A Simple Guide to Skin Picking Disorder, (Dermatillomania) Diagnosis, Treatment and Related Conditions
By Kenneth Kee
()
About this ebook
This book describes Skin Picking Disorder, Diagnosis and Treatment and Related Diseases
Dermatillomania, also known as excoriation disorder or skin picking disorder, is a psychological disorder characterized by the repetitive and compulsive picking, scratching, or digging into one's own skin, often resulting in skin lesions, wounds and tissue damage.
It is classified as an impulse control disorder and is closely related to obsessive-compulsive disorder (OCD).
People with dermatillomania often feel a strong urge or irresistible impulse to pick at their skin, which can be triggered by various factors such as anxiety, boredom, stress, or perceived imperfections on the skin.
The picking behavior normally provides temporary relief or gratification but it can lead to physical harm, scarring, infections, and emotional distress.
Peeling, injured or ulcerated skin on the lips can happen with dermatillomania.
Lip injury due to the picking or biting of the lips can be due to dermatillomania.
Also known as excoriation disorder or skin-picking disorder, this disorder falls under the category of obsessive-compulsive disorders (OCDs).
When it leads to significant scarring and injuries, this disorder can severely affect a person’s mental health, well-being and quality of life.
This disorder gets its name from 3 Greek words:
Derma: skin.
Tillo: pulling (or picking).
Mania: excessive behavior or activity.
Dermatillomania is an uncommon disorder, with an estimated 2% of people having it at any time and up to 5.4% of people having this disorder at some point in their life.
Females are also more prone to seek treatment for this disorder.
Dermatillomania normally begins during the puberty years but can happen at any age.
Dermatillomania is also more prone to occur in people who have “precipitating” disorders such as acne or eczema.
There is a combination of genetic, environmental, and neurobiological factors that play a part in causing skin-picking disorder.
Skin picking disorder may be linked with emotional distress, anxiety, depression, or other mental health disorders.
The main symptom of dermatillomania is the irresistible impulse or urge to pick at the skin.
The act of skin-picking may be reported as:
Scratching.
Digging.
And involve the use of fingernails and fingertips, teeth, tweezers or pins
Diagnosing this disorder requires meeting all 5 criteria:
Skin picking that is continuing or repeated.
Multiple attempts to stop skin picking
Negative impact on various aspects of the life because of shame,embarrassment or other similar emotions.
Skin picking behavior does not happen due to any other medical disorder such as scabies
The skin picking behavior is not due to another mental health disorder such as body dysmorphic disorder
Treatment for dermatillomania normally involves a combination of therapies such as cognitive-behavioral therapy (CBT) and medicines.
Psychotherapy can treat this disorder in different ways, depending on the method used.
Habit reversal therapy.
Group therapy and peer support.
Cognitive behavioral therapy (CBT).
Acceptance and commitment therapy.
The most frequent medicines to help treat this disorder are:
Antidepressants.
Anticonvulsants.
Antipsychotics.
Nutraceuticals.
Persons can learn techniques to manage the urge to pick such as:
Keeping a skin picking diary to track triggers and patterns,
Finding healthy distractions,
Maintaining a skincare routine
Using barrier methods (such as gloves or bandages) to prevent picking.
TABLE OF CONTENT
Introduction
Chapter 1 Skin Picking Disorder
Chapter 2 Cause
Chapter 3 Symptoms
Chapter 4 Diagnosis
Chapter 5 Treatment
Chapter 6 Prognosis
Chapter 7 Picker Nodule
Chapter 8 Hair Pulling Disorder
Epilogue
Kenneth Kee
Medical doctor since 1972. Started Kee Clinic in 1974 at 15 Holland Dr #03-102, relocated to 36 Holland Dr #01-10 in 2009. Did my M.Sc (Health Management ) in 1991 and Ph.D (Healthcare Administration) in 1993. Dr Kenneth Kee is still working as a family doctor at the age of 70. However he has reduced his consultation hours to 3 hours in the morning and 2 hours in the afternoon. He first started writing free blogs on medical disorders seen in the clinic in 2007 on http://kennethkee.blogspot.com. His purpose in writing these simple guides was for the health education of his patients which is also his dissertation for his Ph.D (Healthcare Administration). He then wrote an autobiography account of his journey as a medical student to family doctor on his other blog http://afamilydoctorstale.blogspot.com This autobiography account “A Family Doctor’s Tale” was combined with his early “A Simple Guide to Medical Disorders” into a new Wordpress Blog “A Family Doctor’s Tale” on http://ken-med.com. From which many free articles from the blog was taken and put together into 1000 eBooks. He apologized for typos and spelling mistakes in his earlier books. He will endeavor to improve the writing in futures. Some people have complained that the simple guides are too simple. For their information they are made simple in order to educate the patients. The later books go into more details