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Published on: 3/17/2025

Is Skin Picking a Form of Self Harm?

Skin picking can be a form of self-harm when it is done on purpose to relieve emotional pain or stress rather than unintentionally.

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Explanation

When someone picks at their skin on purpose and causes cuts, sores, or scarring, it is considered a form of self-harm. This behavior can happen when strong emotions like sadness, anger, or stress feel overwhelming, and picking the skin brings a temporary sense of relief. In these cases, skin picking is similar to other self-injurious behaviors because the act is used as a way to deal with emotional pain or distress rather than being an accidental habit. Many people find that this behavior reduces their emotional distress temporarily, but it can lead to other problems like infections, scarring, or feelings of regret later on. Over time, skin picking can become a pattern that is hard to break. It is important to understand that even though the behavior might seem like a quick fix, it is not a long-term solution. If you or someone you know is struggling with intentional or unintentional skin picking, talking to a trusted adult or a mental health professional can help find healthier ways to manage emotions without physical harm.

(References)

  • Wilhelm S, Keuthen NJ, Deckersbach T, Engelhard IM, Forker AE, Baer L, O'Sullivan RL, Jenike MA. Self-injurious skin picking: clinical characteristics and comorbidity. J Clin Psychiatry. 1999 Jul;60(7):454-9. doi: 10.4088/jcp.v60n0707. PMID: 10453800.

  • Lochner C, Simeon D, Niehaus DJ, Stein DJ. Trichotillomania and skin-picking: a phenomenological comparison. Depress Anxiety. 2002;15(2):83-6. doi: 10.1002/da.10034. PMID: 11891999.

  • Grant JE, Collins M. Non-suicidal self-injury in trichotillomania and skin picking disorder. CNS Spectr. 2024 Aug;29(4):268-272. doi: 10.1017/S1092852924000294. Epub 2024 May 17. PMID: 38757168.

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