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A friend of mine has confided in me that he has a skin picking disorder. He is depressed, and says that he does not care about his life. He tells me that the skin picking affects him so much that often he is too ashamed to see people a couple of days in every week. Having struggled in the past with depression, anxiety and other OCD-type behaviors myself, I want to encourage him to seek medical help and psychotherapy. However, his insurance situation is such that he cannot get counseling and cannot afford to go private. He's also at a place where he rejects the idea of medication for fear of side effects, and says that he doesn't have the energy to combat it himself, despite being well informed on the subject. Can anyone offer me any advice as to how I can help my friend? I can always be there to listen, but is there anything else I can do?