of medical disorders. He has published 1000 eBooks on various subjects on health, 1 autobiography of his medical journey, another on the autobiography of a Cancer survivor, 2 children stories and one how to study for his nephew and grand-daughter. The purpose of these simple guides is to educate patient on health disorders and not meant as textbooks. He does not do any night duty since 2000 ever since Dr Tan had his second stroke. His clinic is now relocated to the Buona Vista Community Centre. The 2 units of his original clinic are being demolished to make way for a new Shopping Mall. He is now doing some blogging and internet surfing (bulletin boards since the 1980's) starting with the Apple computer and going to PC. The entire PC is upgraded by himself from XT to the present Pentium duo core. The present Intel i7 CPU is out of reach at the moment because the CPU is still expensive. He is also into DIY changing his own toilet cistern and other electric appliance. His hunger for knowledge has not abated and he is a lifelong learner. The children have all grown up and there are 2 grandchildren who are even more technically advanced than the grandfather where mobile phones are concerned. This book is taken from some of the many articles in his blog (now with 740 posts) A Family Doctor’s Tale. Dr Kee is the author of: "A Family Doctor's Tale" "Life Lessons Learned From The Study And Practice Of Medicine" "Case Notes From A Family Doctor"
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A Simple Guide to Skin Picking Disorder, (Dermatillomania) Diagnosis, Treatment and Related Conditions - Kenneth Kee
A
Simple
Guide
To
Skin Picking Disorder,
(Dermatillomania)
Diagnosis,
Treatment
And
Related Conditions
By
Dr Kenneth Kee
M.B., B.S. (Singapore)
Ph.D (Healthcare Administration)
Copyright Kenneth Kee 2023 Smashwords Edition
Published by Kenneth Kee at Smashwords.com
Dedication
This book is dedicated
To my wife Dorothy
And my children
Carolyn, Grace
And Kelvin
This book describes Skin Picking Disorder, Diagnosis and Treatment and Related Diseases which is seen in some of my patients in my Family Clinic.
(What You Need to Treat Skin Picking Disorder)
This e-Book is licensed for your personal enjoyment only. This eBook may not be re-sold or given away to other people. If you would like to share this book with another person, please purchase an additional copy for each reader.
If you’re reading this book and did not purchase it, or it was not purchased for your use only, then please return to Smashwords.com and purchase your copy.
Thank you for respecting the hard work of this author.
Introduction
I have been writing medical articles for my blog: http://kennethkee.blogspot.com (A Simple Guide to Medical Disorder) for the benefit of my patients since 2007.
My purpose in writing these simple guides was for the health education of my patients.
Health Education was also my dissertation for my Ph.D (Healthcare Administration).
I then wrote an autobiography account of my journey as a medical student to family doctor on my other blog: http://afamilydoctorstale.blogspot.com.
This autobiography account A Family Doctor’s Tale
was combined with my early A Simple Guide to Medical Disorders
into a new Wordpress Blog A Family Doctor’s Tale
on http://kenkee481.wordpress.com.
From which many free articles from the blog was taken and put together into 800 eBooks.
Some people have complained that the simple guides are too simple.
For their information they are made simple in order to educate the patients.
The later books go into more details of medical disorders.
The first chapter is always from my earlier blogs which unfortunately tends to have typos and spelling mistakes.
Since 2013, I have tried to improve my spelling and writing.
As I tried to bring the patient the latest information about a disorder or illness by reading the latest journals both online and offline, I find that I am learning more and improving on my own medical knowledge in diagnosis and treatment for my patients.
My diagnosis and treatment capability has improved tremendously from my continued education.
Just by writing all these simple guides I find that I have learned a lot from your reviews (good or bad), criticism and advice.
I am sorry for the repetitions in these simple guides as the second chapters onwards have new information as compared to my first chapter taken from my blog.
I also find repetition definitely help me and maybe some readers to remember the facts in the books more easily.
I apologize if these repetitions are irritating to some readers.
Chapter 1
Dermatillomania (Skin Picking)
What is Skin picking disorder?
Dermatillomania, also known as excoriation disorder or skin picking disorder, is a psychological disorder characterized by the repetitive and compulsive picking, scratching, or digging into one's own skin, often resulting in skin lesions, wounds and tissue damage.
It is classified as an impulse control disorder and is closely related to obsessive-compulsive disorder (OCD).
People with dermatillomania often feel a strong urge or irresistible impulse to pick at their skin, which can be triggered by various factors such as anxiety, boredom, stress, or perceived imperfections on the skin.