Dermatillomania Compulsive Skin Picking-running man 20130908

UnCategorized Sometimes referred to as compulsive skin picking, dermatillomania is marked by the overwhelming compulsion to pick at one’s own skin. Along with trichotillomania and onychophagia, or nail-biting, dermatillomania falls into a category of impulse control disorders known as body focused repetitive behaviors. Episodes of skin picking are often preceded or accompanied by tension, anxiety, stress, or paranoia or occur during sedentary activities, such as sitting at a computer or resting in a chair. Frequently, the urge to pick is so strong that sufferers may cause extensive damage to their skin. People with this disorder use fingernails, teeth, tweezers, and pins to pick at their skin in response to an urge. Most sufferers first show its signs in their teens and twenties. The disorder is typically found among females more than males. People with this disorder frequently focus on pre-existing lesions on the skin, such as scabs, ingrown hairs, or insect bites. Because of this, they may cause further damage and scarring to the affected area. Sometimes they will have sores for weeks at a time before they will heal. The result is often bleeding, bruising, infection, and scarring. Many sufferers report that the picking seems to relieve stress or anxiety for the time being. In some cases, individuals may be compelled to create surfaces at which to pick. Because of which this disorder is sometimes accompanied by self-injury, or the practice of deliberately inflicting physical harm on oneself. Patients will then pick the resulting scab or wound. This condition has been strongly linked to obsessive-compulsive disorder. People who suffer from both dermatillomania and obsessive-compulsive disorder may be very obsessive and ritualistic in their skin-care routines. Most pickers are unaware of their triggers. Many people pick daily, and sometimes several times a day. Some pickers are aware of their actions, but are unable to control the impulse. Patients also frequently report entering a "trance-like" state during episodes of picking. This causes shame and anxiety, which leads to more picking. The feeling of being out of control can spread to other areas of life and cause problems in work and relationships, as well as self-destructive behaviors such as alcoholism or self-injury. The underlying reason to begin picking at skin in the first place is a mystifying aspect of the diagnosis of this disorder. Many people suffering from compulsive skin picking do so as a defense mechanism against bullying from other people in their lives, such as classmates, parents, or spouses. Others experience the skin picking disorder as an act of aggression against themselves. It is often difficult to determine if the patient is victim or aggressor. Many individuals with this disorder also suffer from body dysmorphic disorder (BDD), a psychological disorder in which patients experience a distorted body image. People with BDD typically become obsessed with a particular flaw in their appearance, although this flaw is usually non-existent or highly exaggerated by the patient. In this case, patients may feel that picking off scabs and lesions will make them appear more normal. About the Author: 相关的主题文章: