Diagnostic Criteria

1. Recurrent skin picking resulting in skin lesions.
2. Repeated attempts to decrease or stop skin picking.
3. The skin picking causes clinically significant distress or impairment is social, occupational, or other important areas of functioning.
4. The skin picking is not attributable to the physiological effects of a substance (e.g., cocaine) or another medical condition (e.g., scabies).
5. The skin picking is not better explained by symptoms of another mental disorder (e.g., delusions or tactile hallucinations in a psychotic disorder, attempts to improve a perceived defect or flaw in appearance in body dimorphic disorder, stereotypes in stereotypic movement disorder, or intention to harm oneself in no suicidal self-injury).