I’m a 53 years old male still struggling with mainly dermatillomania and some trich.
With time and experience, i have learned to minimise the physical damage but i know i’m always on a slippery slope. Although my skin is looking better now, the hours waisted scanning the surface of my body uncontrollably in this hyper focused state of mind is still overwhelming and the psychological distress that comes with it remains about the same. Often, it feels like simple decisions, initiatives, or choices that need to be address before i take action in my daily life will trigger a some internal conflict that will short circuit my brain and then, the examination will begin... If I’m lucky the “tools” will stay in the box.
Looking at literature on the web about this topic gives the impression that most affected by BFRB are teens and young adults, males being a minority as well. Anyone else around my age still struggling with this?