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TheHayleyDoll (Offline)
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Default 02-26-2012, 03:55 PM

People with it don't have to have all the different types. And quite a few people with OCD have it as well. I know how you feel bella about not even realizing you're doing it or that feeling of satisfaction when it's smooth, regardless of the damage you've done to yourself.

It's because of that feeling that they generally treat it like a substance abuse problem, not a neurological disorder.

From wikipedia page (the important stuff):
Dermatillomania (also known as neurotic excoriation, pathologic skin picking (PSP), compulsive skin picking (CSP) or psychogenic excoriation[1][2]) is an impulse control disorder characterized by the repeated urge to pick at one's own skin, often to the extent that damage is caused. Research has suggested that the urge to pick is similar to an obsessive compulsive disorder but others have argued that for some the condition is more akin to substance abuse disorder. The two main strategies for treating this condition are pharmacological and behavioral intervention.
Research has also suggested that dermatillomania may be thought of as a type of obsessive compulsive disorder (OCD).[4] Dermatillomania and OCD are similar in that they both involve "repetitive engagement in behaviors with diminished control" and also both generally decrease anxiety.[2]
Nevertheless, Odlaug and Grant have suggested that dermatillomania is more akin to substance abuse disorder than OCD.[2] They argue that dermatillomania differs from OCD in the following fundamental ways: (1) there is a much greater share of females with dermatillomania; (2) dermatillomania may be inherently pleasurable whereas OCD is not; (3) the treatments that are generally effective for patients with OCD, (i. e., SSRIs and exposure therapy) are not as successful in patients with dermatillomania; and (4) unlike OCD, picking the skin is rarely driven by obsessive thoughts. Odlaug and Grant have recognized the following similarities between individuals with dermatillomania and patients with addictions: (1) a compulsion to engage in the negative behavior despite knowledge of the harm; (2) a lack of control over the problematic behavior; (3) a strong urge to engage in the behavior prior to engagement; and (4) a feeling of pleasure while engaging in the behavior or a feeling of relief or reduced anxiety after engaging in the behavior.[2] One study that supported the addiction theory of picking found that 79% of patients with dermatillomania reported a pleasurable feeling when picking.[2]
The region most commonly picked is the face,[4][2] but other frequent locations include the arms, legs, back, gums, lips, shoulders, scalp, stomach, chest, and extremities such as the fingernails, cuticles, and toenails.[2] Most patients with dermatillomania report having a primary area of the body that they focus their picking on, but they will often move to other areas of the body to allow their primary picking area to heal.
Those individuals that have dermatillomania along with other diagnosed conditions report differing motivations for their picking. Those with both OCD and dermatillomania report that they will pick their skin due to a perceived contamination of the skin, while those with both body dysmorphic disorder (BDD) and dermatillomania reportedly pick to fix perceived imperfections in the skin.[2]
Studies have shown the following rates of psychiatric conditions found in patients with dermatillomania: trichotillomania (38.3%), substance abuse (38%), major depressive disorder (approximately 31.7% to 58.1%), anxiety disorders (approximately 23% to 56%), obsessive-compulsive disorder (approximately 16.7% to 68%), and body dysmorphic disorder (approximately 26.8% to 44.9%).[2] There are also higher rates of dermatillomania in patients in psychiatric facilities; a study of adolescent psychiatric inpatients found that dermatillomania was present in 11.8% of patients.[2] It is also present at high rates with some other conditions: 44.9% of patients with body dysmorphic disorder also have dermatillomania; 8.9% of patients with OCD have dermatillomania; and 8.3% of patients with trichotillomania have dermatillomania
I also forgot to mention I do this with my scars/scabs as well. Rarely do any of my scars heal properly because of this. :/

Last edited by TheHayleyDoll : 02-27-2012 at 10:04 PM.
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