I'm Kate. I'm 27 and have been picking at my skin and scabs and blemishes (anything that is even slightly raised on my skin) for as long as I can remember.
I'm sitting here on the forum tonight scratching off every new scab that I acquired while at work (where I don't pick as much, of course).
I've known for a long time that this has been an issue and I've even brought it up with my psychiatrists and psychologists and therapists (whoever I thought might be able to help) in the past, but nobody has ever really done anything for me. They've treated my depression, but not the dermatillomania or CSP.
I mostly target my back/shoulders/neck area, but I'll attack pretty much any part of my body. I do my best to avoid triggers...mirrors or seeing my own bare skin are big no-nos. But I can't avoid them all the time...and even when I do, there doesn't go a day where I don't scratch and pick. I've been trying to be more aware of it, because I do it without thinking sometimes, and I realized that I probably scratch or at least feel for bumps/blemishes/scabs min. every 10 minutes or so. If I don't pick immediately while I'm doing, I might just lightly scratch my arm or something without tearing the skin. I do that around other people pretty often. It's gotten to the point where I'm almost afraid to be alone, because I know I'll start up--I scratch before bed, when I wake up in the morning, in the shower, in front of the mirror before washing my face, in the bathroom at work even.
Anyway. I've kind of gotten a bit of inspiration earlier this week and I will be calling my therapist's office tomorrow to set up an appointment to discuss this issue specifically. I hope I'll get somewhere. I've been trying to quit picking for so long it feels like I'll never stop.