Dermatillomania: An Exploration into Compulsive Skin Picking Disorder

Dermatillomania, also known as Compulsive Skin Picking Disorder, is a psychiatric disorder characterized by an overwhelming urge to pick at one's own skin. It is classified under the Obsessive-Compulsive and Related Disorders category in the Diagnostic and Statistical Manual of Mental Disorders (DSM-5). This article provides a comprehensive understanding of this often misunderstood and underdiagnosed condition.

The Nature of Dermatillomania

Defining Dermatillomania

Dermatillomania is an impulse control disorder where individuals compulsively pick at their skin to the extent it causes noticeable damage and distress. It is not merely a 'bad habit' but a chronic condition that affects the individual's daily life, self-esteem, and overall well-being.

Symptoms of Dermatillomania

The main symptom of Dermatillomania is recurrent skin picking resulting in skin lesions. The urge to pick is usually preceded by tension or anxiety, and the act of picking provides temporary relief. Other symptoms can include a significant amount of time spent picking the skin, repeated attempts to decrease or stop skin picking, and impairment in social and occupational areas of functioning.

Dermatillomania in Daily Life

Impact on Mental and Physical Health

Dermatillomania has a significant impact on mental and physical health. Physically, it can lead to skin infections, scarring, and disfigurement. Psychologically, it is associated with feelings of shame, embarrassment, and isolation. Many individuals with Dermatillomania also experience co-occurring mental health disorders like anxiety and depression.

Social and Occupational Consequences

Due to the visible marks or scars left on the skin, individuals with Dermatillomania often face social stigma and discrimination, leading to avoidance of social situations and potential isolation. It can also impact occupational functioning, with individuals finding it difficult to maintain focus and productivity due to the compulsive urge to pick at their skin.

Treatment for Dermatillomania

Cognitive Behavioral Therapy (CBT)

Cognitive Behavioral Therapy (CBT), specifically a subtype known as Habit Reversal Training (HRT), is often used in the treatment of Dermatillomania. It helps individuals to identify triggers, learn alternative coping strategies, and develop a more positive body image.

Medication

Although there are no specific medications for Dermatillomania, certain types of psychiatric medications, like selective serotonin reuptake inhibitors (SSRIs), can be effective in reducing symptoms when used in conjunction with therapy.

Dermatillomania is a complex disorder that requires understanding and compassion. With the right treatment and support, individuals with this disorder can manage their symptoms and lead a fulfilling life.

Grouport Offers Online Group Therapy & Online DBT Skills Group

Grouport Therapy provides online group therapy for anger management, anxiety, borderline personality, chronic illness, depression, dialectical behavior therapy, grief and loss, obsessive compulsive disorder, relationship issues and trauma and PTSD. Our licensed therapist leads weekly group sessions conducted remotely in the comfort of members' homes. According to participant feedback, 70% experienced significant improvements within 8 weeks.

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