause bleeding, scabs, infection and scars. It can also cause shame and embarrassment if other people see the damage. Excoriation disorder usually starts in the early teen years. […] Marks or scabs on the child’s body from picking their skin are the main symptom. Some children pick at the same spot over and over. Others move from one spot to another. Usually, kids with excoriation use their own fingernails to pick, but some might use tweezers or other tools.

• #72 Dermatillomania: Symptoms, Causes, and Treatment | Psych Central

  https://psychcentral.com/ocd/dermatillomania

  Dermatillomania is characterized by repetitive skin picking that results in soft tissue damage. […] Skin picking often starts off as an unconscious act, but over time it becomes more deliberate. These skin-picking episodes can last from a few minutes to most of the day. […] Many people with dermatillomania say they have a strong craving, urge, or sensation before a skin picking episode. […] Research from 2015 shows that many people with dermatillomania experience a feeling of gratification during picking, which keeps the behavior going. However, this is often accompanied or followed by feelings of shame or distress. […] Skin picking can occur on any part of the body, and people with dermatillomania may have several spots they pick at. […] Common behaviors of people with dermatillomania include: They can’t stop picking at skin.

• #73 Excoriation (Skin-Picking) Disorder | Abnormal Psychology

  https://courses.lumenlearning.com/wm-abnormalpsych/chapter/excoriation-skin-picking-disorder/

  Excoriation disorder can cause feelings of intense helplessness, guilt, shame, and embarrassment in individuals, and this greatly increases the risk of self-harm. Studies have shown that excoriation disorder presented suicidal ideation in 12% of individuals with this condition, suicide attempts in 11.5% of individuals with this condition, and psychiatric hospitalizations in 15% of individuals with this condition. […] In some patients, excoriation disorder begins with the onset of acne in adolescence, but the compulsion continues even after the acne has gone away. Skin conditions such as keratosis pilaris, psoriasis, and eczema can also provoke the behavior. […] Traumatic childhood events may initiate the behavior.

• #74 Is Skin Picking Disorder Related to OCD? (Excoriation Explained) – Therapy & Counseling for OCD & Eating Disorders

  https://kimberleyquinlan-lmft.com/ocd-and-skin-picking/

  Skin picking disorder or excoriation is characterized by the habitual picking of skin, commonly around your nails, pimples, or blemishes. […] People with dermatillomania may also create open sores by compulsively touching or picking at the skin, even if there is nothing there to pick at. […] It becomes a disordered condition when it is near-constant and causes bleeding, open sores, or scars. […] Although, to the untrained eye, skin picking may not seem overly distressing or a source for concern, those with excoriation disorder often find themselves trapped in a difficult cycle to break. […] While skin picking offers an initial burst of relief, it often follows with intense feelings of guilt or shame. […] Someone with excoriation disorder could spend hours each day picking their skin, thinking about picking their skin or trying to resist the urge to pick their skin.

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

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

  Developing scars and infections from frequent picking: The disorder can lead to infections, lesions, and scars that last for long periods of time. Infections may require treatment with antibiotics. […] Skin-picking disorder occurs in both children and adults. It can begin at almost any age, but it typically appears first in adolescence or at the onset of puberty. Women are more likely to develop it than men. […] 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 disorder often begins after one of two events or stimuli: An infection, injury, or wound starts healing and creates a scab. The itching causes the person to scratch and pick. The new wound or lesion starts to heal and creates another scab. That begins the cycle of picking. […] Skin-picking disorder is classified as a type of OCD. […] Although treatment can help you manage the symptoms and quash the behaviors, you may experience periods when you pick again. This can happen even after long periods of stopping the behavior.

• #76 Skin Picking OCD (Signs, Symptoms & Treatment)

  https://nuviewtreatment.com/blog/skin-picking-ocd/

  Skin picking can start as a habit and then become compulsive. […] Frequent repetition of the act can lead to changes in the brain that make it difficult to stop. The behavior becomes a habit that is hard to break. […] Skin Picking OCD can improve significantly with treatment, but it may not completely go away for some individuals. […] The goal of treatment is typically to reduce the frequency and intensity of pathologic skin-picking behavior, improve overall functioning, and provide effective strategies to manage the compulsion. […] Early intervention and seeking professional help are essential steps towards managing Skin Picking Disorder and improving one’s quality of life.

• #77 Skin Picking OCD (Signs, Symptoms & Treatment)

  https://nuviewtreatment.com/blog/skin-picking-ocd/

  Skin picking can start as a habit and then become compulsive. […] Frequent repetition of the act can lead to changes in the brain that make it difficult to stop. The behavior becomes a habit that is hard to break. […] Skin Picking OCD can improve significantly with treatment, but it may not completely go away for some individuals. […] The goal of treatment is typically to reduce the frequency and intensity of pathologic skin-picking behavior, improve overall functioning, and provide effective strategies to manage the compulsion. […] Early intervention and seeking professional help are essential steps towards managing Skin Picking Disorder and improving one’s quality of life.

• #78 Skin Picking OCD (Signs, Symptoms & Treatment)

  https://nuviewtreatment.com/blog/skin-picking-ocd/

  Skin picking can start as a habit and then become compulsive. […] Frequent repetition of the act can lead to changes in the brain that make it difficult to stop. The behavior becomes a habit that is hard to break. […] Skin Picking OCD can improve significantly with treatment, but it may not completely go away for some individuals. […] The goal of treatment is typically to reduce the frequency and intensity of pathologic skin-picking behavior, improve overall functioning, and provide effective strategies to manage the compulsion. […] Early intervention and seeking professional help are essential steps towards managing Skin Picking Disorder and improving one’s quality of life.

• #79 Skin Picking OCD (Signs, Symptoms & Treatment)

  https://nuviewtreatment.com/blog/skin-picking-ocd/

  Skin picking can start as a habit and then become compulsive. […] Frequent repetition of the act can lead to changes in the brain that make it difficult to stop. The behavior becomes a habit that is hard to break. […] Skin Picking OCD can improve significantly with treatment, but it may not completely go away for some individuals. […] The goal of treatment is typically to reduce the frequency and intensity of pathologic skin-picking behavior, improve overall functioning, and provide effective strategies to manage the compulsion. […] Early intervention and seeking professional help are essential steps towards managing Skin Picking Disorder and improving one’s quality of life.

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