Dermatillomania can either be classified under OCD spectrum disorders or Impluse Control disorders. It is defined as the uncontrollable compulsion to pick at your skin. Scalp, face, arms, legs, chest, lips, anywhere really. It is an issue that is coming to light in recent years, as many of us are just figuring out that this disorder exists.. that its not just a bad habit we can't seem to kick. Dermatillomania is linked to OCD, trichotillomania (compulsive hair pulling), depression, social anxiety, body dysmorphic disorder, among many other things.

This is a place where we all come together. A place to share our stories, recieve support, and learn ways to cope.

You are not alone.

Oh my God. I have been searching for years for a place that is active where I can feel like I belong. Thank you guys so much for this. I may not know you, but I really understand how awful this disorder really is. 

How awful is it to walk into class and feel like a clown because your arms are covered in light pink polka dots? Or that feeling of intense dread when that special someone you like notices your cut up fingernails and your facial scarring? Even swimsuit season scares me every year because under my belly button is a small group of dark pink dots.

I want you all to know that I will always be here to support you. I’ve wanted so desperately to find help and support for a long time now, so to make it easier for anyone looking for the same thing, I’m offering it out to others. Dermatillomania is a difficult disorder to curb, much less kick completely, and it comes with a secial, particularly potent brand of shame. I am here for you and I hope you are here for me. So if you ever need someone to talk to, please drop me an ask or a message. I may not be able to give advice on some things, but sometimes it’s just nice to talk to somebody that truly understands where we’re coming from! I love you all. Don’t you ever forget that our imperfections make us beautiful.

Help Skin Picking Get Recognized in the Revised DSM-5!

I don’t know if you guys have subscribed to the OCD Center of LA’s newsletter (I did even though I’m in Missouri because I’ve heard amazing things about them), but I got this in my inbox just a few hours ago and I strongly urge you guys to help spread the word!

From the OCD center of LA:

For years, we at the OCD Center of Los Angeles have been treating adults, adolescents and children suffering with Dermatillomania, also known as Compulsive Skin Picking, or CSP.  But this condition has never been formally recognized by the medical establishment.  That may not seem important to some, but the impact of ignoring this devastating condition is that virtually no money has ever been spent funding research into the causes and treatment of skin picking.  Furthermore, because skin picking is not considered a “real” condition, most insurance companies won’t provide coverage or reimburse for treatment.


But all that can change.

The American Psychiatric Association (APA), which publishes the Diagnostic and Statistical Manual (DSM) is strongly considering including a new diagnostic category called Skin Picking Disorder in their soon-to-be-published updated manual, the DSM-5.  But they are accepting feedback from the public and the mental health community, and may still decide to reject recognizing skin picking as a legitimate behavioral and mental health condition. 

The OCD Center of Los Angeles urges you to take a few minutes out of your busy day to contact the APA during this brief period during which they are accepting comments from the public.  Let the APA know just how important it is to finally include Skin Picking Disorder as a real condition in the upcoming DSM-5.

All you need to do is go to: www.dsm5.org

You will then need to create a username and password and log In before you can comment.     

When you get into the APA’s DSM-5 comments section, we ask you to do the following:

1) Express overall support for the current proposed inclusion of Skin Picking Disorder.

2) While you are there, express strong support for the new name of “Trichotillomania” as “Hair Pulling Disorder (Trichotillomania)” for being more accurate and less stigmatizing.   

3) Express strong support for the inclusion of Skin Picking Disorder in the same group as Hair Pulling Disorder (not in the appendix).   

4 ) Express support for the use of the term “Body Focused Repetitive Behavior Disorder” (BFRB) to help cover related behaviors such as severe nail biting. “

By getting our condition into the DSM, psychiatrists and psychologists around the world will be exposed to the condition which will certainly prompt action and study. The more we push this, the more chances we’ll have for some serious breakthroughs in treatment!

To the anon who asked if it is possible to be taught to be a dermatillomaniac, my parents also encouraged me to pick at my white heads. My mum had also told me this story about when she had an ingrown hair on her thigh which she did not get rid of, and then it scarred really badly. These are what I believe started it for me, so I believe you can be "taught" to be one.

