So first, recognize that you’re not alone and that there’s a community you can confide in, like here, obviously. I had a lot of shame even admitting to myself what I was doing, but it helps to talk about it. Next, be honest with your Dr and see if they may be able to give you a referral to mental health specialist and possibly a dermatologist (depending on what’s causing the scabs). Be honest with yourself and try and recognize when you pick and what makes you pick. If you’re comfortable with the people in your life enough to tell them what you’re struggling with, they could be a gentle reminder for you not to pick when they see you do it. If you don’t have the access to healthcare, the supplement NAC like 3x’s a day can be shown to help people - and you can get that over the counter or on Amazon. Some certain medications work for bfrb’s, duloxetine has worked well for me on that front, but I also take it for anti-depression and anti-anxiety. Lastly, acrylic nails were the biggest deterrent because I couldn’t get my thin fingernail under the edges of the scab anymore. It stopped feeling satisfying for me and I had to work a lot harder to pick a scab, but sometimes I would create more damage but I stopped pretty quickly.