Getting to the root of the problem: skin picking disorder and aesthetic procedures

2019 ◽  
Vol 8 (10) ◽  
pp. 472-475
Author(s):  
Eda Gorbis ◽  
Carolyn Kim
Keyword(s):  
Mental Health Professionals ◽  
Skin Lesions ◽  
The Body ◽  
Chronic Mental Illness ◽  
Skin Picking ◽  
Naked Eye ◽  
Excoriation Disorder ◽  
Skin Picking Disorder ◽  
Aesthetic Procedures ◽  
Do So

Excoriation disorder or skin picking disorder (SPD) is a chronic mental illness. It is defined by recurrent skin picking, scratching, rubbing and digging or urges to do so that goes on for extended periods of time, resulting in skin lesions and behaviour that interferes with functioning in other areas of life. The skin-picked area of the body can be smooth and healthy, and the anomaly invisible to the naked eye. Commonly, individuals with SPD seek aesthetic procedures to address perceived self-defects or to remedy their self-inflicted scarring. It is important for aesthetic practitioners to identify SPD because continuing with aesthetic interventions could worsen the illness for the sufferer. In response to this issue, aesthetic practitioners can identify individuals with SPD by administering a screening questionnaire and appropriately providing referrals to mental health professionals.

scholarly journals Evaluating the role of Approach-Avoidance Training on action-tendencies in individuals with skin-picking disorder: A preliminary randomized experiment

2021 ◽  
Author(s):  
Abel S. Mathew ◽  
Madeline A. Rech ◽  
Han-Joo Lee
Keyword(s):  
Avoidance Training ◽  
Cognitive Intervention ◽  
Behavioral Approach ◽  
Skin Picking ◽  
Assessment Task ◽  
Approach Training ◽  
Approach Avoidance ◽  
Excoriation Disorder ◽  
Skin Picking Disorder ◽  
Action Tendencies

AbstractBackground and aimsPathological skin-picking (PSP) or excoriation disorder is a destructive behavior that affects 1-2% of the general population. The purpose of this pilot study was to evaluate the effect of a computerized behavior modification task on action-tendencies (i.e., approach or avoidance) in adults with PSP. We aimed to modify these action-tendencies by having participants with PSP complete the Approach-Avoidance Training (AAT) task, using a joystick to simulate an approach (=pull) or avoidance (=push) response.MethodForty-five participants diagnosed with PSP were randomized to one of three training conditions: (1) Avoidance Training (AvT; n = 15), (2) Approach Training (ApT; n = 15), or (3) Placebo Training (PT; n = 15). We hypothesized that after training, those in the AvT would have the greatest reduction in behavioral approach (i.e., their overall reaction time [RT] to approach pictures of irregular skin stimuli).ResultsResults of the pre-training assessment task revealed a positive correlation between behavioral approach to irregular skin stimuli and skin-picking severity as assessed by the Skin Picking Scale-Revised (SPS-R). After training, a lower behavioral approach and urges to pick were found in the AvT and PT groups, while those in the ApT reported higher behavioral approach and urges to pick. At two-week follow-up, no significant changes on the SPS-R were reported between groups.DiscussionOur preliminary data suggest that the AAT is a promising avenue of research to develop as a cognitive intervention to address an excessive behavioral approach tendency that characterizes skin-picking problems.

When to Choose Paroxetine Treatment in Skin-Picking Disorder: A Case Report

2022 ◽  
pp. 155005942110733
Author(s):  
Mehmet K. Arıkan ◽  
Muazzez Ç. Oba ◽  
Reyhan İlhan ◽  
Mehmet C. Mat
Keyword(s):  
Case Report ◽  
Selective Serotonin Reuptake Inhibitors ◽  
Treatment Success ◽  
Skin Lesions ◽  
Alpha Power ◽  
Obsessive Compulsive ◽  
Skin Picking ◽  
Compulsive Disorder ◽  
Skin Picking Disorder ◽  
Paroxetine Treatment

