title: Skin picking disorder.
abstract: Although skin picking has been documented in the medical literature since the 19th century, only now is it receiving serious consideration as a DSM psychiatric disorder in discussions for DSM-5. Recent community prevalence studies suggest that skin picking disorder appears to be as common as many other psychiatric disorders, with reported prevalences ranging from 1.4% to 5.4%. Clinical evaluation of patients with skin picking disorder entails a broad physical and psychiatric examination, encouraging an interdisciplinary approach to evaluation and treatment. Approaches to treatment should include cognitive-behavioral therapy (including habit reversal or acceptance-enhanced behavior therapy) and medication (serotonin reuptake inhibitors, N-acetylcysteine, or naltrexone). Based on clinical experience and research findings, the authors recommend several management approaches to skin picking disorder.
authors.affiliation: Department of Psychiatry and Behavioral Neurosciences, University of Chicago, USA. jongrant@uchicago.edu
authors.forename: Jon E
authors.initials: JE
authors.lastname: Grant
authors.forename: Brian L
authors.initials: BL
authors.lastname: Odlaug
authors.forename: Samuel R
authors.initials: SR
authors.lastname: Chamberlain
authors.forename: Nancy J
authors.initials: NJ
authors.lastname: Keuthen
authors.forename: Christine
authors.initials: C
authors.lastname: Lochner
authors.forename: Dan J
authors.initials: DJ
authors.lastname: Stein
mesh_terms: D000293:Adolescent; D000328:Adult; D001521:Behavior Therapy / Q000379:methods; D002540:Cerebral Cortex / Q000503:physiopathology; D002648:Child; D002921:Cicatrix / Q000523:psychology; D015928:Cognitive Behavioral Therapy / Q000379:methods; D015897:Comorbidity; D003299:Cooperative Behavior; D003430:Cross-Sectional Studies; D039721:Diagnostic and Statistical Manual of Mental Disorders; D004644:Emotions / Q000502:physiology; D005260:Female; D006801:Humans; D033183:Interdisciplinary Communication; D008403:Mass Screening; D008875:Middle Aged; D009771:Obsessive-Compulsive Disorder / Q000175:diagnosis* / Q000503:physiopathology / Q000523:psychology* / Q000628:therapy; D011619:Psychotropic Drugs / Q000627:therapeutic use; D016728:Self-Injurious Behavior / Q000175:diagnosis* / Q000503:physiopathology / Q000523:psychology* / Q000628:therapy; D012867:Skin / Q000293:injuries*; D055815:Young Adult
chemical_list: D011619:Psychotropic Drugs