Dermatillomania, a condition where individuals compulsively pick at their skin, affects approximately one in 20 people at some point in their lives, according to the NHS. The disorder, also referred to as skin picking disorder, can manifest as an urge to pick at spots, scars, and moles in an attempt to smooth the skin, often using fingers, nails, or tools.
Professional makeup artist Beth* shared her experience with the condition, which began in her late twenties after years of clear skin. Initially mistaking her symptoms for acne, she spent thousands on products and treatments, including laser therapy, before a specialist identified the underlying issue as dermatillomania. The specialist's initial assessment was that Beth needed psychological help rather than dermatological treatment.
Despite her profession, which equipped her with the skills and tools to conceal blemishes, dermatillomania significantly impacted Beth's confidence and daily life. She admits to avoiding social events during flare-ups and has even implemented a strict rule against her boyfriend touching her face during intimate moments. The extensive makeup application required to cover her skin can take two to three hours each morning, leading to sleep deprivation and affecting her ability to engage in activities like going to the gym.
Her home environment is adapted to her condition, with magnifying mirrors and lights in rooms where she spends the most time, facilitating easy inspection and picking. Beth emphasizes that stopping the picking is not simple, describing it as a compulsion that can provide temporary satisfaction but often leads to regret due to prolonged blemishes and skin damage.
While Beth has not experienced significant anxiety or depression, she acknowledges the possibility of deeper emotional issues contributing to her condition, admitting a fear of seeking professional psychological evaluation. Her skin has only cleared when she was too ill to leave her bed and therefore unable to access mirrors to pick at her skin. Spot stickers have been useful for healing and limiting unconscious picking. She also advises a minimalist approach to makeup, as heavy products can accentuate skin texture.
Beth is now planning to consult a psychologist. The NHS recommends seeking medical advice from a GP if skin picking is uncontrollable, causes serious damage, or leads to emotional distress or impairment of daily life.