Skin picking disorder (SPD) characterized by repetitive compulsive scratching in the absence of a primary skin disease is strongly associated with psychiatric comorbidities, including obsessive-compulsive disorder (OCD) and depression (MDD). Selective serotonin reuptake inhibitors (SSRIs) have been used in the treatment of SPD with variable success. Nevertheless, the optimum treatment choice for SPD is an issue for clinicians. This case report presents a 32-year-old female SPD patient treated with four-week paroxetine monotherapy. Based upon the clinical interview and standardized questionnaires, the patient was diagnosed with OCD with depressive features and Skin Picking Disorder. In addition to symptom severity scales, quantitative electroencephalography (qEEG) was also applied. Paroxetine treatment was started (titrated from 5 to 40 mg/day) and doubled each week. After four-week paroxetine monotherapy, OCD symptoms were diminished, and skin lesions were completely regressed leaving solely post inflammatory hyperpigmentation. Post-treatment qEEG assessment also showed a normalization of frontal alpha power and amplitude asymmetry. It can be concluded that if OCD includes SPD with abnormal EEG patterns; then the treatment success using paroxetine will be very high.

scholarly journals Drug Treatment of Trichotillomania (Hair-Pulling Disorder), Excoriation (Skin-picking) Disorder, and Nail-biting (Onychophagia)

2019 ◽  
Vol 17 (8) ◽  
pp. 775-786 ◽  
Author(s):  
Gabriele Sani ◽  
Ida Gualtieri ◽  
Marco Paolini ◽  
Luca Bonanni ◽  
Edoardo Spinazzola ◽  
...  
Keyword(s):  
Drug Treatment ◽  
Impulse Control ◽  
Personalised Medicine ◽  
Impulse Control Disorders ◽  
Hair Pulling ◽  
Obsessive Compulsive ◽  
Skin Picking ◽  
Nail Biting ◽  
Excoriation Disorder ◽  
Skin Picking Disorder

Background: Trichotillomania (TTM), excoriation (or skin-picking) disorder and some severe forms of onychophagia are classified under obsessive-compulsive and related disorders. There are different interacting neurotransmitter systems involved in the pathophysiology of impulse-control disorders, implicating noradrenaline, serotonin, dopamine, opioid peptides and glutamate, hence investigators focused on drugs able to act on these transmitters. Our aim was to critically review the efficacy of the drugs employed in impulse-control disorders. Methods: We searched for controlled drug trials to treat TTM, excoriation, and/or nail-biting six databases (PubMed, Cochrane, Scopus, CINAHL, PsycINFO/PsycARTICLES, and Web of Science), using the search strategy: (trichotillomania OR “excoriation disorder” OR “face picking” OR “skin picking” OR “hair pulling” OR onychophagia OR “nail-biting”) AND drug treatment on 12 March 2018 for all databases. We followed in our method of identifying relevant literature the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement. Results: SSRIs and clomipramine are considered first-line in TTM. In addition, family members of TTM patients are often affected by obsessive-compulsive spectrum disorders. Other drugs used in the treatment of TTM are lamotrigine, olanzapine, N-Acetylcysteine, inositol, and naltrexone. Conclusion: The treatment of TTM, excoriation disorder and nail-biting is still rather disappointing. Conjectures made from preclinical studies and the relative pathophysiological hypotheses found poor confirmations at a clinical level. There is a need for further studies and the integration of pharmacological and psychotherapeutic. Our results point to the need of integrating personalised medicine principles in the treatment of these patients.

Excoriation: What Counselors Need to Know About Skin Picking Disorder

2016 ◽  
Vol 38 (4) ◽  
pp. 281-297
Author(s):  
Gina E. Jagger ◽  
William R. Sterner
Keyword(s):  
Emotional Distress ◽  
Functional Impairment ◽  
Tissue Damage ◽  
Skin Lesions ◽  
Diagnosis And Treatment ◽  
Case Scenario ◽  
Skin Picking ◽  
Suggested Approach ◽  
Skin Picking Disorder

Excoriation is a disorder in which individuals repetitively scratch or pick their skin, resulting in visible tissue damage. The skin lesions that occur from excoriation can lead to physical disfigurement, functional impairment, and emotional distress. Although skin picking is a common behavior that can negatively impact various domains of a person's life, many clinicians are unaware that there are instances in which this condition can be classified a pathological disorder. This article focuses on the prevalence, course, etiology, assessment, diagnosis, and treatment of excoriation. A case scenario is included to demonstrate how a client may present in session, followed by suggested approach to treatment. Implications for clinicians are also discussed.

