Treatment of skin picking disorder: Interdisciplinary role of dermatologist and psychiatrist

Dermatol Ther. 2020 Nov;33(6):e13837. doi: 10.1111/dth.13837. Epub 2020 Jul 6.

Abstract

Skin picking disorder (excoriation disorder) is a common psychodermatological disorder characterized by irresistible urges to pick skin on dominant hand accessible parts of the body. There is no specific recommended treatment available. Various pharmacological agents particularly selective serotonin reuptake inhibitors and glutamatergic agents have been tried with variable success. Habit reversal therapy has been commonly employed in the treatment and has some evidence-based success. This review focuses on the interdisciplinary team approach consisting of a liaison with psychiatry, in the management of this disorder. The specific roles of dermatologist and psychiatrist are discussed in detail.

Keywords: excoriation disorder; psychodermatology; psychosomatics; skin picking.

Publication types

  • Review

MeSH terms

  • Dermatologists
  • Humans
  • Obsessive-Compulsive Disorder*
  • Psychiatry*
  • Selective Serotonin Reuptake Inhibitors
  • Skin Diseases* / diagnosis
  • Skin Diseases* / psychology
  • Skin Diseases* / therapy

Substances

  • Serotonin Uptake Inhibitors