Excoriation disorder

A disorder characterized by recurrent picking of one's skin resulting in skin lesions, accompanied by inability to reduce or stop the behavior despite repeated attempts. The person typically experiences tension before picking and relief or pleasure afterwards.

Symptoms

• Recurrent skin picking or excoriation (dermatillomania) (also: skin picking, dermatillomania, scratching skin, compulsive picking, damaging skin)
• Damage to skin/hair/nails resulting from own behavior (also: Wounds, scars or skin lesions as result of behavior, formation of wounds or scars, skin wounds, scars, skin damage)
• Anxiety (also: Anxiety, anxiety, inner tension, inner fear, dread)
• Temporary relief or pleasure after picking (also: relief after behavior, feeling of relief, reduction of tension, calming down after action, emotional relief)

ICD-11 diagnostic criteria

• powtarzające się skubanie skóry
• uszkodzenia skóry
• nieudane próby powstrzymania zachowania
• pogorszenie funkcjonowania

How to recognise

In the ICD-11 framework, the core symptoms taken into account when recognising Excoriation disorder are:

• skubanie skóry

Differential diagnosis

When diagnosing Excoriation disorder, the following ICD-11 disorders should be considered in the differential diagnosis:

• Powtarzające się zaburzenia behawioralne skoncentrowane na ciele (6B25)
• Stereotypowe zaburzenie ruchowe (6A06)
• Zaburzenie pozorowane skierowane wobec siebie (6D50)
• Zaburzenie cierpienia somatycznego (6C20)

Synonyms and related terms

skin picking, dermatillomania, scratching skin, compulsive picking, damaging skin, manipulating skin, constant scratching, picks skin, scratches skin, manipulates wounds, constantly touches skin, tears off skin, picks at skin, Wounds, scars or skin lesions as result of behavior, formation of wounds or scars, skin wounds, scars, skin damage, marks on skin, skin changes, scarring, has wounds on body, scars appear, skin is damaged, marks appear, has scratch marks, scars appear on skin, inner tension, inner fear, dread

Frequently asked questions

What are the symptoms of Excoriation disorder?

Symptoms associated with Excoriation disorder (ICD-11 6B25.1) include: Recurrent skin picking or excoriation (dermatillomania), Damage to skin/hair/nails resulting from own behavior, Anxiety, Temporary relief or pleasure after picking.

How is Excoriation disorder diagnosed according to ICD-11?

According to ICD-11, the diagnostic criteria for Excoriation disorder (6B25.1) include: powtarzające się skubanie skóry; uszkodzenia skóry; nieudane próby powstrzymania zachowania; pogorszenie funkcjonowania.

What disorders are in the differential diagnosis of Excoriation disorder?

The differential diagnosis of Excoriation disorder (6B25.1) includes: Powtarzające się zaburzenia behawioralne skoncentrowane na ciele (6B25), Stereotypowe zaburzenie ruchowe (6A06), Zaburzenie pozorowane skierowane wobec siebie (6D50), Zaburzenie cierpienia somatycznego (6C20).

WHO ICD-11 source

View this entry in the official WHO ICD-11 browser: 6B25.1 – WHO ICD-11