Dermatillomania (also known as neurotic excoriation, pathologic skin picking (PSP), compulsive skin picking (CSP) or psychogenic excoriation) is an impulse control disorder characterized by the repeated urge to pick at one's own skin, often to the extent that damage is caused. Research has suggested that the urge to pick is similar to an obsessive compulsive disorder but others have argued that for some the condition is more akin to substance abuse disorder. The two main strategies for treating this condition are pharmacological and behavioral intervention. Dermatillomania is defined as repetitive and compulsive picking of skin which results in tissue damage. Dermatillomania has never been classified as its own separate condition in the Diagnostic and Statistical Manual of Mental Disorders, and is usually classified as a subset of impulse control disorder. Dr. Dan Stein and others have argued that dermatillomania should have been included in the DSM-5 because the condition is clearly a behavioral pattern in some individuals that has been long described in the medical literature and diagnostic criteria have been proposed. The inability to control the urge to pick is similar to the
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