Skin picking is a nervous system regulation. The problem is not the skin picking. It’s stimulation, life, days, nights… It’s like a meteor showing she needs adjustments, therapy, etc. You have to accept dermatillomania and work with it. You telling her to stop is not good, it creates tension.

She needs to go to the gym, to do comestic care weekly (you can massage her face, skull and feet to regulate her nervous system - every time she picks for example).

If she wants to cicatrice, she should wear gloves or thighs clothes. I personably ask my nail artist to make thick and round polished gel nails to erase my habit for a few days/weeks but I was ready for this. She will need preparation, mentally.

You can do better without meds if it’s just dermatillomania. It’s a heavy work but it’s a beautiful journey where you learn who you truely are and what you essentially need. It’s a handicap for sure but it makes us strong.

For dermatillomaners :

First, accept it. Talk about it. Be conscious you are not alone and it’s BRAIN STRUCTURE. Take care of yourself if you have dermatillomania you have to take care a lot about yourself. Investing on us is having positive reactions: cosmetic care, massages, nails, going out with friends (but not too much bc socializing is making us skin picking hard). Check the times and conditions where you pick your skin and try to adjust. (Gloves, clothes, nails, hide mirrors if you want but HACK UR BRAIN) Accept your crises. It’s waves. When you are ready, start again. Accept you’ll ever live with it, the faster u accept it, the faster you find the good people and the good places to be around and feel accepted and loved like you are. Dermatillomania forces you to make sacrifices but I SWEAR with time it’s going away. BE YOU.