Skin picking disorder

Also called Dermatillomania or Excoriation disorder

Skin picking disorder is when you repeatedly pick at your skin, often the face, arms or hands, to the point where it causes damage, such as wounds, scabs or scars. It is often linked to feelings of stress, anxiety or boredom, and can bring a sense of relief at the time followed by shame. It is a body-focused repetitive behaviour.

Last updated Nov 9, 2026

What it is

It can affect self-esteem and cause skin infections and scarring.

Talking therapies, especially habit reversal training and cognitive behavioural therapy (CBT), can help. Some people are also offered medicines.

Common signs

  • Repeated picking, scratching or squeezing of the skin
  • Wounds, scabs or scars
  • Trying and failing to stop
  • Spending a lot of time picking
  • Hiding the skin with clothes or make-up

How it is usually diagnosed

  • Talking with a GP
  • Assessment by a mental health professional

Records worth keeping

Keeping these together makes each appointment easier, especially when you see a new doctor:

  • GP notes
  • Therapy plans
  • Dermatology notes if the skin is infected

Questions to ask your doctor

  • Which therapy could help me?
  • How can I look after damaged skin?
  • Can I refer myself for support?

When to get help right away

Call 112 or go to the nearest emergency department if you have:

  • Thoughts of harming yourself: get urgent help, call 112 if in danger
  • A wound with spreading redness, pus or a fever: see a doctor the same day

This page is general information. It is not a diagnosis and does not replace a doctor who knows your history. Medfold keeps your records organised; it does not interpret them.

Sources