Dermatillomania Therapist Near Me. Best Therapy for Excoriation disorder (2022)

Some people pick their skin from time to time, but it isn’t a chronic condition. In others, picking their skin can be a habit that they find impossible to control. When this is the case, it is known as “excoriation disorder or dermatillomania.” The picking is so damaging to the skin because it causes it to bleed and often leads to scarring. For these people, this behavior is a habit that they cannot break. Excoriation disorder is a condition that is related to “obsessive compulsive disorder” or OCD. Therefore, if a patient has been diagnosed with OCD, it wouldn’t be unusual for him or her to also be diagnosed with excoriation disorder.

Dermatillomania Therapist Near Me. Best Therapy for Excoriation disorder (1)

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How can i find help?

Online excoriation disorder therapy can help! “BetterHelp” and “Findyourtherapy” are websites that offer counseling services for excoriation disorder online.

How about other excoriation disorder therapies online?

Doctors choose between the following therapies for the treatment of excoriation disorder:

Cognitive behavioral therapy

Therapists use cognitive behavioral therapy to treat excoriation disorder in most cases because they found this therapy to be highly effective for treating this disorder. With this therapy, counselors teach their clients techniques that can take the place of the picking behavior. Patients interact directly with their therapists to ensure that the therapy works. For this purpose, they must keep a daily log of where they are when they begin to pick their skin. They also need to record their thoughts right before they begin the picking behavior and after they complete it.

With this log in hand, the therapist has a good idea of how she can develop an intervention that will reduce the behavior. The point is to make it so that the patient doesn’t consider the behavior to be a positive thing. If the therapist can keep the patient from seeing the behavior as a good thing to do, she will help her reduce her need to perform the picking behavior.

Therapists use several techniques to help their clients stop the picking behavior. For example, they will also introduce cognitive restructuring to the therapy sessions. It is the therapist’s job to help a client recognize the irrational or negative beliefs that present themselves before the picking behavior usually begins. Then, the therapist changes those beliefs with cognitive restructuring. This includes helping the patient recognize that emotions and thoughts are harmless and that they can be allowed to pass without the need to pick the skin.

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(Video) Excoriation disorder: current treatment options – Video abstract [ID 121138]

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Acceptance and commitment therapy

Acceptance and commitment therapy came from cognitive behavioral therapy and other traditional behavior therapies. With acceptance and commitment therapy, clients learn that they must stop struggling with negative emotions, stop avoiding these emotions and stop denying that these emotions exist. Instead, they learn that these emotions are appropriate responses to the current situation and that it is unreasonable to allow these emotions to disrupt their lives. When they learn to see their emotions in this manner, they learn to accept them, and they can make the changes they need to make without being concerned about their thoughts and feelings.

Clients learn that trying to control negative memories, thoughts and feelings is not a healthy way to confront a negative emotion. The behavior doesn’t truly work, and it doesn’t stop the negative thought from popping into their heads again in the future. What it ends up doing is causing the person to feel worse. Rather than try to deny that a thought or an emotion exists, therapists help their clients commit to a particular behavior or pay more attention to their personal values. If these patients change their behaviors at the same time that they accept the emotions that they are experiencing, they will be able to change the way they feel about their issues.

Self help

Some people are wary about seeking help from a therapist for many reasons. They may have had a bad experience with a therapist in the past, and they don’t want to repeat it. They may also believe that they can handle their problems on their own, and this may be true. Self help is the act of engaging in interventions or actions that you can perform by yourself without assistance from a therapist.

Self help involves taking the first step of identifying what you need. Once you know what you want to accomplish, then you can take the actions that cause the changes to take place. Personality traits and habits are not necessarily ingrained in a person for life. You can change them, but it may take a little effort.

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Medications

If a therapist treats a patient for a mental health disorder, the disorder may be the cause of the patient’s dermatillomania. When this is the case, the patient may respond well to medications. Selective serotonin reuptake inhibitors or SSRIs are antidepressants prescribed for patients diagnosed with depression. These drugs prevent the reuptake of serotonin in patients’ brains so that there can be an increased amount of serotonin. The result is that an increased number of messages can be sent between the neurons. Along with depression, these medications also treat anxiety.

Other drugs that may be prescribed to treat dermatillomania are “anticonvulsants.” Doctors prescribe anticonvulsants to stabilize their patients’ moods when they have been diagnosed with bipolar disorder. These medications work to calm hyperactivity.

