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It is not the same as onychophagia, where the nails are bitten or chewed, or dermatillomania, where skin is bitten or scratched. Onychotillomania can be categorized as a body-focused repetitive behavior in the DSM-5 and is a form of skin picking, also known as excorciation disorder.
Dermatophagia (from Ancient Greek δέρμα — lit. skin and φαγεία lit. eating) or dermatodaxia (from δήξις, lit. biting) is a compulsion disorder of gnawing or biting one's own skin, most commonly at the fingers.
Formication is the sensation resembling that of small insects crawling on (or under) the skin, in the absence of actual insects. It is one specific form of a set of sensations known as paresthesias, which also include the more common prickling, tingling sensation known as pins and needles.
Skin picking often occurs as a result of some other triggering cause. Some common triggers are feeling or examining irregularities on the skin, and feeling anxiety or other negative feelings. This anxiety most commonly stems from a type of OCD, which can range in severity and often goes undiagnosed.
If you pick to the point of creating an open sore, you’ve tried to stop picking your skin on your own and can’t, or the behavior really upsets you, it’s probably time to give therapy a go.
Body-focused repetitive behavior. Dermatillomania (picking of the skin) of the knuckles (via mouth), illustrating disfiguration of the distal and proximal joints of the middle and little fingers.
Angular cheilitis – a fissure running in the corner of the mouth with reddened, irritated facial skin adjacent. A fairly mild case of angular cheilitis extending onto the facial skin in a young person (affected area is within the black oval).
How to stop picking your face, scraping your skin, or pulling your hair? These Best of Mental Health Award-winning products can help.
Self-harm behaviours, including biting, hitting, head banging, and skin picking, are very common. Behavioral complications in Smith-Magenis syndrome are thought to be worsened by issues with sleeping.
Pathophysiology. Chronic and repetitive scratching, picking, or rubbing of the nodules may result in permanent changes to the skin, including nodular lichenification, hyperkeratosis, hyperpigmentation, and skin thickening. Unhealed, excoriated lesions are often scaly, crusted or scabbed.