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Hi everyone! Well, I guess I have been picking for about 10 years now. The severity of it ebbs and flows but it's always been a constant. I finally realized that I had a compulsion today when I honestly couldn't step away from the mirror. I had dug such a hole in my cheek yet I was still trying to dig at it with a needle. I had a moment of clarity and thought to myself "this is REALLY fuc*ed up". DId some research and found this whole community! Wow, it is such a relief to finally put a name to this insane urge. I don't want to resort to drugs for this. I've been on anti-anxiety drugs and I don't like the way they change my personality. Reflecting back on my life, I can say pretty confidently that I've always had compulsive tendencies-counting, fidgeting, knuckle cracking etc. I thought that I had grown out of the compulsive behavior but lo and behold here I am. It was actually kind of a blow realizing that I had a compulsion that was more destructive to my body than anything I had had before. I have never had great skin. At times it's been fine, but never perfect. I have seen SO many dermatolgists, doctors, IDs, and naturopathic doctors but NOTHING has worked. They all seem to work for a bit but then it goes back to being bad. I now think that I am just aggravating a non existing problem. When my face is clear, I'll go after the tiniest blackhead and make it a huge red sore. I am the problem-not my hormones or my skin composition. So here I am! I started a complete behavioral overhaul today. I've removed the mirror from my bathroom and put my makeup on with someone watching so I don't start picking. I'm keeping a log of incidences. Does anyone have any ideas for any things I can do to keep from picking at my arms and chest?? I think that that area will be the hardest to break since I can keep the sores hidden easier. What are some therapies or activities that have helped you all? Thanks and stay strong everyone!!