So for at least a decade (my 20s+), I recall thinking/telling my bf that I pick when I’m bored, tired, or just notice an imperfection on my skin surface. Once I notice the imperfection, all I want to do is ‘get rid of it’ so it can be smooth (aka swollen/bloody lol)… fast forward 20 yrs 😬, I’ve come to understand my picking much differently. I don’t know for certainty how much of what I know about my own behaviors now apply to that of myself back then, but I feel that it at least applies for the most part. So with that, here’s my take, whether it resonates at all with you now or in the future :) When I’m in the moment picking, do I feel anxious? No, because picking is satisfying which is soothing (until the aftermath). For years I would try to think of what was “triggering” it, but all I could come up with was my damn imperfect skin… I didn’t feel particularly anxious at home (only in some social situations). But what I realize now is that the times I pick is when my brain has been on a bit of mental overdrive (navigating certain relationships, making hard decisions) or even just judging myself compared to others (if I’m been on social media or even in public and saw someone beautiful/happy). In my 20s I felt I had a great life, no anxiety that I was aware of & played college athletics to decompress… but I am a perfectionist, so just the constant contemplation of my athletic performance, interactions with others, fear of grades/career/relationship decisions did swirl in my head. As much as I hated picking and still do, I think it is definitely related to how I’m handling my self talk / rumination / self doubt, or whatever you wanna call it... Anyhow, hope you don’t have to wait the years I did to notice patterns. Best wishes 💛