If you are living with compulsive skin picking, you already know what a toll it takes – both physically and emotionally. A skin picking episode may be a focused response to anxiety or depression, but is also frequently done as an automatic habit. Those who live with dermatillomania know that the negative effects extend far beyond the physical.
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Many skin pickers report to having to limit or alter their daily activities often. Many people who pick, have skin that is damaged, that they become ashamed of the appearance of their skin and of their behavior. so they tend to stay away from activities where the affected parts of their skin will be seen by others. for example many skin pickers say they never go swimming or even go to the beach because of the fear that others will see the marks on their arms of legs. Where they have to go out such as for work or school they tend to wear long sleeves in the summer to hide fresh self-inflicted wounds or scabs. Someone who compulsively aggravates the skin around their fingers may avoid shaking or holding hands with someone or even resort to wearing gloves when around others. The compulsive picking may also cause physical pain and discomfort that can limit ones day to day activities.
When the urge to pick kicks in it is very difficult for the person to focus on anhything else. This internal distraction can reduce your ability to concentrate and work or an school with many sufferers reporting that it is affecting their productivity and effectivess in important tasks. skin picking is triggered in different people by different envirinments and therefore tend to pick most frequently at different times. For those who tend to pick in the mornings when they are getting ready for work, this can often be the cause of being late. Some people report spending hours in the morning getting ready, not only because they had been picking for hours, but also because of the time it takes to conceal any pick marks before facing other people.
For those who tend to experience the urge to pick when out and about report feeling such an insatiable urge to pick that they find themselves often excusing themselves from company to go to the restrooms just to pick. Others pick at night before they go to bed when, triggered by their nigh ttime routine looking in the mirror and pick until pores ooze and skin is puffy and red.
Skin picking can be debilitating. It affects the person emotionally and socially. They become lonely and isolated, and feel more an more incompetent and ashamed by their inability to stop despite how horrible it feels afterwards. This is one of the many reasons that friend and families of compulsive skin picking suffers need to try and understand how compulsive skin picking influences the daily living of those affected. It does not just stop at understanding what sufferers are going through but offering support and reaching out to them, because at times people are afraid or embarrassed to talk about the disorder.
Self-esteem issues arise or are exacerbated by this disorder because suffers often feel alone, can’t control our urges, and blame themselves; it also prevents them from feeling accepted, makes them feel judged (if the truth came out), not understood. The stigma of the disorder and the judgments concerning the marks on the faces/ bodies are what drive most suffers to further feelings of isolation and self-loathing. Here are ways in which you can help your family member or friend:
Although more research is required on medications for skin picking disorder, some studies proposes that cognitive behavioural treatment (CBT) may help with skin picking disorder. Acceptance and commitment treatment (ACT) may be useful in treating skin picking disorder. Research recommends that skin picking might be adequately treated with medicines, for example, SSRI's (selective serotonin reuptake inhibitors). SSRI's include: fluoxetine, fluvoxamine, and escitalopram. Some studies recommend that the anti-seizure medicine lamotrigine may be useful in treating skin picking issues. Unfortunately, the reality is that most people don't have the knowledge that there is help for skin picking disorder, many individuals with the disorder continue to endure with it.