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I've struggled with OCD all my life, and part of that includes dermatillomania (skin picking) and trichtillomania (hair pulling). In the last 6 years or so, I've gotten infinitely worse with both, to the point of causing significant harm to myself on a regular basis. Typically I pick at my arms, shoulders, and scalp more than anywhere else, but any sort of bump, scab, or other irregularity anywhere on my skin will set me off. And with the hair pulling, no part of me is safe, except for my head (suprisingly) - ingrown hairs are the bane of my existence, combining both issues. The thing is, most of the time I have no idea I'm even doing it anymore until I've already drawn blood, and by then it's near impossible for me to stop. The few people I spend time with typically have to restrain my hands until the obsessive urges pass, which takes a long time. I'm covered in scars from digging at my skin and I'm really tired of it. Nothing I've tried to stop or even lessen the damage and frequency has helped, I always subconsciously find some workaround to satisfy the obsessions. Keeping my nails short and bandaging my fingertips, wearing long sleeves and hats to cover my most problematic areas, hiding my tweezers and pumice stones, none of that has been and be to slow me down. I take ativan for my anxiety and panic attacks, and even that doesn't settle me down with it. I've even tried acupuncture, aromatherapy, and hypnotherapy, but to no avail. I'm just at a complete loss on what to do. I hate that I'm hurting myself, and even more I hate that it upsets my loved ones when they see me stuck in the compulsive picking and pulling or see the damage from it. It doesn't even seem to just be triggered by stress/anxiety/anger/excitement or anything anymore, it just happens all the time. I'm desperate to stop it, and would love some suggestions on how to successfully combat this. Is this something I can even get control over?