Patchy evidence in skin-picking disorder supports management with combined behavioural and drug treatments
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Skin-picking disorder (SPD) is a common, repetitive, compulsive and distressing disorder with significant psychosocial effects. Data from relatively few clinical trials support behavioural therapies, especially habit-reversal therapy, as the first-line treatment. Depending on the individual’s SPD style and comorbidities, augmenting habit-reversal therapy with other behavioural therapies or pharmacological options, particularly glutamatergic modulators or specific serotonin-reuptake inhibitors, may enhance treatment outcomes.
Compliance with ethical standards
The preparation of this review was not supported by any external funding.
Conflict of interest
The article was adapted from CNS Drugs; 2019:33(4):337–46  by employees of Adis International Ltd./Springer Nature, who are responsible for the article content and declare no conflicts of interest.
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