When you can't stop pick, picking at your skin

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The Body Odd - When you can't stop pick, pick, picking at your skin

From time to time, everyone picks their skin, whether it's squeezing a pimple or removing peeling skin. But for people with compulsive skin picking, "We just take it to a whole new level," says Dana Marie Flores, who has struggled with this disorder for 30 years.

Flores started by picking at pimples on her face when she was 12 or 13. She'd spend hours with her face an inch away from the bathroom mirror picking at any acne bumps she saw and using her pinky fingernails to squeeze out the pus.

To her, picking served a useful purpose. "When I first started to pick, it was self-soothing," admits Flores. "If something came out [like pus], it's affirmation that something was in my skin." There was a feeling of satisfaction and relief.

When doing it, Flores says her mind enters a trance-like state. "It's really an escape, like a drug. It's so self-soothing you lose track of time,"

Compulsive or pathological skin picking, which is also known as dermatillomania, falls under the umbrella of a "body-focused repetitive behavior," says Dr. Ted Grosbart, PhD, a Boston-based clinical psychologist who specializes in dermatology.

People with this impulse-control disorder have a strong urge to pick at their skin over and over again to a significant enough degree that it does noticeable tissue damage and they experience it as a problem, Grosbart explains.

He says the condition, which is more common in women, has a genetic basis. And there's often an emotional stressor or hormonal trigger (like puberty), which touches it off.

Many skin pickers feel so ashamed they hide the behavior from their family members, spouses and friends. They conceal any scabs under clothing, or by wearing Band-Aids, or with makeup.
 
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