Background. Self-injurious behavior directed at the skin has been described under various headings as follows: neurotic excoriations (NEs), acne excoriée des jeunes filles, compulsive skin picking, dermatitis autophytica, and others, while more severe forms are designated dermatitis artefacta, delusions of parasitosis, dermatitis factitia, and dermatopathic Munchausen's syndrome. Skin picking, also known as neurotic excoriation or dermatillomania, is a common Body Focused Repetitive Behavior like hair pulling and nail biting. Neurotic excoriations are self-inflicted skin lesions produced by repetitive scratching. To date, there has been no clearly effective pharmacologic or psychological treatment for SPD. To date, there has been no clearly effective pharmacologic or psychological treatment for SPD. One must understand that patients who consult us for treatment of problems such as skin-picking disorder (neurotic excoriations) or trichotillomania do not want to hear “stop it.” This is undoubtedly what the patient has been told by family and friends for years, and if the patient could stop it, of course they would have done so, long ago. Acne excoriée. However, there is still enough evidence to support a combination of therapy and medications as … Excoriation (skin-picking) disorder (ED), also known as dermatillomania, psychogenic excoriation, or neurotic excoriation, is characterized by recurrent picking of skin, leading to skin lesions and significant distress or functional impairment. Sadly, most people do not seek treatment to stop skin picking because of the stigma associated with it. Importance Excoriation (skin-picking) disorder (SPD) is a disabling, underrecognized condition in which individuals repeatedly pick at their skin, leading to noticeable tissue damage. Treatment of Excoriation Disorder Several evidence-based treatment options are available for use in treating those who have excoriation disorder (Kress & Paylo, 2015). Importance: Excoriation (skin-picking) disorder (SPD) is a disabling, underrecognized condition in which individuals repeatedly pick at their skin, leading to noticeable tissue damage. Since excoriation disorder is a relatively new diagnosis, it currently does not have the depth of research that other conditions like depression and anxiety do. This depends on the underlying psychological condition and how responsive it is to treatment. Natural resolution without therapy is unusual. A scab, an ingrown hair, an open […] Scarring; Worsening anxiety; Neurotic excoriation prognosis. Neurotic excoriation complications . Acne excoriée is a type of neurotic or psychogenic excoriation. Because there is no known physical problem of the skin, this … Unfortunately, many providers fail to use evidence-based treatment approaches in their work with this population (Tucker et al., 2011). The disorder, also called dermatillomania or neurotic excoriation, causes significant emotional distress and embarrassment due to the lesions and wounds caused by the picking. Excoriation Treatment. WebMD explains the symptoms, treatment, and causes of skin picking disorder (excoriation), a condition in which people repeatedly try to pick at scabs, scars, and other areas of the skin. It is an impulsive behavior that is performed in a semi-trance in response to something that does not look or feeling just right on the skin.