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I've been picking since I was 11 and I'm 21 now. There's really no place on my body that isn't off limits, if I can reach it, I pick. That means my face, arms, chest, legs and back. Luckily I don't scar easily so I while I have some visible marks from my picking I have escaped all this with minor permanent scarring. My upper arms are the most noticeable and when people ask I just say it's a rash, once I even convinced a doctor it was a rash and he was ready to prescribe medication for my made up ailment. My mom's really the only person who thinks I have a problem, but even then we've never really talked about it and I've never told anyone or seen any kind of counselor about it. I've also never thought it was that big a deal. I was a teenager, teenagers do that sort of thing, no big deal. Plus I wasn't doing permanent damage to myself. Just recently I've realized that it's not just the skin picking. I've bitten the insides of my lips up to the point where they're mainly just scars, I'll bite until I can't eat anything because it stings to have anything on my lips. I also bite my nails and the skin around them and always have, I pick at my cuticles and at hangnails to the point where they bleed and get infected. Also, and I hate to have to admit to something so embarrassing, but my lifelong habit of nose picking is getting ridiculous for my age (heck, it was ridiculous when I was a kid). The biggest thing though? I have a patch of skin on my chin that's numb from being picked at for so long. But even though I know this is a problem, I know I'm doing horrible things to my body and I know I need help, I can't bring myself to stop. I mean, I still feel like it's not that big a deal. It's not some major disease like cancer, and I'm not suicidal or cutting myself, so nothing serious, right? I need to tell somebody all this, I know that I need someone to get me going because I don't know how to convince myself that this is a big enough problem. What have other people done to get themselves started? What made you finally sit up and realize you needed to do something? Is it better to get someone else involved, get outside help - if I get someone else to tell me it's a problem will I finally convince myself?