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There have been many different theories regarding the causes of excoriation disorder, including biological and environmental factors. [10]A common hypothesis is that excoriation disorder is often a coping mechanism to deal with elevated levels of turmoil, boredom, anxiety, or stress within the individual, and that the individual has an impaired stress response.
It is not the same as onychophagia, where the nails are bitten or chewed, or dermatillomania, where skin is bitten or scratched. Onychotillomania can be categorized as a body-focused repetitive behavior in the DSM-5 and is a form of skin picking , also known as excoriation disorder .
The scalp is the most common pulling site, followed by the eyebrows, eyelashes, face, arms, and legs. [10] Some less common areas include the pubic area, underarms, beard, and chest. [11] The classic presentation is the "Friar Tuck" form of crown alopecia (loss of hair at the "crown" of the head, also known as the "vertex"). [12]
If you pick to the point of creating an open sore, you’ve tried to stop picking your skin on your own and can’t, or the behavior really upsets you, it’s probably time to give therapy a go.
Here are the most common scalp conditions, with photos and treatments. Want to know what that bump, sore, scabs or red irritation on your scalp means? Here are the most common scalp conditions ...
Lindsay’s nails cause the color of the nail bed to look half white and half red or brown, whereas Terry’s nails cause the nail bed to look mostly white or washed-out, per Cleveland Clinic ...
nail-biting; outbursts of complaining or shouting; pulling at clothes or hair; picking at skin, as either a sign of PMA or even progressing to a disorder (excoriation disorder) tapping fingers; tapping feet; starting and stopping tasks abruptly; talking very quickly; moving objects around for no reason; taking off clothes then putting them back on
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