What are They?
Skin-picking involves recurrent picking of skin, often of the face, arms, and hands, that leads to skin lesions and scarring. Frequent picking and touching of the skin is done to try to improve perceived imperfections. Hair-pulling involves recurrent pulling or plucking of one’s own hair from the scalp, eyelashes, eyebrows, or other body parts, which leads to hair loss or bald patches. These behaviours provide temporary relief or gratification but often lead to distress, anxiety, or dysfunction.
The vicious cycle of repetitive behaviour
Skin-picking and hair-pulling occur as part of a vicious cycle of repetitive behaviour. It often starts with an urge or sensation, followed by picking or pulling, and then examination of and attention to the area. This provides temporary relief or gratification but is often followed by distress, shame, or anxiety. The process then repeats, as focusing on the area again leads to urges to pick or pull. Environmental triggers, emotions, stress, or boredom can worsen the behaviours.
Treatments
The key is addressing the underlying factors driving the repetitive behaviours. Treatment helps manage urges, reduces shame, and provides healthier coping strategies. With proper care, individuals can gain control over skin-picking and hair-pulling compulsions.