Abstract

Excoriation or skin picking disorder or Dermatillomania is a Mental disorder associated with Obsessive Compulsive Disorder. It occurs at the age of 13 onwards till any age with two types Automatic and focused. It caused by various reasons like Genetics, Anatomical alteration, stress, anxiety, tension and introspection. There are many signs and symptoms in that few are Grasping, Excavating, Pulling and Scratching. We can diagnose this with Physical   Examination, Health History, Current Situation and Diagnostic evaluation. Criteria can be used to diagnose Dermatillomania are Ongoing or recurrent skin picking, Attempts to stop or reduce the behavior, Feelings of shame, embarrassment, or other negative emotions related to skin picking that interfere with work and social interactions, Non-medical conditions or drug side effects as the reason for skin picking, Absence of other mental health conditions. There is a possibility to treat this condition with Cognitive Behaviour Therapy, Habit reversal therapy, Acceptance and Commitment therapy, Anti depressants, Anti Psychotics and Nutraceuticals. Physician can help to pinpoint the causes of skin-picking behavior and modify behavior in ways that will enhance quality of life. If they get help, most people are able to resist the need to pick at their skin

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