Excoriation (Skin-Picking) Disorder is an obsessive-compulsive and related disorder characterized by the repeated urge to pick at one's own skin, often to the extent that significant skin damage is caused.
Recurrent skin picking resulting in skin lesions.
Repeated attempts to decrease or stop skin picking.
The skin picking causes clinically significant distress or impairment in social, occupational, or other important areas of functioning.
The skin picking is not attributable to the physiological effects of a substance (e.g. - cocaine) or another medical condition (e.g. - scabies).
The skin picking is not better explained by symptoms of another mental disorder (e.g. - delusions or tactile hallucinations in a psychotic disorder, attempts to improve a perceived defect or flaw in appearance in body dysmorphic disorder, stereotypies in stereotypic movement disorder, or intention to harm oneself in nonsuicidal self-injury).
Name | Rater | Description | Download |
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Skin Picking Impact Scale (SPIS) | Patient | The SPIS is a self-report instrument developed to assess the psychosocial consequences of repetitive skin picking. An initial 28-item scale was administered to 31 individuals with severe self-injurious skin picking and 78 individuals with non-self-injurious skin picking. | Download |
Yale–Brown Obsessive Compulsive Scale Modified for Neurotic Excoriation (NE-YBOCS) | Clinician | The NE-YBOCS is a modification of the Yale–Brown Obsessive Compulsive Scale (Y-BOCS), a reliable and valid scale for obsessive-compulsive disorder. | |
Skin Picking Scale - Revised (SPS-R) | Patient | The SPS-R is an 8-item self-report scale that assesses clinical severity of excoriation behaviours. |
Cognitive behavioural therapy (CBT) (including habit reversal, and acceptance-enhanced therapy) is the first-line therapy.[10]