Why We Need to Talk More About Skin-Picking Disorder

, body-focused repetitive behavior are categorized as part of obsessive-compulsive-related disorders, and there are some similarities, they are not completely the same.From a dermatological perspective, a tell-tale sign is numerous secondary lesions of the skin, such as scratches, erosions, ulcers, and scabs, without the presence of primary skin disease.

Shame and guilt are also part of the psychology of battling a skin-picking disorder, stresses Yip. "People who have skin picking disorder do not enjoy picking their skin—often, they'll have tried to stop without success in the past," she explains. "Therefore, when it does happen and it reaches a point of bleeding, there's a lot of embarrassment, shame, and guilt.

In raising awareness of the triggers behind one's picking, it's essential to identify the where, when, and how, emphasizes Yip. "Most times, when people are picking, they will say they get into a trance state," she explains. "They don't really have an awareness of how much they have picked until they're done.

In terms of healing the skin barrier, Rieder recommends very inert products such as petrolatum ointment and ceramide-based creams. "They are best for repairing the compromised epidermal barrier without the risk of irritant or allergic contact dermatitis," he explains. "People often want to use topicals with actives or anti-aging and lightening benefits, but those invariably lead to problems." Ultimately, it's personalized behavioral therapy that's key.

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