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Dermatillomania (Skin Picking Disorder) Symptoms, Causes, & Treatment. Excoriation Definition. How to Stop Skin Picking?

What is Dermatillomania?


Overcoming the challenges of compulsive Skin Picking, a behavior associated with dermatillomania or excoriation disorder (ED), can be demanding. If you’ve found yourself trapped in the cycle of skin picking and have struggled to break free from it, you’re far from alone. Dermatillomania, or ED, is a relatively common condition characterized by the persistent and compulsive urge to pick at one’s skin, often resulting in skin lesions and significant emotional distress.

A 2020 U.S. survey revealed that skin-picking disorder affects approximately 2.1% of adults between 18 and 69. This statistic underscores the condition’s significance and highlights the need for understanding, support, and effective treatment options for those grappling with dermatillomania.

At We Level Up Treatment Center, we offer comprehensive and compassionate mental health treatment options designed to relieve the distressing symptoms of Dermatillomania effectively.

What is Skin Picking Disorder?

Skin Picking Disorder, medically known as Dermatillomania or Excoriation Disorder, is a mental health condition characterized by the compulsive urge to repeatedly pick at one’s skin. This condition goes beyond occasional blemish squeezing and manifests as an overwhelming and often distressing need to pick, scratch, or dig into the skin, resulting in physical harm and emotional anguish.

Individuals with Skin Picking Disorder may target various body areas, such as the face, arms, legs, or other regions where imperfections or irregularities are perceived. It’s important to note that this disorder is not a simple habit but rather a complex mental health issue, often intertwined with anxiety, stress, or a sense of compulsion.

Skin Picking Disorder Test

Skin picking disorder, also known as dermatillomania or excoriation disorder, is a challenging mental health condition characterized by the compulsive urge to pick at one's own skin, often leading to physical and emotional distress. This questionnaire is designed to help you assess whether you may be experiencing symptoms associated with skin picking disorder.

*By taking this free quiz, you may obtain your results online and in your email box. You’ll have the opportunity to opt-in to learn more about your symptoms, talk to a mental health consultant and join our newsletter. Rest assured your information is private and confidential. Results, consultations and assessments are provided without any cost to you and without any obligation. If you do not wish to provide your contact information, you may omit it during your quiz. Thank you for opting in and participating. To you best of health.

1. Name:

2. Phone:

3. Do you frequently find yourself picking at your skin, such as scratching, squeezing, or digging at blemishes, scabs, or imperfections?
4. Have you attempted to stop or reduce your skin picking behavior but found it challenging to do so?
5. Do you spend a significant amount of time engaged in skin picking, to the detriment of other activities or responsibilities?
6. Have you noticed physical damage to your skin, including open sores, infections, or scarring, as a result of your picking?
7. Does skin picking cause you significant distress or anxiety about your appearance or the damage it may cause?
8. Have you experienced social or occupational problems as a result of your skin picking behavior?
9. Do you feel a sense of relief or gratification while picking your skin, even though you may later feel guilt, shame, or regret?
10. Have you tried to hide or cover up the effects of skin picking (e.g., wearing clothing to conceal marks or wounds)?

Dermatillomania, or Excoriation Disorder, is a psychiatric illness that causes excessive skin picking. This disorder extends beyond occasional blemish squeezing and involves an uncontrollable impulse to pick, scratch, or dig into the skin, causing bodily and mental trauma.

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Overcoming dermatillomania, or compulsive skin picking disorder, can be an isolating and challenging journey. Many individuals grapple with excoriating disorder without adequate support, often experiencing setbacks in controlling and managing distressing symptoms.

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Skin Excoriation Fact Sheet

Excoriation Definition

Dermatillomania, also known as Compulsive Skin Picking Disorder or Excoriation Disorder (ED), is a mental health condition characterized by the irresistible urge to repeatedly pick, scratch, or dig into one’s skin. This behavior often leads to physical harm, skin lesions, and emotional distress.

Picking Skin Disorder Key Facts

  • Prevalence: Dermatillomania is more common than one might think, affecting approximately 2.1% of adults in the United States between the ages of 18 and 69, according to a 2020 survey.
  • Compulsive Behavior: Dermatillomania goes beyond occasional skin blemish picking and becomes an obsessive, automatic response. It is not simply a habit but a complex mental health issue.
  • Emotional Impact: Individuals with Dermatillomania often experience intense emotions such as guilt, shame, and anxiety following episodes of skin picking, contributing to a cycle of distress.
  • Physical Consequences: Repeated skin picking can lead to open wounds, infections, scarring, and discoloration. These physical consequences can significantly impact one’s self-esteem and body image.
  • Triggers: Stress, anxiety, boredom, or perceived skin imperfections are common triggers for Dermatillomania episodes.
  • Co-Occurrence: Dermatillomania is often found alongside other mental health conditions, such as anxiety disorders, depression, or Obsessive-Compulsive Disorder (OCD).

