Dermatillomanie (Skin-Picking-Störung): Diagnostik, Erklärung und Behandlung

Wenn Menschen ihre Haut durch Knibbeln (Quetschen, Drücken, Kratzen) verletzen und sie damit kaum aufhören können, spricht man von Dermatillomanie (pathologisches Hautzupfen/-quetschen; Skin-Picking-Störung). Diese Angewohnheit wird als befriedigend erlebt, führt zu Leid und ist für Außenstehende schwer nachvollziehbar. Dieser Artikel soll helfen, das Störungsbild zuverlässig zu erkennen, einfühlsam zu verstehen und effektiv zu behandeln.

Abstract

Dermatillomania (pathologic skin picking; skin picking disorder) is defined by picking one’s skin (pulling, plucking, scratching) and feeling incapable of stopping. The behavior is experienced as gratifying, but also leads to distress and others find it difficult to comprehend the underlying motivations. This article aims to improve the clinicians’ ability to reliably diagnose the disorder, to gain a better understanding of it and to guide clinicians towards an effective treatment.

Schlüsselwörter

Skin-Picking - Habit-Reversal-Training - Stimuluskontrolle - Verhaltenstherapie

Keywords

skin picking - dermatillomania - body-focused repetitive behavior - cognitive-behavioral therapy

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