![]() Habit Reversal Training – this is a form of psychotherapy that helps patients to become more consciously aware of situations and events that trigger skin-picking episodes. When compulsive skin picking is generally an unconscious habit the treatment of choice is a form of cognitive behaviour therapy called Habit Reversal Training (HRT). Compulsive skin picking stemming from a psychological disorder is best treated with psychotherapy. Treatment for compulsive skin picking depends on the cause and the level of awareness the patient has regarding the problem. In extreme cases, they will avoid social situations to hide their condition from those around them. Sufferers will often try to hide the damaged caused to their skin by wearing make-up and/or clothes to cover the marks and scars. ![]() Compulsive skin picking often leads to permanent disfigurement, shame and social impairment. In severe cases, patients may create wounds so large that they require hospitalised care. ![]() Bleeding, bruising and secondary infections are not uncommon. ![]() Skin damage caused from compulsive skin picking can range from mild to extreme. What are the effects of compulsive skin picking? It may also be associated with methamphetamine or cocaine abuse. Skin-picking episodes can be a conscious response to anxiety or may be done as an unconscious habit.Ĭompulsive skin picking appears to be more common in women than in men, and often starts in adolescence. For some, the act of skin picking provides a feeling of relief or pleasure. Often certain events or situations trigger skin-picking episodes. In many sufferers of compulsive skin picking, skin picking is preceded or accompanied by a high level of tension, anxiety or stress and a strong urge to itch or scratch. ![]() It is essential for the doctor to consider all possible causes. An organic disease such as anaemia, uraemia or liver disease may also cause compulsive skin picking. In one study, 52% of patients with compulsive skin picking were also diagnosed with OCD. The most common co-existing psychiatric conditions are major depression and anxiety disorders, especially obsessive-compulsive disorder ( OCD). Individuals with compulsive skin picking often have a co-existing psychiatric disorder. See more images of compulsive skin picking. ![]()
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