Neurotic Excoriation Treatment Options

  • Therapy: Cognitive-behavioral therapy (CBT) and Habit Reversal Training (HRT) are practical therapeutic approaches to managing Dermatillomania.
  • Medication: In some cases, selective serotonin reuptake inhibitors (SSRIs) may be prescribed to help control symptoms.
  • Support Groups: Participating in support groups or seeking peer support can provide valuable encouragement and coping strategies.

Getting Help for Excoriation Disorder

If you or someone you know is struggling with Dermatillomania, seeking professional help is crucial. Treatment options are available to help manage symptoms and improve overall well-being.

We Level Up Treatment Center offers specialized support for individuals dealing with Dermatillomania. Our experienced team provides comprehensive care and personalized dermatillomania treatment plans to guide you toward recovery.

Remember, you are not alone in your journey to overcome Dermatillomania; help is available to regain control of your life and mental health.

Excoriated Skin Statistics

Dermatillomania, or Compulsive Skin Picking Disorder, is estimated to affect approximately 2-5% of the general population, with a slightly higher prevalence in females (60-70% of cases). Onset often occurs in adolescence, typically between ages 10 and 13. This disorder commonly co-occurs with other mental health conditions like anxiety disorders, depression, and Obsessive-Compulsive Disorder (OCD).

Regrettably, not all individuals with Dermatillomania seek professional treatment, and the exact percentage of treatment seekers varies. To obtain the most accurate and up-to-date statistics on Dermatillomania, it’s advisable to refer to recent research studies and reputable mental health organizations.


2-5%

Dermatillomania is estimated to affect about 2-5% of the general population.

Source: National Institute on Mental Health

10 and 13 years old

It appears to be slightly more common in females, with estimates suggesting that 60-70% of individuals with Dermatillomania are women.

Source: ADAA

60-70%

Dermatillomania often begins in adolescence, with the average age of onset typically between 10 and 13 years old.

Source: ADAA


Adhd Skin Picking Disorder

While ADHD and skin picking disorder are different, they might share symptoms and co-occur in certain people.

ADHD and Skin Picking:

  • Co-Occurrence: Some individuals with ADHD may also struggle with Skin Picking Disorder. This co-occurrence can be attributed to shared factors like impulsivity, difficulty with impulse control, and heightened stress levels, contributing to skin-picking behaviors.
  • Impulsivity: Impulsivity is a hallmark symptom of ADHD. People with ADHD may have difficulty resisting impulsive behaviors, including skin picking. The immediate gratification provided by skin picking may appeal to individuals with ADHD.
  • Stress and Anxiety: ADHD individuals may experience higher stress and anxiety levels due to the challenges associated with the disorder. Skin picking can serve as a coping mechanism to alleviate stress and anxiety temporarily.
  • Treatment Approach: Addressing ADHD and Skin Picking Disorder often requires a comprehensive treatment approach. This may involve a combination of therapy, medication, and behavior modification techniques tailored to the individual’s needs.
  • Professional Evaluation: If someone with ADHD exhibits skin-picking behaviors that significantly impact their daily life and well-being, it’s essential to seek a professional evaluation by a mental health expert. They can determine the most appropriate treatment strategies to address both conditions effectively.

How to Stop Skin Picking ADHD?

Stopping excoriation disorder in individuals with ADHD (Attention-Deficit/Hyperactivity Disorder) can be challenging, but it is possible with a combination of strategies and support. Here are some steps to help manage skin picking in individuals with ADHD:

  • Seek Professional Help: Consult a mental health professional, such as a psychologist or psychiatrist, specializing in ADHD and impulse control disorders like Skin Picking Disorder (Dermatillomania). They can provide a comprehensive assessment and create a tailored treatment plan.
  • Medication Management: In some cases, medication prescribed for ADHD may help reduce impulsive behaviors, which can contribute to skin picking. Discuss medication options with a healthcare provider to see if they are appropriate.
  • Therapy and Counseling: Cognitive-behavioral therapy (CBT) and Habit Reversal Training (HRT) have effectively treated Skin Picking Disorder. These therapies can help individuals with ADHD develop alternative coping strategies and reduce the urge to pick.
  • Identify Triggers: Recognize the specific situations, emotions, or stressors that trigger skin-picking episodes. Keeping a journal can help identify patterns and understand the underlying causes.
  • Replacement Behaviors: Encourage the individual to substitute skin picking with healthier behaviors, such as using stress balls and dermatillomania fidget toys or practicing relaxation techniques like deep breathing or mindfulness.
  • Create a Supportive Environment: Educate family members, friends, and coworkers about the challenges individuals face with ADHD and skin picking. Ask for their support and understanding.
  • Routine and Structure: Establishing a structured daily routine can help individuals with ADHD manage their symptoms better and reduce impulsivity. This routine should include dedicated times for self-care and stress management.
  • Self-Monitoring: Encourage self-awareness by having the individual track their skin-picking behaviors. This can help them gain insight into their triggers and progress over time.
  • Professional Monitoring: Regularly check in with the mental health professional overseeing the treatment plan to assess progress and make necessary adjustments.
  • Patience and Persistence: Stopping skin picking can be a gradual process. Be patient and understanding of setbacks, and celebrate small victories.

