Excoriation (Skin Picking)

Treatment at Our Center.

What To Expect.

Cognitive-Behavioral Treatment (CBT)

Individuals will be engaged in an intensive outpatient program using Cognitive Behavioral Therapy (CBT). Our clinic also offers weekly outpatient therapy for individuals with Excoriation (Skin-Picking) Disorder. CBT is recommended for the treatment of Excoriation (Skin-Picking) Disorder.


  • Excoriation (Skin-Picking) Disorder is estimated to affect around 1.4% of the general population.
  • Onset of symptoms most often occur during adolescence, commonly coinciding with or following the onset of puberty.
  • Greater than 75% of those diagnosed with the disorder are female.

What Is Excoriation (Skin Picking) Disorder

The primary characteristic of Excoriation is the repetitive picking at one’s own skin. The most commonly picked sites are the face, arms, and hands, but many individuals pick from multiple body sites. Most individuals pick with their fingernails, although many use tweezers, pins, or other objects.

Diagnostic Criteria

DSM-5 Diagnostic Criteria for 698.4 Excoriation (Skin-Picking) Disorder

  • Recurrent skin picking resulting in skin lesions.
  • Repeated attempts to decrease or stop skin picking.
  • The skin picking causes clinically significant distress or impairment in social, occupational, or other important areas of functioning.
  • The skin picking is not attributable to the physiological effects of a substance (e.g., cocaine) or another medical condition (e.g., scabies).
  • The skin picking is not better explained by symptoms of another mental disorder (e.g., delusions or tactile hallucinations in a psychotic disorder, attempts to improve a perceived defect or flaw in appearance in body dysmorphic disorder, stereotypes in stereotypic movement disorder, or intention to harm oneself in non-suicidal self-injury).