For what ages do you treat skin picking at the Center for CBT? 

Ages 5 - 22

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What is skin picking? 

Skin picking, also called excoriation disorder, occurs when someone feels a strong urge to pick at their skin (either with their fingers or a tool, such as tweezers or a needle). This behavior is often aimed at improving imperfections (e.g., minor bumps or rough patches, pimples, calluses, scabs, etc.) and results in bleeding, scabs, or scars. Skin picking can be repetitive, distressing, and hard to control or stop. It belongs to a group of conditions called Body-Focused Repetitive Behaviors (BFRBs).

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What if the skin picking is caused by anxiety?

Skin picking often increases when someone is feeling anxious, stressed, or overwhelmed. For many, it can feel like a way to relieve tension in the moment. At The Center for CBT, treatment looks not only at the picking itself, but also at the underlying anxiety or stress that may be driving it. Therapy provides tools to manage both the urge to pick and the feelings that trigger it.

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When should I be concerned about skin picking?

Most people pick their acne, cuticles, scabs, or other skin imperfections from time to time. However, if the skin picking is causing noticeable skin damage, takes up a lot of time, and/or leads to embarrassment, shame, anxiety, or secrecy, it is time to seek help. It's also important to get support if the behavior interferes with daily activities or attempts to stop haven't worked. An evaluation with our skin picking expert will give you clarity and a clear path forward.

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How effective is the Center for CBT in treating skin picking?

Our skin picking expert specializes in the most effective treatments for skin picking, including Habit Reversal Training (HRT) and Cognitive Behavioral Therapy (CBT). These approaches help individuals recognize and manage urges, build healthier coping strategies, and reduce picking over time. Because skin picking often occurs alongside conditions like anxiety, ADHD, or OCD, we also treat the whole picture (not just the picking). Our patients can expect to see meaningful progress: less picking, healthier skin, and more confidence in daily life.