More Than Just an Itch by Johanna Wilson, MD

Picking at your skin can be more disabling than the occasional mosquito bite. Some people suffer from picking at their scalp, blemishes, and bites to a point that can be disabling or disfiguring. Two illnesses in psychiatry suffer similar consequences - Excoriation Disorder and Trichotillomania (hair pulling disorder). Various forms of treatment can be used to treat these conditions. Cognitive behavioral therapy is the most evidence-based treatment. This type of therapy is available online at ww2.stoppicking.com. This service is purchased for approximately $30 a month and helps patients achieve remission from nail biting, skin picking, lip chewing, etc. without medication. A similar online therapy is available for those with debilitating hair pulling (Trichotillomania) at ww2.stoppulling.com.

​Sometimes, prescription medications like antidepressants and an over-the-counter supplement called N-acetyl-cysteine can be beneficial for treating these illnesses. Speak with your mental health provider if you think you are suffering from one of these illnesses to discuss what might be most helpful for you.