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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.
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]
Skin Picking Stats: Grant J, Odlaug B, Chamberlain S, et al. Skin Picking Disorder. The American Journal of Psychiatry. November 2012. Excoriation Disorder Added to DSM-5-TR: Excoriation Disorder ...
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. It can be associated with psychiatric disorders such as depressive neurosis, delusions of infestation [2] and hypochondriasis. [3] It was named by Jan Alkiewicz, a Polish dermatologist. [4]
“Anxiety disorders, depression, obsessive-compulsive disorders (OCD), delusional disorders, and others can be found to have scabs on the scalp,” Dr. Thosani says. ... “Avoid picking the ...
Dermatillomania (picking of the skin) of the knuckles (via mouth), illustrating disfiguration of the distal and proximal joints of the middle and little fingers Body-focused repetitive behavior ( BFRB ) is an umbrella name for impulse control [ 1 ] behaviors involving compulsively damaging one's physical appearance or causing physical injury.
“Picking at scalp acne can lead to scarring or secondary infection,” she explains. Similarly, use gentle hair tools and avoid brushes or combs that may irritate the scalp further, she advises.
Trichotillomania (hair-pulling) and skin-picking were moved in DSM-5 to the obsessive-compulsive chapter. [1] Additionally, other disorders not specifically listed in this category are often classed as impulsivity disorders. Terminology was changed in the DSM-V from "Not Otherwise Classified" to "Not Elsewhere Classified". [3]
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