Neurotic Excoriation

Everyone picks at their skin sometimes—maybe you squeeze a pimple or scratch at a scab. But for some people, it goes beyond that. Neurotic excoriation, also called skin-picking disorder, is a real mental health condition where someone picks at their skin so much that it causes wounds, scars, and emotional pain.

It often starts small—just a little picking here and there. Maybe there's a bump, a blemish, or just some rough skin. But over time, it can turn into a daily cycle that’s hard to break. People with this condition feel a strong, sometimes uncontrollable urge to pick, even when they know it’s hurting their skin. The picking might bring a moment of relief, but it’s usually followed by guilt, shame, or frustration.

Neurotic excoriation isn’t just about the skin—it’s often tied to emotions. Stress, anxiety, boredom, or even perfectionism can trigger the behavior. Some people pick when they’re nervous or overwhelmed. Others don’t even realize they’re doing it until they see the damage afterward. For many, it becomes a coping mechanism—a way to deal with difficult feelings.

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