title: [Skin-picking disorder].
abstract: The disorder is characterized by compulsive repetitive skin-picking (SP), resulting in skin lesions. The patients must have undertaken several attempts to reduce or stop SP. The disorder must have led to clinically significant limitations in social, professional, or other important areas of life. The symptoms cannot be better explained by another emotional disorder or any other dermatological disease. In the new DSM-V, skin-picking disorder has been included in the diagnostic system as an independent disorder and describes the self-injury of the skin by picking or scratching with an underlying emotional disorder. SP is classified among the impulse-control disorders and is, thus, differentiated from compulsive disorders as such. There are often emotional comorbidities. In cases of pronounced psychosocial limitation, interdisciplinary cooperation with a psychotherapist and/or psychiatrist is indicated.
authors.affiliation: Institut für Psychoanalyse und Psychotherapie Gießen, Ludwigstraße 73, 35392, Gießen, Deutschland. Volker.niemeier@derma.med.uni-giessen.de.|Hautarzt - Allergologie, Psychotherapie - Psychoanalyse, Universitäts-Hautklinik, UKGM, Giessen, Gaffkystraße 14, 35392, Gießen, Deutschland. Volker.niemeier@derma.med.uni-giessen.de.
authors.forename: V
authors.initials: V
authors.lastname: Niemeier
authors.affiliation: Klinik für Psychosomatik und Psychotherapie des Univ.-Klinikums Gießen, Univ. Hautklinik Charité Berlin, Gießen, Deutschland.
authors.forename: E
authors.initials: E
authors.lastname: Peters
authors.affiliation: Universitäts-Hautklinik Gießen UKGM, Gießen, Deutschland.
authors.forename: U
authors.initials: U
authors.lastname: Gieler
mesh_terms: D015928:Cognitive Behavioral Therapy / Q000379:methods; D003879:Dermatologic Agents / Q000627:therapeutic use; D007174:Disruptive, Impulse Control, and Conduct Disorders / Q000175:diagnosis* / Q000523:psychology / Q000628:therapy*; D006801:Humans; D016728:Self-Injurious Behavior / Q000175:diagnosis* / Q000523:psychology / Q000628:therapy*; D012871:Skin Diseases / Q000175:diagnosis* / Q000523:psychology / Q000628:therapy
chemical_list: D003879:Dermatologic Agents
keywords: Psyche; Psychodermatology; Psychosomatic disorders; Self-harm; Skin-picking disorder