Book contents
- Impulse Control Disorders
- Impulse Control Disorders
- Copyright page
- Dedication
- Contents
- Contributors
- Acknowledgments
- Introduction
- Section I Acquisitive Impulses
- Section II Pellicular Impulses
- 8 Trichotillomania: Clinical Aspects
- 9 Trichotillomania: The View from Dermatology
- 10 How to Create a National Advocacy Organization
- 11 Skin Picking: Clinical Aspects
- 12 SkinPicking: The View from Dermatology
- 13 Onychophagia (Nail Biting): Clinical Aspects
- 14 Nail Bitingand Other Oral Habits: A Dentist’s Perspective
- Section III Information-Seeking Impulses
- Section IV Sexual and Aggressive Impulses
- Appendix I: Treatment Guidelines
- Appendix II: List of Scales and Assessment Instruments
- Index
11 - Skin Picking: Clinical Aspects
from Section II - Pellicular Impulses
Published online by Cambridge University Press: 06 July 2010
Book contents
- Impulse Control Disorders
- Impulse Control Disorders
- Copyright page
- Dedication
- Contents
- Contributors
- Acknowledgments
- Introduction
- Section I Acquisitive Impulses
- Section II Pellicular Impulses
- 8 Trichotillomania: Clinical Aspects
- 9 Trichotillomania: The View from Dermatology
- 10 How to Create a National Advocacy Organization
- 11 Skin Picking: Clinical Aspects
- 12 SkinPicking: The View from Dermatology
- 13 Onychophagia (Nail Biting): Clinical Aspects
- 14 Nail Bitingand Other Oral Habits: A Dentist’s Perspective
- Section III Information-Seeking Impulses
- Section IV Sexual and Aggressive Impulses
- Appendix I: Treatment Guidelines
- Appendix II: List of Scales and Assessment Instruments
- Index
Summary
Skin picking is a common human behavior and often performed as a part of the daily grooming routine. Skin-picking disorder (SPD) is currently classified in Diagnostic and Statistical Manual of Mental Disorders (DSM-IV-TR) as an impulse control disorder not otherwise specified along with compulsive impulsive (CI) Internet usage disorder, CI sexual behaviors, and CI shopping. The differential diagnosis of SPD includes medical and psychiatric conditions that cause skin picking directly or that create the sensations, such as pruritus, that lead to skin picking. Self-monitoring techniques can be used to assess the frequency of skin-picking behavior. The Yale-Brown Obsessive Compulsive Scale (Y-BOCS) modified for psychogenic excoriation is a ten-question, semistructured, clinician-administered scale that assesses the severity of skin picking in the previous week. Trichotillomania (TTM) is the most common comorbid impulse control disorder in patients with SPD.
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- Impulse Control Disorders , pp. 124 - 137Publisher: Cambridge University PressPrint publication year: 2010