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.....vs. just changing our behavior. I feel inundated with how many of us here who are trying to seek help, are doing so or being instructed to "just stop picking" by way of substituting one behavior. I realize I may well be in the minority, especially as I read posts written by people who don't stick around much....they post maybe half a dozen times and we don't hear from them again. While on one hand, I know we all are so deeply wounded by csp that we desperately want to stop the behavior, we're looking for "cures" for the symptoms. Even our physicians (many of us) get treated for the "symptoms" we present,....using either over the counter acne medication or various herbal remedies, or getting prescriptions from our doctor that primarily treat acne, and for some of us, secondarily, another prescription for our anxiety. Or desperate we go out and get even more scarring done to our face through various acid peels or laser treatments (the goal of which is to just scar up the whole face uniformly so the skin on your face is just one big new scar, making the appearance of random spots less noticeable because now our skin is just one big even scar. My point is: Are we hurting ourselves more, are we learning anything new, does it matter if we learn anything new, does it matter if we ever learn about why we started or when we started? Is it the universal goal tightly focused on appearance (what can we do to stop these zits, or to pop these zits, or dig out these ingrown hairs, or maul our hair folicles or squeeze or dig holes in our face causing our face to look, as my husband just told me,...like I dumped my motorcycle, landed face first, face down, sliding down the pavement and getting a severe "road rash" on my face. My last "episode" took days to create, but I dutifully made it a point to spend several hours daily sitting on the bathroom counter up close to the mirror with bright lights to dig again, and again,.....in search of new colonies just waiting for my attention. It's sick that I actually looked forward to spending my time, many hours, every day and every night, to "mine" my face for every last stinkin' clogged up pore or zit or bump. Sure I used all the treatments advertised for acne,...but I don't think what we have is "acne" -- not per se. But there's a reason why WE do this to our skin, and other people do not. It's pretty universal that "nice skin" is looked upon favorably in every country on this earth. So my question (to come back full circle) is this: Do we think it's important to understand and address WHY we ever started doing this to ourselves in the first place, and fix that initiator? Or it more effective or important or relevent to settle just for living with anxiety and "just stop picking" -- never wondering if whatever underlying thing started this behavior with us will rear its ugly head by creating something new to focus on. I'd like to know who of us feels if it went away tomorrow, we'd never do it again and we'd be "cured" and "fixed" and never again feel the urge to pick? Do you think our lives and coping skills will magically appear when we merely focus on the behavior, the manifestation? Does any of this make sense? I feel frustrated because even when I "treat my acne" what I cannot "treat" is that impulse control and urge and desire to pick at those imperfections, even if they turned super tiny. Do we need to know "why" or deep down are we under the impression "if only our skin were clear" life as we know it would be a bazillion times better?