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OCD Skin Picking Anxiety

Skin Picking Disorder, often called Dermatillomania or Excoriation Disorder, shares some similarities with Obsessive-Compulsive Disorder (OCD) but is considered a distinct condition. Here are some strategies to help individuals with OCD-related skin picking:

  • Professional Evaluation: Seek an evaluation by a mental health professional specializing in OCD or Skin Picking Disorder. They can provide a precise diagnosis and develop a tailored treatment plan.
  • Medication: In some cases, medication may be prescribed to help manage the symptoms of OCD and reduce the compulsive urge to pick at the skin. This is typically done under the guidance of a psychiatrist.
  • Cognitive-Behavioral Therapy (CBT): CBT, particularly a form known as Exposure and Response Prevention (ERP), is considered the most effective treatment for OCD and related disorders like Dermatillomania. CBT helps individuals recognize and challenge their obsessive thoughts and compulsive behaviors.
  • Habit Reversal Training Skin Picking (HRT): HRT is a behavioral therapy specifically designed for conditions like Dermatillomania. It focuses on identifying triggers and developing alternative, healthier responses to the urge to pick.
  • Identify Triggers: Work with a therapist to identify the triggers that lead to skin-picking episodes. Understanding these triggers is crucial for developing effective coping strategies.
Image of dermatillomania fingers and skin-picking scars. Excoriation skin lesions.
  • Support System: Engage the support of family and friends to help monitor and encourage progress. They can play a vital role in providing emotional support and accountability.
  • Maintain a Skin Care Routine: Establish a regular skincare routine to promote healthier skin and reduce the temptation to pick. This might involve moisturizing, covering problem areas, and keeping nails short.
  • Stress Management: Teach stress-reduction techniques, such as meditation, yoga, or mindfulness, to help individuals manage anxiety and stress, which can exacerbate skin picking.
  • Track Progress: Keep a journal to record skin-picking episodes, triggers, and associated feelings. This can help monitor progress and identify patterns.
  • Patience and Persistence: Be patient and understanding of setbacks. Recovery from Dermatillomania is often a gradual process, and it’s essential to celebrate small victories along the way.

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Scarring from picking skin and Dermatillomania scalp image.

Excoriation of Skin Causes

Excoriation of the skin can have various causes and contributing factors. It is often associated with underlying emotional or psychological issues. Here are some common causes and triggers:

  • Stress and Anxiety: Stress and anxiety are significant contributors to skin picking. People may engage in skin picking as a way to cope with and alleviate stress or anxiety.
  • Obsessive-Compulsive Disorder (OCD): Dermatillomania shares similarities with OCD and is sometimes considered a subset. The compulsive nature of skin picking is a hallmark feature, and it may be linked to obsessive thoughts.
  • Boredom: People with excess free time or limited activities may resort to skin picking out of sheer boredom. It can become a repetitive habit.
  • Perceived Skin Imperfections: Individuals concerned about their skin’s appearance, such as acne, scarring, or perceived blemishes, may be more prone to skin picking as they focus on these imperfections.
  • Body Dysmorphic Disorder (BDD): BDD is a condition characterized by an obsessive preoccupation with perceived flaws in physical appearance. Skin picking can be a manifestation of BDD in some cases.
  • Sensory Sensitivities: Some individuals with sensory processing issues or sensitivities may use skin picking to manage discomfort or sensory overload.
  • Trauma: Past traumatic experiences or abuse can sometimes lead to skin picking to cope with unresolved emotions or stress.
  • Family History: Skin picking may have a genetic component, as it can run in families.
  • Habitual Behaviors: In some cases, skin picking starts as a seemingly harmless and gradually escalates into a more compulsive behavior.
  • Peer Pressure or Social Factors: Social environments and peer pressure can influence some individuals’ behaviors, including skin picking.

