Recommendations For Treating Excoriation

Cognitive Therapy

Cognitive therapy is generally the core treatment for excoriation. It includes many possible approaches, and habit reversal is considered the most effective in current literature. Psychologists often use a form of therapy known as acceptance and commitment therapy to supplement habit reversal. This therapeutic technique encourages patients to recognize their urges to engage in skin picking and let them pass without feeling the need to respond. If necessary, clinicians frequently employ dialectic behavior therapy during the treatment process. This approach teaches patients how to better regulate their emotions. Patients also learn strategies to help them tolerate the discomfort, urges, and unpleasant feelings that may emerge. Cognitive therapy can take several months of work before patients begin to feel better, so it is important not to give up on the treatment in the early stages. Psychologists encourage patients to have social support and to celebrate small victories as their treatment progresses. Many patients need to have therapy sessions at least once a week.

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