(Video) DERMATILLOMANIA | HELPFUL THINGS WHICH DECREASE SKIN PICKING 👀🙋🏼‍♀️

Antipsychotic medications treat bipolar disorder. They are prescribed to reduce serious symptoms, such as mania, delusions and hallucinations. These drugs may also be prescribed to treat anxiety. They are known to prevent people from acting recklessly or impulsively.

The best places to find help for excoriation disorder.

BetterHelp is one online platform that has treatments for dermatillomania online. People shy away from treatment for mental health disorders because they are concerned about the cost, but at BetterHelp, therapy is very affordable. The website employs several therapists, and the platform also serves as a meeting place for patients and their therapists.

Findyourtherapy is another online platform for people searching for help with excoriation disorder. It is similar to BetterHelp and allows you to choose between live chat sessions, phone calls or video. The therapists on both websites are equally as educated and trained as therapists in more traditional settings.

How does the service work?

When you join BetterHelp, you must sign up for the platform by taking a questionnaire. You will answer questions about yourself so that the system can determine which therapist would best suit your needs. Then, your therapist will contact you so that you can set up your first online meeting.

The system works similarly for Findyourtherapy. First, you choose the type of therapy you would like. You may choose individual therapy, couples therapy or LGBTQ therapy. After the system finds a therapist for you, you will receive a message. Then, you can plan to meet your therapist for the first time.

You will be able to choose the device you will use to attend your therapy sessions. For example, you can decide to use your laptop or tablet, but you can also have your sessions over the phone. If you would like to have a face-to-face experience, you can choose to have a live chat or a video call. As some people are very shy about discussing their intimate issues with a stranger, these platforms make it easy for you to maintain your anonymity during your therapy sessions. For example, you may use a pseudonym rather than your real name when you sign up for a live chat.

Dermatillomania Therapist Near Me. Best Therapy for Excoriation disorder (3)

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What is the best choice for dermatillomania treatment?

BetterHelp only hires psychologists, marriage and family therapists and clinical social workers with licenses in their states. Every therapist has earned a master’s degree or a doctorate. They must also have at least three years of experience practicing their professions.

(Video) How to stop SKIN PICKING| Dr Dray

The psychologists that Findyourtherapy hires have experience with several mental health conditions, including OCD and anxiety. Each therapist has a master’s degree and has been licensed to practice in his or her state.

How much does the service cost?

At BetterHelp, the system will charge between $60 and $90 per week. After four weeks, the system bills your credit card or PayPal account. You can choose to cancel your subscription at any time.

At Findyourtherapy, the payment system works in the same way. People love this way of paying for their therapy because they don’t have to pay a bill after they finish every session. With the subscription plan, they can schedule a therapy session as many times throughout the month as they need to do so, and they will only need to pay for these sessions at the end of the month.

Online therapy is preferable to the traditional type because traditional therapists will bill your insurance company for payment, and not all insurance plans adequately cover the cost of online therapy sessions. The truth may be that you would have a higher co-payment for each therapy session than you would have to pay for one month of therapy sessions for online therapy. Therefore, online therapy is very affordable for people with or without insurance.

Conclusion: Finding treatment for dermatillomania.

It doesn’t have to be hard to find a dermatillomania therapist near you. It’s as simple as searching for a trained and competent therapist on the internet. When you are finished, you will be able to attend your therapy sessions on the website as well. On top of that, you will be able to easily afford these sessions, so start your search today.

(Video) Pharmacologic Treatment of Hair-Pulling and Skin-Picking Disorders

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(Video) How To Stop Hair Pulling and Skin Picking! The ComB Model! (Part 1)

FAQs

What is the best treatment for excoriation disorder? ›

Cognitive behavioral therapy (CBT), a type of talk therapy, is currently the most effective therapeutic approach for excoriation disorder. CBT helps people better understand the connection between their thoughts, feelings and behaviors to help combat unwanted mental health symptoms.

Who treats excoriation disorder? ›

If there is no one on the list near you, you can also look for a therapist who treats obsessive-compulsive disorder. They are often trained in similar types of treatment. It is also a good idea to see your primary care doctor or a dermatologist about any skin lesions, wounds, or scars caused by the repetitive picking.

What is the difference between dermatillomania and excoriation? ›

Dermatillomania is a mental health condition where a person compulsively picks or scratches their skin, causing injuries or scarring. Also known as excoriation disorder or skin-picking disorder, this condition falls under the category of obsessive-compulsive disorders (OCDs).

How do I get help for dermatillomania? ›

The primary treatment for dermatillomania is behavior therapy. Behavior therapy is a form of cognitive-behavioral therapy (CBT). Although some forms of CBT involve efforts to change your thinking, behavior therapy for dermatillomania typically does not.

