Excoriation disorder

Excoriation disorder
Other namesDermatillomania,[1] skinning disorder, neurotic excoriation, acne excoriee, pathologic skin picking (PSP), compulsive skin picking (CSP), psychogenic excoriation[2][3]
Sores as a result of skin picking on arms, shoulders and chest
Specialty

Excoriation disorder, more commonly known as dermatillomania, is a mental disorder on the obsessive–compulsive spectrum that is characterized by the repeated urge or impulse to pick at one's own skin, to the extent that either psychological or physical damage is caused.[4][5] The exact causes of this disorder are unclear but are believed to involve a combination of genetic, psychological, and environmental factors, including stress and underlying mental health conditions such as anxiety or obsessive-compulsive disorder (OCD).[6] Individuals with excoriation disorder may also experience co-occurring conditions like depression or body dysmorphic disorder (BDD).[7][8] Treatment typically involves cognitive behavioral therapy and may include medications. Without intervention, the disorder can lead to serious medical complications.[5][9]

  1. ^ The term derives from the Greek: δέρμα derma ("skin"), τίλλειν tillein ("to pull"), and μανία mania ("madness, frenzy").
  2. ^ Feusner JD, Hembacher E, Phillips KA (September 2009). "The mouse who couldn't stop washing: pathologic grooming in animals and humans". CNS Spectrums. 14 (9): 503–513. doi:10.1017/s1092852900023567. PMC 2853748. PMID 19890232.
  3. ^ Odlaug BL, Grant JE (September 2010). "Pathologic skin picking". The American Journal of Drug and Alcohol Abuse. 36 (5): 296–303. doi:10.3109/00952991003747543. PMID 20575652. S2CID 20569026.
  4. ^ Deckersbach T, Wilhelm S, Keuthen NJ, Baer L, Jenike MA (July 2002). "Cognitive-behavior therapy for self-injurious skin picking. A case series". Behavior Modification. 26 (3): 361–377. doi:10.1177/0145445502026003004. PMID 12080906. S2CID 32102397.
  5. ^ a b Lochner C, Roos A, Stein DJ (2017-07-14). "Excoriation (skin-picking) disorder: a systematic review of treatment options". Neuropsychiatric Disease and Treatment. 13: 1867–1872. doi:10.2147/NDT.S121138. PMC 5522672. PMID 28761349.
  6. ^ Cite error: The named reference Compulsive Skin Picking was invoked but never defined (see the help page).
  7. ^ Cite error: The named reference DellOsso was invoked but never defined (see the help page).
  8. ^ Cite error: The named reference Stein was invoked but never defined (see the help page).
  9. ^ Cite error: The named reference Lang was invoked but never defined (see the help page).
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