Pathologic Skin Picking

@article{Odlaug2010PathologicSP,
  title={Pathologic Skin Picking},
  author={Brian L Odlaug and Jon Edgar Grant},
  journal={The American Journal of Drug and Alcohol Abuse},
  year={2010},
  volume={36},
  pages={296 - 303}
}
  • B. OdlaugJ. Grant
  • Published 1 August 2010
  • Medicine, Psychology
  • The American Journal of Drug and Alcohol Abuse
Background: Pathologic skin picking (PSP) is characterized by the repetitive and compulsive picking of skin which results in tissue damage. Objectives: This article sought to examine the evidence supporting the phenomenological, and biological links between PSP and substance use disorders. Methods: A review of the literature examining clinical presentation, comorbid psychiatric conditions, and treatment studies was used to examine the relationship of PSP and substance use disorders. Results… 

Skin-Picking Disorder: A Guide to Diagnosis and Management

There is no specific or recommended treatment option, but cognitive–behavioral therapy, particularly habit-reversal therapy and acceptance and commitment therapy have shown promise, and various pharmacological interventions have also been described to treat this condition.

Skin picking disorder.

Clinical evaluation of patients with skin picking disorder entails a broad physical and psychiatric examination, encouraging an interdisciplinary approach to evaluation and treatment.

Effectiveness of naltrexone for treating pathologic skin picking behavior in an adolescent with Prader-Willi syndrome.

It has been noted that compulsive behaviors may arise in association with cerebral damage, as a relatively involuntary behavior with no apparent purposeful function, and associated with dopamine and serotonin neurotransmitter dysfunction, suggesting important roles for these neurotransmitters in the etiology of PSP.

Atomoxetine Induced Skin Picking: A Case Report.

To the authors' knowledge, this is the first report of skin picking due to ATX in literature, and further studies are needed to investigate the frequency and mechanisms of skin pick with ATX.

Skin picking disorder with co-occurring body dysmorphic disorder.

Compulsive skin manipulation treated by topiramate.

Topiramate is utilized to treat a wide variety of psychiatric and neurologic conditions and is reported here to have been effective in an adolescent with compulsive skin excoriations.

Antioxidant Therapies for Ulcerative Dermatitis: A Potential Model for Skin Picking Disorder

In a heterogenous prospective trial, the significant reduction in Ulcerative Dermatitis lesion severity in mice receiving either N-acetylcysteine (oral administration) or glutathione (intranasal) is shown.

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

Treatment of a 33-year-old woman with moderate-to-severe excoriation disorder included psychoeducation, self-monitoring and awareness training, stimulus control, competing response training, contingency management, cognitive restructuring, and dialectical behavior therapy (DBT) skills.

Transtorno de Escoriação (Skin Picking): Revisão de Literatura

A survey of prevalence, incidence, factors related to the disorder, scales used for evaluation and empirically validated interventions for the excoriation disorder (skin picking), considering the emphasis received from the incorporation of the diagnosis to DSM-5 and the lack of national literature in the area is performed.
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References

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Self-injurious skin picking is a severe and chronic psychiatric and dermatologic problem associated with high rates of psychiatric comorbidity and may, in some cases, represent an attempt to regulate intense emotions.

Trichotillomania and Pathologic Skin Picking: clinical comparison with an examination of comorbidity.

  • B. OdlaugJ. Grant
  • Medicine, Psychology
    Annals of clinical psychiatry : official journal of the American Academy of Clinical Psychiatrists
  • 2008
It appears that the three groups are quite similar in their overall clinical presentation and severity, however, further research is needed to validate the findings and should focus on ways in which effective treatment may be achieved.

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Lamotrigine was associated with improvements in two thirds of subjects with pathologic skin picking, and placebo-controlled, double-blind studies are needed to evaluate further the safety, tolerability, and efficacy of lamotrigines in the treatment of this problematic behavior.

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Skin picking behaviors: An examination of the prevalence and severity in a community sample.

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It is suggested that escitalopram can be an effective agent in reducing pathological skin picking and the lack of medication response in a subset of the sample suggests the possibility of pathological skinpicking subtypes.

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Psychogenic excoriation is chronic, involves multiple sites, and is associated with a high rate of psychiatric comorbidity, and spans a compulsive-impulsive spectrum.
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