Understanding Skin Picking Disorder (Excoriation Disorder)
Skin picking disorder, also known as excoriation disorder, is a recognised mental health condition characterised by the repeated picking of one’s own skin, often leading to wounds, scarring, and, in some cases, infections. While the exact cause is not fully understood, research indicates strong links to anxiety, obsessive-compulsive disorder (OCD), depression, and heightened stress levels. For many individuals, skin picking becomes a coping mechanism for emotional distress, boredom, or discomfort.
At Chase Lodge Hospital, we understand the physical and emotional toll of this condition and offer specialised assessment and treatment to support those affected.
Symptoms and Diagnosis
Individuals with skin picking disorder often experience:
- Persistent and uncontrollable urges to pick at their skin, resulting in noticeable wounds or scarring.
- Inability to stop or reduce the behaviour despite negative consequences.
- Feelings of distress, embarrassment, or social withdrawal due to visible skin damage.
- Spending significant time picking, sometimes leading to disruptions in daily life.
At Chase Lodge Hospital, our mental health specialists and dermatologists work together to provide a comprehensive diagnosis. This includes an in-depth psychological assessment and, where necessary, a physical examination to evaluate skin health and rule out other dermatological conditions.
Treatment at Chase Lodge Hospital
Our multidisciplinary team at Chase Lodge Hospital offers a range of evidence-based treatment options, tailored to the needs of each patient. These include:
1. Cognitive-Behavioural Therapy (CBT)
CBT is the gold-standard therapy for treating skin picking disorder. At Chase Lodge Hospital, our expert therapists use techniques such as:
- Habit Reversal Training (HRT): Helping individuals recognise triggers and develop alternative responses.
- Exposure and Response Prevention (ERP): Assisting patients in reducing compulsive picking behaviours over time.
2. Medication Options
For individuals where skin picking is linked to underlying conditions such as OCD, anxiety, or depression, our psychiatrists may prescribe Selective Serotonin Reuptake Inhibitors (SSRIs) or other appropriate medications. These help regulate mood and reduce compulsive urges.
3. Self-Management and Support Strategies
Our specialists also provide personalised self-help strategies, including:
- Keeping hands occupied with fidget toys or stress balls.
- Covering affected areas with plasters or dressings to prevent picking.
- Mindfulness and relaxation techniques to manage stress-related triggers.
4. Holistic and Lifestyle-Based Interventions
At Chase Lodge Hospital, we take a holistic approach to treatment, ensuring that lifestyle factors such as sleep, diet, and exercise are optimised to support recovery.
Why Choose Chase Lodge Hospital?
- Specialist-led care: Our team includes experienced psychiatrists, psychologists, and dermatologists working collaboratively.
- Comprehensive diagnosis and treatment plans: Tailored approaches designed to meet individual patient needs.
- Confidential and compassionate support: We recognise the emotional impact of skin picking disorder and offer a non-judgemental environment for recovery.
Seeking Professional Support:
If you or a loved one is struggling with skin picking disorder, it is important to seek professional support. Early intervention can prevent further complications, such as infections, permanent scarring, or worsening emotional distress.
To book an appointment with one of our specialists at Chase Lodge Hospital, please get in touch today.
For additional information, visit the NHS website:
