Dermatillomania and ADHD: Managing Compulsive Skin Picking

Dermatillomania, the medical term for compulsive skin picking, can feel overwhelming. For those with ADHD, the challenge is even greater, as restlessness and impulsivity fuel the cycle. But understanding the connection is the first step to breaking free.

In ADHD, the brain craves stimulation. Skin picking can provide a quick sense of relief or focus, but it comes with damaging consequences. Over time, it can lead to scarring, infections, and feelings of shame or frustration.

Managing Dermatillomania requires a combination of strategies. Behavioural therapies, such as CBT or habit reversal training, are highly effective. They help identify triggers and build healthier responses. Some people also benefit from medication that addresses both ADHD and anxiety.

Practical coping tools make a big difference day to day, from keeping nails trimmed to wearing plasters on commonly picked areas. Fidget devices or tactile objects can give restless hands something safer to focus on.

Self-compassion is key. Beating Dermatillomania isn’t about willpower alone; it’s about creating a supportive environment, accessing the right therapies, and recognising that progress takes time. Visit our dedicated ADHD and Autism centre for your free assessment, and for more information.

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