Which areas of the body are at the most risk for excoriation? ›

Common Body Areas Affected by Skin Picking

Face: An estimated 32% of people with dermatillomania pick at the skin of their face. Legs: Approximately 17% of people with excoriation disorder focus most of their picking on their legs. Scalp: For 22% of those with skin picking disorder, the focus is on the scalp.

What is the best antidepressant for skin picking? ›

A number of studies show that selective serotonin reuptake inhibitors (SSRIs) may be efficacious in reducing skin-picking behaviour.

Can you cure excoriation disorder? ›

While no medication has been formally approved by the FDA to treat excoriation disorder, there is evidence to suggest that selective serotonin reuptake inhibitor (SSRI) antidepressants and N-acetylcysteine (NAC), an antioxidant supplement, can be helpful.

Is excoriation disorder genetic? ›

Genetics: Individuals who experience dermatillomania are more likely to have at least one first-degree relative (parent or sibling) who also has this condition.

Can dermatologists treat dermatillomania? ›

Cold calling Dermatologists and questioning them on what they know about Dermatillomania or utilizing the same strategy but in person can both be effective. The goal is to locate one of the 10 percent who gets it, or find a dermatologist who is at least open to learn about skin picking disorder.

What is the root cause of dermatillomania? ›

While dermatillomania can be triggered by negative emotions such as anxiety, it isn't always; boredom, for example, is just as common a trigger. What's more, any pain caused by skin-picking is rarely the intention; instead, the behaviors often are experienced as soothing or relaxing, at least in the moment.

What triggers dermatillomania? ›

People may pick their skin for various reasons. Some may feel compelled to remove perceived imperfections, while others pick in response to stress, boredom, or out of habit. In many ways, skin picking disorder is a repetitive or obsessive grooming behavior similar to other BFRBs, such as hair pulling and nail picking.

Is dermatillomania serious? ›

Dermatillomania or skin picking disorder is characterized by repetitive skin picking leading to tissue damage. Skin picking disorder can lead to serious medical conditions, such as Scarring, ulcerations and infections (1).

Does CBT work for skin picking? ›

Cognitive behavioral therapy (CBT) is the most common form of (and most effective in our experience) psychotherapy for the treatment of excoriation (skin picking) disorder and other body-focused repetitive behaviors, such as trichotillomania[12,13,14].

Is dermatillomania hereditary? ›

It is concluded that pathological skin picking is relatively prevalent problem, particularly among women, and that it tends to run in families primarily due to genetic factors.

Is Picking your skin a trauma response? ›

We found that skin-picking is related to various types of traumatic events (emotional neglect, emotional abuse, bodily threat, sexual harassment), and that dissociative symptoms partially mediate this relationship.

How many people in the world have dermatillomania? ›

Habitual skin picking is formally called excoriation disorder (in the past, it was known as dermatillomania). It affects roughly 1.4 percent of the population, according to the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders (D.S.M.-5). (Some studies put the rate higher.)

How is neurotic excoriation treated? ›

A dermatologic approach to neurotic excoriations may include the use of antibiotics, topical steroids or lubricants: If there is significant crusting and secondary bacterial infection of the erosions, antibiotic therapy (e.g., erythromycin or a first-generation cephalosporin) is indicated.

Does zoloft help skin picking? ›

However, the treatment for hair pulling and skin picking and other BFRB is not the same as for OCD. Medication is often the first line of treatment. Selective Serotonin Reuptake Inhibitors (SSRI) like Prozac, Zoloft, Paxil, and Lexapro offer some symptom relief.

Is skin picking related to ADHD? ›

“While a typical kid might want to squeeze the pimple or pick at the nail, they're able to control their urges and stop themselves.” But kids with ADHD have poor impulse control. They start squeezing or picking to rid themselves of the distraction and persist, although they see that they're scarring their skin.

Can dermatillomania cause nerve damage? ›

Pulled Tendons/Pinched Nerves/ Arthritis:

Dermatillomania can cause damage to the finger muscles. Just ask Picking Me Foundation Founder and CEO Lauren McKeaney. “I have pinched nerves in my fingers, largely around my knuckles [because of my picking],” McKeaney said.

Can you have dermatillomania without OCD? ›

Skin-picking disorder isn't common, but it's well documented. It's considered a mental health condition related to obsessive compulsive disorder (OCD). Not everyone with OCD will develop skin-picking disorder, but many people who have this disorder often experience OCD, too.

