Skin picking of the degree you’re describing definitely sounds like talking to a professional would make the biggest difference to understand where the behavior is coming from (compulsive vs impulsive, Skin Picking Disorder or something else, etc). But in the meantime I recommend looking into CBT worksheets for Body Focused Repetitive Behaviors. That framework can help you isolate the times you’ve picked or scratched, identify what triggers the behaviors, and then you can work on assigning yourself invention behaviors to break the cycle. I was doing these worksheets for myself earlier today and they genuinely help a lot when you commit to doing them regularly. This book has worksheets in the back that I use and I found it at the library!
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Nov 20, 2024

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Sensory Cognitive Affective Motor and Place aka SCAMP is the self-monitoring technique that has dramatically improved my own issues with BFRB, specifically skin-picking disorder. You do a little bit of homework recording all the moments in your week where you slipped up or got carried away and hurt yourself, note all the triggers in that situation that fall under the SCAMP acronym and then set a predetermined replacement behavior. You need to keep practicing until it becomes second nature, but when I’m good and do the work this therapy technique is literally so effective it is LIBERATING. Fellow skin-picking disorder-lings and other body focused repetitive behavioresses this is the book: Overcoming Body-Focused Repetitive Behaviors: A Comprehensive Behavioral Treatment for Hair Pulling and Skin Picking. Check for it in your local library (that’s where I found mine) or get it in InterLibrary Loan if you’d rather not buy til you try. There are worksheets in the back which I recommend finding online or just remaking in a template doc for yourself.
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Whenever writing doesn’t help me cope anymore I obsess over changing my clothing style or my skin care routine or any habits that I wanna change in general like reading more or doing more exercise than usual. I must 100% believe that I’m improving though. Fake it till you make it type of way! It’s an easy, quick, and fairly healthy distraction from whatever is messing with my head.
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Writing shit down helps? Also stopping people when overwhelmed and telling them to give you 1 small piece of info at a time. Also being aware of your rejection sensitivity and being nice to yourself about it and not lashing out Definitely not better or equal to diagnosis and meds but it’s a not unhelpful small coping strategy Hope things get better ❤️‍🩹
May 19, 2024

Top Recs from @bumbythefool

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I’m sick of feeling powerless so my new coping strategy is to not let a stupid system bully me into quiet despair. I’m learning how to use my state’s General Assembly’s online bill tracker and I’m subscribing to email updates for the agendas and the public hearings of the legislative committees I’m most concerned about. I’m memorizing all my legislators‘ names and emailing and calling regularly. Also: Check to see if your state’s Legislative Library has Libguides that explain in layman’s terms what bills are passing in your state and other educational/legislative resources you have freely available to you!!!
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