Dermatillomania (Skin Picking Disorder)

~ Skin Picking and Body-Focused Repetitive Behaviors

Dermatillomania — also known as Excoriation Disorder or Skin Picking Disorder — is a body-focused repetitive behavior (BFRB) classified as an OCD-related disorder. People with this condition compulsively pick at their skin, causing tissue damage, scarring, and significant distress. Like Trichotillomania, picking often provides temporary relief from tension, anxiety, or boredom.

~ More Than Just a Habit

Skin picking goes well beyond ordinary habit. The urge to pick can feel overwhelming and automatic — often happening without full awareness. Many people with Dermatillomania describe attempting to stop many times without success, spending significant time picking, inspecting, or covering the results.

~ Treatment Outcome

Dermatillomania responds well to Habit Reversal Training (HRT) and Cognitive Behavioral Therapy (CBT). Treatment involves increasing awareness of picking urges, developing competing responses, and reducing stress levels that trigger the behavior. Neurofeedback can also support treatment by reducing baseline anxiety. Many patients experience significant improvement with consistent specialized care.

Dr. Henry Srednicki specializes in Dermatillomania and all body-focused repetitive behaviors. With practices in Upper Montclair, NJ and New York City, and telehealth across 42+ states via PSYPACT, expert care is available.