Until recently, there hasn't been a treatment for body focused repetitive behaviors (BFRBs), such as compulsive skin picking disorder. Dermatillomania, aka excoriation disorder, is the picking of one's skin repeatedly, which leads to damage. The face is the primary area where the skin picking occurs, but skin picking can happen at any part of the body. People with this disorder may pick at normal skin variations, such as moles and freckles, where there are pre-existing blemishes, sores, or scabs. These people with this disorder would use their teeth, fingernails, pins, tweezers, or other devices. And as a result, bruising, bleeding, infections, or permanent damage would occur.
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Repetitive behaviors were classified as someone with acute stress, tension, and anxiety with a strong itch or urge. And the first time dermatillomania was mentioned is when a French dermatologist named Brocq in 1898 described an adolescent girl patient uncontrollably picking her acne. Dermatillomania has obsessive-compulsive aspects that are very similar to Trichotillomania, OCD, and BDD. And it was only since May of 2013, that this disorder has since been classified under its own separate condition in the DSM5 under the Obsessive Compulsive and Related Disorders which is now termed as the excoriation (skin-picking) disorder.
With this skin picking disorder, there are various methods that can be used for treatment, and they consist of the following:
ComB stands for comprehensive behavior intervention. It includes the implementation of the different treatments to control different types of disorders, such as various OCD disorders. All of the treatments listed above are used for the skin picking disorders. Also, some of those treatments are used for other OCD disorders. Dr. Fred Penzel has plenty of books, recorded interviews, and articles throughout the search engines concerning the comprehensive method of intervention.
ComB helps people to become aware but also to understand why they are picking or pulling. The strategy is divided into 4 stages
There is still much to learn concerning this skin picking disorder. As a matter of fact, there hasn't been a treatment for repetitive behaviors, such as dermatillomania, until recently. And the first time skin picking was mentioned is when a French dermatologist named Brocq in 1898 described an adolescent girl patient uncontrollably picking her acne. Also, it was only since May of 2013, that this disorder has since been classified under its own separate condition under the Obsessive Compulsive and Related Disorders which is now termed as the excoriation (skin-picking) disorder. With all this in mind, there is still much to be learned about dermatillomania. Nevertheless, therapists are making great strides to having effective methods of treatment for the patients with this skin picking disorder.
So far, these health professionals have found that patients with these skin disorders are discovered to derive from certain neurological medical conditions. A recent study has also found that 27% of BDD patients, and 23% of OCD patients also had dermatollomania (excoriation). Therefore, there are even more ways to resolve more people from these issues with discovering even more treatment plans. So far, the treatments, including antidepression/anxiety medicine, natural sources, the different cognitive behavioral therapy treatments mentioned above, group therapy, online/phone therapy, and intensive treatment, have exponentially increased the success rates of patients recovering and coping from this skin disorder. And optimistically speaking, these new discoveries and research would most likely lead to even more breakthroughs and higher success rates for patients.