What causes neurotic excoriation? ›

Neurotic excoriations can be initiated by some minor skin pathology, such as an insect bite, folliculitis, callouses, scabs, or acne, but it can also be independent of any pathology.

What does excoriation look like? ›

Signs and symptoms of excoriation of the skin include the following: Itchy skin patches. Thin crust on the affected areas. Redness of the affected area.

Is dermatillomania in the DSM 5? ›

Excoriation Disorder or Skin-Picking Disorder is also known as dermatillomania and is brand new in the Diagnostic and Statistical Manual of Mental Disorders, 5th Edition (DSM-5)*. People who have the disorder have a constant desire to pick at their skin even if it causes it to rupture, bleed and damages it.

How common is skin picking disorder? ›

Skin picking disorder may affect as many as 1 in 20 people. Although it occurs in both men and women, research suggests that skin picking disorder occurs much more often in women. Skin picking can begin in childhood or adulthood.

What does dermatillomania look like? ›

Signs and Symptoms of Dermatillomania

Recurrent skin picking resulting in lesions: this includes picking at already existent skin lesions, such as acne, but also picking at normal skin to create new lesions. Repeated attempts to decrease or stop skin picking: this differentiates dermatillomania from a bad habit.

How do you treat dermatillomania scars? ›

Treatment Of Skin Picking Scar By A Dermatologist
  1. Laser – The best solution to any type of scar removal is Laser. ...
  2. Cryotherapy – Cryotherapy is used along with other treatments to avoid the growth of Keloid like scars.
16 Aug 2022

How do you treat excoriated acne? ›

Topical (or external) treatments include one or more creams, washes, or gels that include: Antibiotics such as benzoyl peroxide, clindamycin, erythromycin, sulfur, sodium sulfacetamide, and azelaic acid. Retinoids – vitamin A-derived products such as tretinoin, tazarotene, and adapalene.

What is excoriation skin lesion? ›

Excoriation disorder is characterized by recurrent picking of one's skin resulting in skin lesions. Patients with excoriation disorder repeatedly pick at or scratch their skin; the picking is not triggered by cosmetic or health concerns (eg, to remove a lesion that they perceive as unattractive or possibly cancerous).

Why is skin picking soothing? ›

Compulsive skin picking is done to self-soothe or deal with anxiety or other negative emotions. This behavior is very much like a kind of hair pulling. “It's a way to tune out the world. It's almost like a drug,” explains Dr.

Is skin picking a form of dissociation? ›

Skin-picking development has been suggested to be preceded by traumatic life events. Dissociative symptoms have been reported as experienced by skin-picking sufferers during picking episodes.

Is skin picking a symptom of BPD? ›

Compulsive self-injurious behavior (SIB), including hair pulling, nail biting, skin picking (SP), and scratching, is habitual, repetitively occurs, and is frequently observed as a comorbid condition in various psychiatric disorders, such as borderline personality disorder (BPD), post-traumatic stress, depressive, ...

Can PTSD cause skin picking? ›

Conclusion. We can conclude that trauma may play a role in development of both trichotillomania and skin picking. Increased duration of trichotillomania or skin picking was correlated with decreased presence of post-traumatic stress symptoms.

What category is excoriation disorder? ›

The American Psychiatric Association's Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition, Text Revision (DSM-5-TR), places excoriation (skin-picking) disorder in the category of obsessive-compulsive and related disorders and notes that it is characterized by recurrent body-focused repetitive behavior ...

Is excoriation more common in males or females? ›

Most previous studies, mainly conducted in college students, have reported the disorder to be more common in women, albeit with considerable variation, with some studies reporting it to be relatively uncommon in men.

Does picking scabs release endorphins? ›

The mild pain associated with picking a scab also releases endorphins, which can act as a reward. Scab picking, like many grooming behaviours, is also a displacement activity that can help to distract us when we are bored, stressed or anxious.

How do I stop picking at my head? ›

If you're finding it hard to stop picking, consider seeking help from a therapist. Many people find relief through doing cognitive behavioral therapy. This type of behavioral therapy helps to rewire your thought patterns and behaviors. You can also make an appointment with a doctor to talk about medication options.

What medications are prescribed for skin picking? ›

Selective Serotonin Reuptake Inhibitors (SSRIs)

Several studies have examined SSRIs in treating trichotillomania and skin picking. The SSRIs include: fluoxetine (Prozac), fluvoxamine (Luvox), sertraline (Zoloft), citalopram (Celexa), escitalopram (Lexapro), and paroxetine (Paxil).