Not even taught maybe, but encouraged. There are a lot of misconceptions about whether or not to pick at ingrown hairs and whiteheads. In most circumstances, if you leave it alone, it will go away faster (I promise). Eventually the hair will work its way out, or in the case of a white head, your body will reabsorb those oils. When you pick at those things, you tear a layer of skin off, and even if it doesn’t make you bleed when you do it, the raw area of skin needs to protect itself- thusly making a scab, which- gives you more to pick at, which is bad.

also- run on sentences are bad, don’t follow my example. xo

The best way I found to not pick and not give in to my dermatillomania is to be really busy. When you are busy all day, your hands doing something and then you get home at night all you want to do is sleep, you dont hav etim eto pick. I mainly pick when I am alone / idle / watching TV / surfing the web. It used to be real bad but now I'm much better though sometimes I still pick, it does get better, dont give up. xoxo

Thank you for the tips and kind words. It’s always good to have alternatives.

I've had Dermatillomania for 4, going on 5, years now. Since I was 14 years old. Thank you for your blog.. I don't know what I'm going to do without Derma. I feel like if I kick this disorder I will have no stress release, and right now as I'm fighting this, I'm trying to find other things to replace that.

<3 Try knitting!

I'm so glad I found this page, now I know I'm just not a kid who never got over their childhood habit of picking everywhere. I mess with the acne and black heads on my face, and the little bumps that form on my arm because I got Keratosis pilaris about two years ago. I also pulled the skin down on the edge of my thumb nails, and I rip skin off of my hands on an nearly daily basis. Realizing that this is what I have strangely makes me feel a little better about my self. Thank you.
 Anonymous

Knowing it has a name lets you know that you’re not alone. Good luck. xo

Hi everyone,

I was looking up OCD the other day and learned about dermatillomania, and was shocked when I read the symptoms. I think I may have this. I have picked at my skin for as long as I can remember. I used to pick at my face but am not as bad about that now as I was. Now I mostly pick my back, arms, and shoulders, and other areas that I notice blemishes on but not nearly as badly as the aforementioned areas. I notice I do this more when I’m stressed or bored. My parents have told me to stop, that I am destroying my skin, and I want to stop but sometimes I don’t even realize that I’m picking. My parents assume that it’s something I do because I want to, and sometimes I do, but even then I know that’s not what I really want in the end. But I get discouraged when I look at myself and see the damage that has already been done. I am so ashamed! I just wanted to share my experiences, maybe to acknowledge that it’s a bigger problem than people think and that it’s hard to stop, and also find some solace in that there are others out there like me. I thought I was a freak and a failure. I always think people judge me by my marked skin, and I know I judge myself on it. But now I realize there are others struggling with the same thing. Thank you for sharing your stories and experiences, it really helps me to know I’m not alone.

My struggle with dermatillomania.

I hope this will give me to motivation i need to stop this.

Is it bad to leave dermatillomania untreated? I'm pretty sure I have it but I'm scared to bring it up with my parents, especially since my parent always encouraged me to pick at my white heads. Is it possible to be taught to be a dermatillomaniac?
 Anonymous

Anything is possible I suppose. It could be bad to leave it untreated only in severe cases where infection is an issue. I would bite the bullet and bring it up to your parents. Keep active with sites/blogs like this, we have a lot of tips to offer. Good luck!

itscalledcmyk:

Compulsive skin picking, dermatillomania, or neurotic excoriation is a condition in which the victim is overwhelmed by an unbearable urge to pick at their own skin. At times this condition is brought on by anxiety, depression, or Trauma Reenactment Syndrome triggered by past events. Subject A felt compelled to collect and document the byproducts of the disorder and used knitting as a way to attempt to replace the act of picking. These are documents of a month and a week in that life.

“Subject A: 7 Days”
March 2012
Concealer, blood, tissue, gold leaf, and hand-spun wool

“Subject A: October 2011”
November 2011
Cocoa butter, aloe vera, thread, tissue, blood, concealer, and lotion


Sigh, I can’t believe that its all over.

Update!
Hope you guys are all doing well!

xo Riley