09 November,2018 | Reading Time: 5 minutes
We have often found ourselves absent-mindedly picking at the skin around our nails or picking at scabs on our hands or legs. But like everything else, Skin Picking Disorder becomes the predominant thing on your mind and you do it repeatedly enough to cause damage to your skin or to let it interfere with your daily functioning.
Also known as Excoriation Disorder or Dermatillomania (Derma – skin, till – pull, mania – madness), skin picking is a disorder which involves an individual repeatedly picking their own skin, so much that the skin may even bleed, form sores and scars, and that causes a significant disruption in the individual’s general lifestyle.
This behavior is grouped as a Body-Focused Repetitive Behaviours (BFRBs) because people tend to pull, rub, scratch, or dig into their skin and sometimes do it to remove perceived imperfections from their skin and to ‘groom’ themselves which causes more tissue damage, discoloration, and scarring.
In the latest edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), skin picking is classified as an ‘obsessive-compulsive and related disorder’ because of the compulsive urge to perform this repetitive behavior of skin picking.
These are some of the signs and ocd symptoms that can help you identify skin picking disorder:
|Experiences that usually lead to picking||Experiences that usually follow picking|
|An urge or physical tension||Urge reduction|
|Uncomfortable emotions||A sense of relief/pleasure|
|Thoughts about the imperfections||Social embarrassment, avoidance, reduced productivity|
|Displeasing sense of appearance||Emotional issues such as anxiety or depression
Skin picking can develop after occasional picking at a rash or skin injury which causes more injury to the skin in turn and eventually becomes a cycle. It can also develop out of stressful situations as absent-minded nervous skin picking which then becomes a habit.
Apart from what is already discussed, it is important to look at things from the point of view of the person with the disorder and understand just how much this condition can impact a person’s life. Skin picking can cause so much pain and isolation in an individual where they feel so emotionally distressed about the behavior and the inability to stop even though it might hardly be in their control. It can lead them to go to great lengths to hide the concerned areas of the skin which also adds to the amount of time they spend focusing on their skin apart from picking itself that time management becomes really difficult for them.
Because there’s a whirlwind of preoccupation and emotions involved in this, this can also cause strained relationships with family and friends as they start avoiding talking about it or stop enjoying any quality time with loved ones. Because of this, it might be important for carers to get professional help to cope with this problem as well.
Skin picking disorder cannot be self-diagnosed. If you identify signs, it is best to see a doctor who will rule out any other underlying causes such as medical conditions or other mental health disorders that commonly occur with skin picking disorder and treat the larger issue first. Once the doctor has diagnosed skin picking disorder, there are two most important types of treatment you can take:
Medication – Antidepressants (SSRIs) are generally prescribed for obsessive-compulsive related disorders and help in reducing the obsessive thoughts and urges and the compulsive need to pick the skin.
Psychotherapy – Because skin picking can get so emotionally distressing, it is important to talk to someone who will understand the thoughts and feelings you express and help you identify what is causing this urge to pick at skin even though you know it is harmful to you. Cognitive-Behavioral Therapy will help you address thoughts arising from low self-esteem, any body image issues, thoughts and feelings arising from stressors that makes you indulge in this behavior and then actively help you train yourself in two ways:
Additionally, if you think you have this disorder, make sure to go to a dermatologist who can help you treat the injuries on your skin and find support groups in your area which might be difficult in India but you may find online forums where you can find a support group for similar issues and work to deal with this problem along with them.
Skin picking can be a difficult condition to deal with so it is most important to remember to be supportive of yourself while you learn to identify and cope with the problem because it can be a slow process at first but every small goal you achieve is a step towards healing that you must be proud of and slowly watch the condition become less and less distressing.
Most importantly, start sharing your feelings and worries with people you trust around you and let the emotions out instead of letting it manifest into skin picking behavior.
Remember that it is not only okay but good to ask for emotional support. Contact at Cadabam’s Hospitals or call us at 97414 76476