Dermotillomania-Excoriation Disorder
Excoriation disorder (also referred to as chronic skin-picking or dermatillomania) is a mental illness related to obsessive-compulsive disorder. It is characterized by repeated picking at one’s own skin which results in skin lesions and causes significant disruption in one’s life.
Clstr1:
Wik1: W060
Diagnoses: Dermotillimania (Excoriation Disorder)
USPatnts: Est. 4%
WrldPatnts:
SexRatio: M;F+
AveOnset: Can be permanent
Brain Area: anterior cingulate cortices-not inhibiting uncontrollable picking; inadequate SAPAP3 gene may also be a factor
Symptoms: picking sores into skin on the body; follows tension with relief following the act; mostly on the face by fingers or tools
Progression & Effects: causes scarring and disfigurement followed by shame and guilt; 11.5% attempt suicide; 79% pleasure with picking skin
Causes: childhood sexual abuse, rage against authoritarian parents, dealing with stress; affected by other itching conditions
Productive Medications: SSRI (antidepressants which increase serotonin and norepinephrine in the brain)antianxiety, antipsychotics; inositol
Productive Therapies: habit reversal training (for example, close a fist for one minute instead of picking when the urge arose)
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Wik4:
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Youtube Video: Skin Picking Disorder (Dermatillomania)
Amazon or Library Book: Skin Picking-The Freedom to Finally Stop
Click the book to link or order from Amazon.
4 CURRENT ARTICLES
FROM PUBMED
The world-wide medical research
reports chosen for each diagnosis
Clicking each title opens the
PubMed article’s summary-abstract.
- A Review of Research on Acceptance and Commitment Therapy for Anxiety and Obsessive-Compulsive and Related Disordersby Michael P Twohig on November 6, 2024
This article reviews acceptance and commitment therapy (ACT) for anxiety disorders, obsessive-compulsive disorder (OCD), trichotillomania, excoriation disorder, hoarding, and body dysmorphic disorder (BDD). Measurement of psychological inflexibility and its relationship to pathology is reviewed. Outcome work in all disorders listed is reviewed with results supporting ACT for anxiety disorders, OCD, and trichotillomania, but there is limited evidence for excoriation disorder, hoarding, and BDD....
- Universal personality dimensions and dysfunctional obsessional beliefs in the DSM-5's OCD and related disorders (OCRDs)by Diana M Lisi on October 1, 2024
This study aimed to determine the extent to which personality and cognitive factors contribute to the identification of shared associations between the DSM-5's OCD and Related Disorders (OCRDs). Participants (n = 239) were treatment-seeking outpatients with a principal diagnosis of obsessive-compulsive disorder (OCD), body dysmorphic disorder (BDD), hoarding disorder (HD), trichotillomania (TTM), or excoriation disorder (EXC), as compared to healthy community controls (n = 100). Analyses...
- A Systematic Review of Non-Pharmacological Treatment Options for Skin Picking Disorder (SPD)by Harrison Loftus on August 31, 2024
CONCLUSION: Several studies achieved significant outcomes for SPD participants, confirming the usefulness of non-pharmacological treatment in SPD. Based on our results, CBT, AE-GBT, online self-help modules, and EW appear to be the most effective in treating SPD. Additionally, most of these treatment modalities can be tailored to meet patient-specific needs. Some limitations of the studies include small sample sizes, lack of control groups/randomization, limited long-term follow-up data, and...
- Lasthenie de Ferjol syndrome associated with skin picking disorderby Evelyne Harkemanne on August 28, 2024
No abstract