Skin excoriations include:
(1) scratching
(2) picking
(3) gouging
(4) lancing
(5) digging
(6) rubbing
(7) squeezing
Criteria include all of the following:
(1) maladaptive skin excoriation associated with one or more of the following:
(1a) preoccupation with skin excoriation
(1b) recurrent impulses to excoriate the skin that are viewed as irresistible, intrusive and/or senseless
(1c) recurrent episodes of excoriation resulting in noticeable skin damage
(2) the behavior and its associated preoccupations and impulses cause one or more of the following:
(2a) marked distress
(2b) time consuming
(2c) interfere with social or occupational functioning
(2d) result in infection or other physical comorbidity
(3) cannot be better explained by another mental disorder
(4) not due to a general medical condition
Subclassification:
(1) compulsive
(2) impulsive
(3) mixed compulsive-impulsive
|
Feature
|
compulsive
|
impulsive
|
|
associated feelings
|
trying to avoid increased anxiety, prevent a dreaded event, or as part of an obsession like washing
|
arousal, pleasure or reduction of tension
|
|
awareness while doing
|
full
|
none or minimal
|
|
resistance to activity
|
some
|
little
|
|
insight into the seriousness or harmfulness
|
some
|
little
|
