From a young age, I have grappled with what is known as dermatillomania, a compulsive skin picking disorder. My earliest memories include picking at my cuticles and damaging my nails with my teeth. As a teenager, I found myself digging into my skin, leaving behind wounds that would evolve into scars. With time, I became adept at concealing these behaviors, even as they continued to leave their marks—both physically and mentally.
Dermatillomania, also referred to as excoriation disorder, involves repetitive and compulsive picking at the skin. At first glance, I may appear unscathed, lacking visible blemishes or scars. However, those closest to me understand the truth. I often find my fingers wandering to my lips, searching for cracks or rough patches to pick at. At home, my focus shifts to the dry skin on my feet, leading to hours of picking that sometimes results in pain or bleeding.
The compulsion to pick is something I cannot easily shake. It’s instinctive and habitual, often going unnoticed until I feel discomfort or see blood. There’s a peculiar sense of comfort that comes with the act, providing a brief moment of focus amid the chaos of my mind. I think I’m in control during these moments, but I recognize that this illusion is a part of the disorder.
According to Mental Health America, excoriation disorder is linked to obsessive-compulsive disorder and is characterized by repeated skin picking, which can lead to various degrees of severity. I’ve battled with this disorder for over two decades, experiencing fluctuations in its intensity. In my teens, my picking escalated to self-harm. In my twenties, the behavior subsided, but as I’ve faced challenges in my life—stress from exams, loss of loved ones, or relationship troubles—the urge to pick has returned.
Yet, there is hope. Dermatillomania can be managed through therapy and sometimes medication. One effective approach is habit reversal training, where a therapist helps identify alternative actions to replace skin picking—like squeezing a stress ball to relieve tension. Recognizing and naming this disorder has been a significant step for me; I was unaware it was a diagnosable condition until my thirties.
Despite this knowledge, the struggle persists. I still pick, I still bleed, and even with support from my partner who often reminds me of my habits, the battle continues daily. By sharing my story, I hope to connect with others who may feel isolated in their experiences. For those seeking information on dermatillomania or looking for support, resources like The TLC Foundation can be invaluable.
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Potential Search Queries:
- What is dermatillomania?
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Summary:
Living with dermatillomania presents daily challenges, driven by compulsive skin picking behaviors that have evolved over the years. While there’s a struggle with control and the urge to pick, understanding the disorder and seeking help through therapy can be transformative. Sharing these experiences is crucial for breaking the silence that often accompanies such conditions.

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