Can a dermatologist help with skin picking? ›

While skin picking is typically a chronic condition with occasional flares, dermatologic treatments, therapy, and medications can help—but different patients will need different support.

How is neurotic excoriation treated? ›

A dermatologic approach to neurotic excoriations may include the use of antibiotics, topical steroids or lubricants: If there is significant crusting and secondary bacterial infection of the erosions, antibiotic therapy (e.g., erythromycin or a first-generation cephalosporin) is indicated.

How long does it take for skin to heal from picking? ›

When you pick the skin around your nails, the skin will heal in a few days without leaving any permanent damage. If you have been repeatedly picking at one scab however, there are chances it could leave a permanent scarring.

Is excoriation disorder a mental illness? ›

Excoriation disorder (also referred to as chronic skin-picking or dermatillomania) is a mental illness related to obsessive-compulsive disorder. It is characterized by repeated picking at one's own skin which results in areas of swollen or broken skin and causes significant disruption in one's life.

Is excoriation disorder genetic? ›

It is concluded that pathological skin picking is relatively prevalent problem, particularly among women, and that it tends to run in families primarily due to genetic factors. Non-shared environmental factors are also likely to play an important role in its etiology.

Is skin picking an impulse control disorder? ›

Pathological skin picking is an impulse control disorder that causes significant anxiety and disfigurement to those afflicted. Standard therapy with a selective serotonin reuptake inhibitor provides variable and often suboptimal responses.

What triggers dermatillomania? ›

While dermatillomania can be triggered by negative emotions such as anxiety, it isn't always; boredom, for example, is just as common a trigger. What's more, any pain caused by skin-picking is rarely the intention; instead, the behaviors often are experienced as soothing or relaxing, at least in the moment.

How do you distract from skin-picking? ›

SENSORY – Strategies I'm Using (6)
  1. Exercise.
  2. Face-stimulator. One of my skin-picking buddies gave me this little skin-stimulator, a flat palm-sized thing with short plastic bristles. ...
  3. Touch-toys / fiddle toys.
  4. Face-care routine. ...
  5. Weeding instead.

How long does it take for NAC to help with skin picking? ›

The study showed that NAC significantly reduced the symptoms of trichotillomania compared to a placebo. 56% of subjects reported "much or very much improved" on NAC compared to 16% on placebo (sugar pill or inert substance). Significant improvement was initially noted after 9 weeks of treatment.

How long does it take NAC to work for skin picking? ›

After 12 weeks, patients taking the natural agent reduced skin-picking symptoms by about twice as much as patients taking placebo, offering some therapeutic hope for a condition with no approved medications.

Does zoloft help skin picking? ›

However, the treatment for hair pulling and skin picking and other BFRB is not the same as for OCD. Medication is often the first line of treatment. Selective Serotonin Reuptake Inhibitors (SSRI) like Prozac, Zoloft, Paxil, and Lexapro offer some symptom relief.

How can I speed up skin repair? ›

How to Speed Up Wound Healing
  1. Get Some Rest. Getting a lot of sleep can help wounds heal more quickly. ...
  2. Eat Your Veggies. Healthy food and nutritional supplements are said to boost your immune response and prompt the wound healing process. ...
  3. Don't Stop the Exercise. ...
  4. Quit Smoking.

How do I get rid of dermatillomania scars? ›

Treatment Of Skin Picking Scar By A Dermatologist
  1. Laser – The best solution to any type of scar removal is Laser. ...
  2. Cryotherapy – Cryotherapy is used along with other treatments to avoid the growth of Keloid like scars.
16 Aug 2022

How do you treat excoriated acne? ›

Topical (or external) treatments include one or more creams, washes, or gels that include: Antibiotics such as benzoyl peroxide, clindamycin, erythromycin, sulfur, sodium sulfacetamide, and azelaic acid. Retinoids – vitamin A-derived products such as tretinoin, tazarotene, and adapalene.

Videos

1. The connection between skin picking, OCD, and stored trauma
(Irene Lyon)
2. Re-imagining Compulsive Skin Picking: Art for Recovery | Liz Atkin | TEDxRoyalCentralSchool
(TEDx Talks)
3. Application of the ComB Model to the Treatment of Compulsive Skin Picking
(TLC BFRB)
4. Dermatillomania : I Quit You
(StyleNovice)
5. Skin picking - Understanding and treating excoriation
(Basten Psychology)
6. Dermatillomania Test: Do you have a skin picking disorder?
(Annette Pasternak)

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