How is excoriation (skin-picking) disorder treated?

Updated: Jul 10, 2018
  • Author: Roxanne Graham, MD; Chief Editor: Dirk M Elston, MD  more...
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Answer

General management principles include the following:

  • Setting limits for the protection of both the physician and patient

  • Creating an accepting, empathic, and nonjudgmental environment

  • Closely supervising symptomatic dermatologic care

  • Attempting to develop a therapeutic relationship in which psychological issues may be addressed and which may permit referral to a psychiatrist as appropriate

  • Avoidance of issues of etiology (confrontation is counterproductive)


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