When I stop picking I will...
People struggling with BFRBS such as as skin picking disorder often experience intense guilt and shame around their behavior and the resulting damage it causes the skin. This can have a detrimental impact on their self esteem and impact negatively on their social functioning, often avoiding enjoyable social situations for fear of being harshly judged. A common phrase used by people with skin picking disorder is "When I stop picking...". However a regular blogger over at Diary of a Skin Picker recently published a post stating that you shouldn't wait:
Don’t put off today’s happiness, for some imagined happiness tomorrow.
Author: David Florendale
Publisher: CreateSpace Independent Publishing Platform (March, 2014)
Where to buy? Here
You may already be familiar with this book from as one authored by Skinpick.com's very own David Florendale. This insightful book provides indepth information about compulsive skin picking disorder. It takes you through identification of symptoms and variations of the disorder, possible causes and triggers, and highlights some of the effective treatment methods available. This is an important read for anyone wanting to learn more about skin picking as a clinical disorder.
Majority of the young YouTube vloggers we come across talkng about their experiences with dermatillomania are young women. So when we stumbled across this young gentleman who speaks openly about his skin picking, we thought it important to showcase his video on our blog particularly for our male readers.
Anthony has obsessive compulsive disorder (OCD), diagnosed at age 12. Anthony also struggles with compulsive skin picking. In this video he talks about his skin picking and is very excited to be starting treatment for this disorder. Anthony hopes to motivate and help others realize that they have the power to change their own lives.
Cognitive behavioral therapy (CBT) is a form of psychotherapy that works to solve current problems and change unhelpful thinking and behaviour. The core belief is that the way we think affects our emotions and behaviour, and our behaviors and resulting feedback from the environement either reinforces or refutes our thinking. CBT helps people with conditions such as anxiety and depression change the content of unhelpful thoughts and maladaptive ways of coping, such as avoidance or addictive behaviour. However, there many different methodologies within the CBT frame of reference. Each method is effective in on its own and in conjunction with other methods, depending on the individual client and condition. One such method that has been receiving much interest recently is the concept of mindfulness-based CBT.
Acceptance and Commitment Therapy (ACT) is a type of cognitive behavioral therapy (CBT) that that uses acceptance and mindfulness strategies, together with commitment and behavior change strategies. ACT is used in conjunction with mindfulness based techniques, which teaches clients to become present in each moment. The method may seem counter-intuitive to many as it promotes the acceptance of negative thoughts and feelings as part of the human experience. This is termed the Acceptance part of the technique. The indvidual is then encouraged to think of ways to respond to these negative thoughts and emotions in a way that fully embraces personal values and goals. This is the commitment aspect of ACT as the individual pledges commitment to their identified values and goals. ACT has strong roots in the Relational Frame Theory, which highlights the ways that language reinforces or refutes thoughts and beliefs and how this in turn can be used as a powerful tool to counter the negative thought processes that influence out behaviors.
A young YouTuber who goes by the name of MilkPunk posted a video describing dermatillomania and dermatophagia as these are both disorders she struggles with. It takes great courage to publicly talk about these types of disorders as it can be a source of great shame and embarrassment. In the video MilkPunk tries to explain what the disorders are and the difference between them.
The bracelet project is all about making a bracelet in order to encourage the many who struggle with the urge to pick or pull when they are sitting watching TV or talking on the phone, to rather keep their hands busy for a good cause. In addition it promotes the connection with others who share your struggles and spreading awareness to the broader community. This great bracelet project that ran successfully last summer is the initiative, yet again, of the Canadian BFRB Support Network!
The American Psychological Association (APA) describes hypnosis as a cooperative interaction in which the participant responds to the suggestions of a hypnotist. The technique has been clinically proven to provide medical and therapeutic benefits, most noticeably in the reduction of pain and anxiety. Many skin picking sufferers report going into a trance-like (hypnotic) state when picking at their skin. Hypnosis is sometimes used as a tool to understanding this behaviour and bringing it under control.
Hypnosis speaks directly to your subconscious and makes you more aware of what you are doing when you pick or scratch your skin. Rather than automatically indulging the behavior, hypnosis makes you become very mindful of what you are doing. This means that you notice your hand reaching towards your mouth, or that you are clenching your jaw and grinding your teeth, or rubbing the skin to feel for imperfections, rather than just automatically doing it. Using hypnosis in conjunction with an existing treatment program has been shown to increase treatment success.
Cognitive-Behavioural Therapy (CBT) is a form of therapy that seeks to alter behaviour by identifying the precise factors that trigger picking and then learning skills to interrupt and redirect responses to those triggers. Broadly stated, CBT is based on learning theory which has shown that as we practice new behaviours and thoughts in response to familiar emotions or situations, our brains physical structure actually changes too. We develop neural pathways and, with repetition, the new behaviour becomes an automatic response. CBT should be performed by a mental health specialist trained in this method and well versed in treatment of these behaviours – something that may be easier said than done as there is not an abundance of professionals who specialize in body-focussed repetitive behaviors (BFRbs). The therapist will encourage pickers to develop an increased awareness of the times of day, emotional states, and other factors that promote picking, as an important precursor to being able to control the behaviour.