It is not uncommon for people to subconsciously rub, touch, or scratch at their skin, just as it is a common practice for many people to pick at skin imperfections such as acne or blackheads. However, for some, this practice becomes so consuming that it is classified as a skin picking disorder known as excoriation disorder or dermatillomania. Picking your skin becomes problematic when the picking is repetitive and it becomes difficult for the person to voluntarily stop engaging in the behaviour, and impacts negatively on daily functioning. This poorly understood problem often goes undiagnosed and therefore untreated.
While body-focused repetitive behaviors (BFRBs) such as excoriation disorder are gaining increased awareness, our knowledge about the disorder is still in its infancy. For example, even though research has found evidence of some plausible causes for compulsive skin picking, there is still no known single definitive cause. Some evidence points to hormonal imbalances, some indicates the cause is neurobiological, while genetic correlation also holds merit. While we cannot change our genetic make-up, we certainly can influence our neurobiological processes and our hormone levels through diet. Could what we eat and drink therefore aggravate the urge to pick, or even place us at higher risk for developing a skin picking disorder in the first place?
Body-focused repetitive behavior (BFRB) is an umbrella name for compulsive behaviors involving repetitively acting on one's own body, often causing physical injury. The main BFRB disorders are:
Trichotillomania, hair pulling
Trichophagia, hair nibbling
Trichotemnomania, hair cutting
Dermatillomania, skin picking
Dermatophagia, skin nibbling
Onychotillomania, nail picking
Onychophagia, nail biting
Morsicatio Buccarum, cheek biting
Morsicatio Labiorum, inner lip biting
Morsicatio Linguarum, tongue biting
TLC's Annual Conference on Body-Focused Repetitive Behaviors is the only event of its kind in the world. The world's top BFRB experts, community leaders and changemakers will guide nearly 500 of us -- individuals, families, and treatment providers -- through a weekend of education, inspiration, support, and most importantly, healing.
The TLC Conference will be held April 21-23, 2017. Sessions begin Friday afternoon, then break for dinner, and the opening welcome session begins Friday evening. The closing session ends at noon on Sunday.
This is a post by Danielle Kunkle - the co-owner of Boomer Benefits, a licensed insurance agency that helps Baby Boomers navigate their entry into Medicare.
For decades, seniors in the United States had little access to affordable healthcare after they retired. The creation of Medicare in 1965 was a monumental step toward caring for older adults during their later years. Today millions of people depend on Medicare to provide their physical and mental healthcare during their golden years.
The World Health Organization website reported that over 20% of adults age 60 and older suffer from a mental or neurological disorder. Body-focused repetitive behaviors (BFRBS) are one such disorder.
BFRB disorders such as nail-biting, picking one’s skin or pulling one’s hair are harmful and can quickly progress into clinical conditions. Caregivers who are looking after an elderly loved one often notice disorders like skin picking and should immediately bring them to a doctor’s attention so that appropriate care can be found.
Access to behavioral therapy is important in dealing with BFRBs and all other mental health disorders as well. Fortunately, Medicare does recognize the need for mental healthcare as we age and provides coverage for inpatient and outpatient services as well as medications.
Skin picking may start with something mild and harmless but if not treated early it can escalate into a serious clinical condition. When it starts affecting a person’s physical health and/or emotional well-being, it means professional help is needed. There are many therapies and medications that can be used depending on the severity of the condition.
Meditation is a practice where an individual trains the mind or induces a mode of consciousness, either to realize some benefit or for the mind to simply acknowledge its content without becoming identified with that content, or as an end in itself. Meditation exercises are closely linked to mindfulness and are recommended to help cope with stress related to skin picking. These exercises keep the mind and body healthy. They enable patients to keep busy and replace skin picking with something more positive. Exercise can reduce anxiety and depression. It minimizes skeletal muscle tension and increases metabolism of excess adrenaline and thyroxin in the blood. It even acts as an anti-depressant.
The severity of skin picking differs for everyone. For some it can be so severe that is causes severe scarring and sometimes even infection. This causes great distress for the individual and a question or concern that often comes up is - can skin picking lead to more serious skin conditions like cancer?
There are a lot of myths about compulsive skin picking, it is therefore important to discuss both the myths and facts about the disorder.
Excoriation is a disorder characterized by recurrent skin picking, resulting in skin lesions. Some people with the disorder say that picking at their skin makes them feel good, but everyone affected by the disorder do it intentionally, or consciously; some may not even remember doing it. Onset is most often around puberty.
The face is the most common target of skin picking, but other targets may be limbs, back, gums, lips, shoulders, scalp, stomach, chest, fingernails and toenails. A child may pick at one part of the body repeatedly, or “rotate” to allow the previously picked part to heal. Compulsive skin picking is one of a group of behaviors known as body focused repetitive behaviors (BFBRBs)
Compulsive skin picking is NOT an Obsessive-Compulsive Disorder (OCD), but is classified under the umbrella category OCD and Related disorders.
Trichotillomania, also known as Compulsive Hair Pulling Disorder, is characterized by the repetitive pulling out of one’s own hair leading to hair loss and functional impairment. The most common sites pulled include the scalp, eyebrows, and eyelashes; although any bodily site with hair can be affected. 2-3 pulling from multiple sites is common and pulling episodes can last from a few minutes to several hours. Also under the body focused repetitive behaviors (BFRB) is skin picking disorder, formerly referred to as Dermatillomania, but more recently renamed Excoriation disorder. It is characterized by the repetitive and compulsive picking of skin, leading to tissue damage. Although most individuals at some time pick at their skin, either to smooth out irregularities or to improve blemishes or acne, clinicians must differentiate between normal picking and more clinical forms. We know that both the disorders are under BFRB’s but is there evidence of comorbidity?
video by Annette from http://www.stopskinpickingcoach.com/
There are some unique challenges that come with travelling simply because you have to try and adapt to the new environment and also try and keep your daily routine that you’ve been doing on track. Preparation is there for key, make sure that you are both physically and mentally prepared so that you are sure that you can handle a different environment. intextbanner
At home, you have all your bottles and brushes and jars and cloths and whatever else you need within easy reach. You can take care of your skin like you should, with some products for morning, others at night, and still others for midday refreshers. Everything works like it should, because you know how your skin acts at home. You know the climate and how your skin reacts to it, and when it needs a little more moisture or a serious oil-sopping mask. Your skin thrives with your TLC.
Here are a few tips for skin pickers who are planning to travel soon. Remember: These aren’t meant to be medical recommendations, but they’re tactics that have worked for others and might work for you, too.
Annette Pasternek speaks about New Year's Resolutions and whether it is a good idea to make one to stop picking or not. Annette was a compulsive skin picker and is now helping scores of people through her website and one on one coaching.
According to Annette there is short answer, because it depends on how you support a resolution. If you make a resolution and do nothing further, relying only on will power you are not likely to succeed and this can have negative effects on future efforts to stop. On the other hand making a resolution can be very positive under the right conditions. you need:
Some of the positive changes you could put in place for the year ahead is to learn more about the disorder, seek professional help or support and establish a support network