SPECT-Befunde bei Hemiparkinson-Syndrom mit 99mTc-HMPAO

1989 ◽  
Vol 28 (03) ◽  
pp. 92-94 ◽  
Author(s):  
C. Neumann ◽  
H. Baas ◽  
R. Hefner ◽  
G. Hör
Keyword(s):  
Parkinson’S Disease ◽  
Parkinson's Disease ◽  
Basal Ganglia ◽  
Neuronal Activity ◽  
Tracer Uptake ◽  
The Body ◽  
99Mtc Hmpao ◽  
Do So

The symptoms of Parkinson’s disease often begin on one side of the body and continue to do so as the disease progresses. First SPECT results in 4 patients with hemiparkinsonism using 99mTc-HMPAO as perfusion marker are reported. Three patients exhibited reduced tracer uptake in the contralateral basal ganglia One patient who was under therapy for 1 year, showed a different perfusion pattern with reduced uptake in both basal ganglia. These results might indicate reduced perfusion secondary to reduced striatal neuronal activity.

Preventing child sexual abuse and the use of child abuse images: the Prevention Project Dunkelfeld as an international perspective

2019 ◽  
Vol 1 (1) ◽  
pp. 61-66 ◽  
Author(s):  
Klaus M. Beier
Keyword(s):  
Sexual Abuse ◽  
Child Sexual Abuse ◽  
Sex Offenders ◽  
Mental Health Professionals ◽  
Child Pornography ◽  
Sexual Exploitation ◽  
International Perspective ◽  
The Body ◽  
World Health ◽  
Sexual Offences

Paedophilia—a sexual preference for the body scheme of pre-pubescent children—is defined as a disorder within the International Classification of Diseases (ICD) of the World Health Organization as well as within the Diagnostic and Statistical Manual of Mental Disorders (DSM) of the American Psychiatric Association. Contrary to popular belief, not all sex offenders who target children are paedophiles, and not all paedophiles commit sexual offences. But quite obviously paedophilia is an emotionally charged and controversial topic, which might be an explanation for putting it out of focus within the healthcare system. Mental health professionals are mainly (and worldwide) not well trained in terms of assessment methods and intervention techniques available to develop and implement effective policies and practices. This presents an obstacle for prevention, in that proactive strategies to protect children from child sexual abuse and sexual exploitation by online offences, such as the consumption or distribution of child abusive images (so-called child pornography), which emphasises the internationally relevant dimension of the issue. The article will address key concerns and questions in dealing with this clinically relevant population, offer insights into a primary prevention approach developed in Germany, and discuss the situation on a European level.

scholarly journals ACT‐enhanced group behavior therapy for trichotillomania and skin‐picking disorder: A feasibility study

2021 ◽  
Author(s):  
Mia Asplund ◽  
Christian Rück ◽  
Fabian Lenhard ◽  
Tove Gunnarsson ◽  
Martin Bellander ◽  
...  
Keyword(s):  
Feasibility Study ◽  
Behavior Therapy ◽  
Group Behavior ◽  
Skin Picking ◽  
Skin Picking Disorder

Heightened Sense of Incompleteness in Excoriation (Skin-Picking) Disorder

2021 ◽  
Author(s):  
Emily J. Ricketts ◽  
Ívar Snorrason ◽  
Abel S. Mathew ◽  
Erna Sigurvinsdottir ◽  
Ragnar P. Ólafsson ◽  
...  
Keyword(s):  
Skin Picking ◽  
Skin Picking Disorder

scholarly journals Voyageurs malgré eux: Silence, embodiment, and exposure in Minh Tran Huy and Doan Bui

2021 ◽  
pp. 095715582110259
Author(s):  
Caroline D. Laurent
Keyword(s):  
Second Generation ◽  
Life Stories ◽  
The Body ◽  
French Society ◽  
Dual Identity ◽  
Vietnamese Literature ◽  
Asian Descent ◽  
Vietnamese Community ◽  
Body Self ◽  
Do So

In recent Franco-Vietnamese literature written by descendants of immigrants, the liminality of exile is portrayed in all its complexity through migrant bodies – that of parents’ bodies – and through political and social bodies – linked to History and the Việt Kiều’s positionality in French society. The experience of external movement becomes an internal one, creating porosity between the outside and the body, self and others, places and times. This article argues that, in Minh Tran Huy’s Voyageur malgré lui and Doan Bui’s Le Silence de mon père, by representing their family’s migration, both authors present the silenced histories of the Vietnamese community in France. In order to do so, Tran Huy and Bui first focus on uncovering and writing the stories of their silent fathers: through their embodiment of exilic history, the fathers transmit the wound of their immigrant condition to their daughters. Consequently, daughters come to manifest similar bodily expressions of traumas they have not experienced and know little about. The fathers’ histories are eventually voiced and re-invested by the second generation. This shows how the unearthing of their fathers’ life stories is also about reappropriating a dual identity as well as making Asian diasporic perspectives and histories visible, notably to create new avenues of representation for French individuals of Asian descent.

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