Version May 2024
| Criteria |
A. Maladaptive skin excoriation (eg, scratching, picking, gouging, lancing, digging, rubbing, or squeezing skin) or maladaptive preoccupation with skin excoriation as indicated by at least 1 of the following:
|
| B. The preoccupation, impulses, or behaviors associated with skin excoriation cause marked distress, are time consuming, significantly interfere with social or occupational activities, or result in medical problems (eg, infections) |
| C. The disturbance is not better accounted for by another mental disorder and is not due to a general medical condition |
| Subtypes |
| Compulsive type |
| Skin excoriation is performed to avoid increased anxiety or to prevent a dreaded event or situation and/or is elicited by an obsession (eg, obsession about contamination of the skin) |
| It is performed in full awareness |
| It is associated with some resistance to performing the behavior |
| There is some insight into its senselessness or harmfulness |
| Impulsive type |
| Skin excoriation is associated with arousal, pleasure, or reduction of tension |
| It is performed at times with minimal awareness (eg, automatically) |
| It is associated with little resistance to performing the behavior |
| There is little insight into its senselessness or harmfulness |
| Mixed type |
| Skin excoriation has both compulsive and impulsive features |
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