Excoriation disorder is a compulsive urge that is not caused by illicit substances or medications. If something you’re taking is causing your compulsion, look into adjusting that before seeking treatment for skin picking. Skin picking may also be a side-effect of other mental health problems. If you have another mental or psychiatric problem, talk to your doctor or therapist to see if that may relate to your skin picking, or if it is a true compulsion on its own.
If you get stressed at work or school, for example, you can’t just quit your job or stop going to school to avoid the trigger. However, you can develop strategies to manage urges, such as breathing exercises and distracting activities. For many people, urges to pick their skin or scalp occur more often at night and when they feel stressed or anxious.
As you breathe, imagine yourself in a calm, comfortable setting. Think positive affirmations, such as, “Everything is okay. These anxious feelings will pass. I have the power to resist the urge to pick my skin. ”
Touching a doll’s hair and head could also help. Try a variety of objects, and see what works best for you. [5] X Research source
When resisting the urge to pick feels impossible, read entries about your past success. Reminding yourself that you’ve handled the challenge before can help you stay on track. You can also use a habit awareness app or device to help interrupt picking behaviors. [7] X Research source
Venting about your stress can provide an outlet for the underlying cause of your urges to pick. A friendly conversation can keep your mind off of the urge in the moment.
Try not to be afraid or ashamed of seeing a mental health professional. There’s no difference between maintaining your physical health and mental well-being. Additionally, trust in your therapist, follow their advice, and do the “homework” they assign, such as affirmations and behavioral exercises. Your therapist is there to help you, so do your best to keep a positive mindset.
For some products, you’ll simply lather and rinse. Others might recommend letting the shampoo sit in your hair for 5 minutes. [11] X Trustworthy Source American Academy of Dermatology Professional organization made of over 20,000 certified dermatologists Go to source
Additionally, if a shampoo makes your hair and scalp feel dry, try a different product. Salicylic acid, for instance, tends to dry out the scalp, so a 2-in-1 shampoo/conditioner with pyrithione zinc might be a better option. Be careful with shampoos that contain coal tar and selenium sulfide, which can discolor blonde, gray, or dyed hair. While more expensive, ketoconazole shampoos are stronger and might offer results if others aren’t effective.
If your hair and scalp are dry, you could also try massaging coconut oil into your scalp. Let it sit for 5 or 10 minutes, then rinse your hair thoroughly. Spritzing your hair with a mixture of 1 part water and 1 part apple cider vinegar might also do the trick. Spritz, let it sit for 5 or 10 minutes, then rinse your hair. [14] X Research source
Your primary doctor or dermatologist might recommend a prescription-strength dandruff shampoo. Or, if necessary, they can diagnose and address another medical condition, such as cosmetic allergies, psoriasis, or ringworm.
To make an accurate diagnosis, a dermatologist will perform a physical exam. They might also take a small skin sample and send it to a lab for testing. Psoriasis is treated with medicated shampoos and corticosteroid ointments. Severe cases may require an oral anti-psoriatic medication. Your dermatologist will come up with the right treatment plan for your specific condition.
When you start treatment, machine wash towels, bedding, and clothing, and dry them on your dryer’s hottest setting. Ringworm is spread through direct contact with infected skin or contaminated items, such as clothes, combs, hats, or bedding. Soak your combs and brushes for 1 hour each day in a solution of 1 part bleach and 10 parts water for the first 3 days of treatment. While treating ringworm, don’t share any hygiene products, hats, pillowcases, or anything that touches your head.
As with ringworm, machine wash and dry towels, bedding, and clothing during treatment. Avoid sharing hats, helmets, pillows, and other items that touch your head. For persistent cases, you might need a prescription-strength insecticidal shampoo.
Oral or topical corticosteroids and nerve blockers could provide relief. Possible side effects vary, but may include fatigue, drowsiness, weight gain, and weakened immune system. Take any medication according to your doctor’s instructions. Consult your doctor before you stop taking a prescription medication.