Dermatillomania Symptoms

Dermatillomania Common symptoms include:

  • Compulsive Picking: Frequent, uncontrollable skin picking.
  • Skin Lesions: Resulting in sores, scabs, and discoloration.
  • Emotional Distress: Feelings of guilt, shame, and anxiety.
  • Time-Consuming: Significant daily time spent on picking.
  • Failed Attempts to Stop: Struggles to control the urge.
  • Physical Consequences: Infections, bleeding, scarring.
  • Specific Focus Areas: Often targets certain body regions.
  • Triggers: Linked to stress, anxiety, or tension.

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Skin Picking Disorder Treatment

Treatment for Skin Picking Disorder typically involves a combination of therapeutic approaches to reduce or eliminate skin-picking behaviors. Here are the critical components of excoriation disorder treatment:

  • Professional Assessment: Begin with a comprehensive evaluation by a mental health professional, such as a psychologist or psychiatrist, specializing in treating Dermatillomania. This assessment helps determine the severity of the disorder and any underlying psychological factors.
  • Psychotherapy:
    • Cognitive-Behavioral Therapy (CBT): CBT is one of the most effective treatments for Dermatillomania. It helps individuals identify triggers and develop healthier coping strategies for stress and anxiety. Exposure and Response Prevention (ERP), a subtype of CBT, can be particularly helpful in managing compulsive behaviors.
    • Habit Reversal Training (HRT): HRT is a behavioral therapy designed explicitly for disorders like Dermatillomania. It focuses on increasing awareness of the skin-picking habit, identifying triggers, and teaching individuals to replace the picking behavior with alternative responses.
  • Medication: Sometimes, medication may be prescribed to help manage symptoms. Selective serotonin reuptake inhibitors (SSRIs) and other psychiatric medications may be considered, especially if the individual has co-occurring conditions like anxiety or depression.
  • Support Groups: Group therapy or support groups can provide a sense of community and understanding. Sharing experiences and coping strategies with others facing similar challenges can be empowering.
  • Mindfulness and Relaxation Techniques: Learning mindfulness meditation and relaxation exercises can help individuals manage stress and anxiety, often triggers for skin picking.
  • Education: Understanding the nature of Dermatillomania, its triggers, and its consequences is crucial for individuals and their loved ones. Education can help reduce stigma and promote empathy and support.
  • Identifying Triggers: Identifying the specific situations, emotions, or stressors that trigger skin-picking episodes is essential for developing effective coping strategies.
  • Replacement Behaviors: Encourage individuals to replace skin picking with healthier behaviors, such as using stress balls, fidget toys, or engaging in activities that keep their hands occupied.
  • Routine and Structure: Establishing a structured daily routine can help manage impulsivity and reduce the occurrence of skin-picking episodes.
  • Professional Monitoring: Regularly check in with the mental health professional overseeing the treatment plan to assess progress and make necessary adjustments.

If you’re seeking professional help with dermatillomania cure, consider the specialized dermatillomania medication treatment programs available at We Level Up Treatment Center, where our experienced team is dedicated to supporting your journey of improved mental well-being.

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  1. Why do I pick at my skin? Why do I pick my skin? Why do I pick my skin until it bleeds?

    Skin picking can result from various factors, including stress, anxiety, boredom, or a compulsive urge. Picking to the point of bleeding may be driven by relief, guilt, or shame.

  2. How to heal skin picking wounds fast?

    To promote faster healing, clean the wound, apply an antibiotic ointment, and cover it with a sterile bandage. Avoid further picking, as it can delay healing.

  3. How to stop picking your skin? How to stop picking at skin?

    To stop skin picking, seek professional help from a therapist specializing in Dermatillomania. Techniques like Cognitive-Behavioral Therapy (CBT) and Habit Reversal Training (HRT) can be effective.

  4. What are some drugs that cause skin picking?

    Certain medications, such as stimulants used to treat ADHD, can potentially increase some individuals’ skin-picking risk. Consult with a healthcare provider if you suspect medication-related skin picking.

  5. What is NAC for skin picking?

    N-acetylcysteine (NAC) is a supplement that has shown promise in reducing skin-picking symptoms. It may help balance neurotransmitters and reduce compulsive behaviors.

  6. Can scars from picking skin be treated?

    Scars from skin picking can be treated with various methods, including topical creams, laser therapy, microdermabrasion, or surgical procedures. Consult a dermatologist for personalized recommendations.

  7. How to stop dermatillomania?

    To stop Dermatillomania (compulsive skin picking), seek professional help for therapy, such as Cognitive-Behavioral Therapy (CBT) or Habit Reversal Training (HRT). Medication may also be considered in some cases. Building awareness of triggers and implementing healthier coping strategies is essential for recovery.

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Dermatillomania (Skin Picking Disorder) Symptoms, Causes, & Treatment. Excoriation Definition. How to Stop Skin Picking?

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