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Understanding Obsessive-Compulsive and Related Disorders: Focus on Body Dysmorphic Disorder

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What is Excoriation (Skin-Picking) Disorder?

Excoriation (Skin-Picking) Disorder is a condition where individuals habitually pick their skin, leading to skin lesions and significant distress. This behaviour often stems from feelings of anxiety or tension and is followed by a sense of relief or satisfaction.

Symptoms

The primary symptoms revolve around the compulsion to pick at the skin and the resulting physical and emotional consequences.

Common Indications:

  • Regular skin picking leading to lesions
  • Increased tension prior to picking
  • Feelings of relief post-picking
  • Attempts to cease the behaviour

Diagnosis

To diagnose Excoriation Disorder, a mental health professional conducts an extensive evaluation. They distinguish the disorder from other potential causes, such as dermatological conditions or substance abuse.

Treatment

The disorder can be treated effectively with the right approach.

Cognitive Behavioural Therapy (CBT)

CBT, and specifically habit reversal training (HRT), assists in recognising triggers and developing alternative behaviours.

Medication

medication, like selective serotonin reuptake inhibitors (SSRIs), may be prescribed to alleviate symptoms.

Living with Excoriation (Skin-Picking) Disorder

Management involves self-care practices such as engaging in activities that occupy the hands, maintaining a skincare routine, and practising mindfulness to address underlying stress and anxiety.