Treatment of an Adult with Excoriation (Skin-Picking) Disorder



Pathological skin picking, known as excoriation (skin-picking) disorder in the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5), is a chronic and disabling obsessive-compulsive spectrum disorder characterized by repeated picking of the skin resulting in tissue damage. This chapter describes the successful treatment of a 33-year-old woman with moderate-to-severe excoriation disorder. Treatment comprised two assessment sessions followed by nine sessions of cognitive-behavioral therapy (CBT). Specific interventions included psychoeducation, self-monitoring and awareness training, stimulus control, competing response training, contingency management, cognitive restructuring, and dialectical behavior therapy (DBT) skills.


OC spectrum Excoriation Skin-picking CBT DBT 


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Copyright information

© Springer International Publishing Switzerland 2016

Authors and Affiliations

  1. 1.Massachusetts General Hospital/Harvard Medical SchoolBostonUSA
  2. 2.OCD and Related Disorders ProgramMassachusetts General HospitalBostonUSA

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