Understanding Dermatillomania (Skin Picking Disorder)
Compulsive skin picking isn't a bad habit — it's a recognised condition that you can get help for.
What Is Dermatillomania?
Dermatillomania, also known as excoriation disorder or skin picking disorder, involves repetitive picking at your own skin.
It is classified as a body-focused repetitive behaviour (BFRB) and is related to OCD.
The picking often targets perceived imperfections like spots, scabs, or dry skin, but can occur on healthy skin too.
It is more common than many people realise and affects approximately 1-5% of the population.
How It Manifests
Picking at skin on the face, arms, hands, legs, or other body parts.
Spending significant time picking — sometimes hours at a time.
Picking that causes tissue damage, scarring, or infection.
Feeling unable to stop despite wanting to.
Picking happening automatically (without awareness) or deliberately (to relieve tension).
Using fingers, tweezers, pins, or other tools to pick at skin.
Examining skin closely in mirrors, searching for imperfections to remove.
The Emotional Cycle
Tension or anxiety builds before picking.
Temporary relief or satisfaction during picking.
Shame, guilt, and embarrassment afterwards.
Hiding the damage with makeup, clothing, or avoiding social situations.
The shame can trigger more anxiety, leading to more picking — a vicious cycle.
Treatment and Self-Help
Habit reversal training: identifying triggers and substituting alternative behaviours.
Cognitive behavioural therapy (CBT) specifically adapted for BFRBs.
Keep hands busy with fidget toys, textured objects, or crafts.
Reduce triggers: cover mirrors, wear gloves, or use barrier products on skin.
The TLC Foundation for BFRBs offers excellent resources and support.
Medication (SSRIs or N-acetylcysteine) may help some people.
Be patient and compassionate with yourself — recovery is a process, not a destination.