Compulsive Skin Picking (CSP; also referred to as Dermatillomania) is the repetitive picking of one’s skin. Individuals engage in compulsive skin picking to relieve internal discomfort. Individuals often experience an urge or itch to engage in the behavior; however this is an unconscious habit for many. Many experience a feeling of relief or pleasure following skin picking. CSP typically occurs on the face, but also occurs on areas of the skin where there is a change in texture, such as around a mole, scab, or blemish. Individuals may use their fingernails, teeth, tweezers, or other tools to pick their skin, which often leads to noticeable tissue damage and sometimes to permanent disfigurement. As a result, individuals may wear make-up or clothing to hide the damage they have caused to their skin. Some individuals may even avoid social situations to avoid having others see their damaged skin.
Habit reversal is the specific CBT technique used to treat CSP. Habit reversal involves three steps: awareness training, competing response, and social support. Because the behavior may occur during times of relaxation, such as when watching television or talking on the phone, it is crucial for the individual to notice when they are picking. Additionally, awareness training allows the individual to recognize the thoughts that precede the urge, if the picking occurs as a result of stress. The competing response gives offers an alternative to picking when the urge arises. A common competing response is clenching the fists and releasing. Finally, social support is a crucial aspect of treatment, as others assist in awareness, recognize improvements, and provide encouragement.
1401 Castle Court
Houston, TX 77006
Compulsive Skin Picking
Thank you so much for helping me face my fears and giving me the tools and confidence to get my life back.
