Our Psychologists have availability for face-to-face and online appointments for adults, adolescents and children.
Our Psychologists have availability for face-to-face and online appointments for adults, adolescents and children.
Skin-picking in children and adolescents (also known as Excoriation Disorder) is when a young person repeatedly picks at their skin—like scabs, pimples or even healthy skin—often causing damage such as bleeding, infections or scarring. It’s a type of Body-Focused Repetitive Behaviour (BFRB) that can be hard to stop, even if they want to. Kids might do it when they’re anxious, bored or trying to fix small imperfections, and over time, it can lead to distress or embarrassment. The good news is, treatment for skin-picking in children and adolescents is available and helpful. Therapies like Cognitive Behavioural Therapy (CBT), Habit Reversal Training (HRT), and mindfulness strategies can help them understand their triggers, break the cycle and feel more in control. If you’re concerned, it’s a good idea to have a chat with one of our clinical psychologists.
If you’re noticing a few of these signs, it may be time to consider treatment for skin-picking in children and adolescents with support from a psychologist.
Like scabs, sores, bleeding or scarring, often in areas like the face, arms, or leg.
They may spend a lot of time picking at their skin, often without realising it
They might say they’ve tried to stop but feel like they can’t
Like swimming or wearing short sleeves, to hide the damage
Using tweezers, pins or other objects to pick or dig at the skin
Feeling embarrassed, frustrated, or anxious about the behaviour
Picking more during times of stress, boredom, or when feeling overwhelmed
Skin-picking affects about 1 in 25 people, often starting in childhood
Many kids hide their picking, and it’s often mistaken for a bad habit
In Australia, it’s under-recognised and often goes untreated
It’s linked to anxiety, OCD, or sensory issues, but early help works
Skin-picking, also called Excoriation Disorder or dermatillomania, affects millions worldwide, with many cases starting in adolescence. For teens, who are already navigating body image concerns and social pressures, this condition can add feelings of shame, embarrassment, and isolation. Research shows that early recognition and intervention are key – teenagers who receive timely support are more likely to recover and avoid long-term patterns into adulthood.
Studies highlight that skin-picking in adolescents isn’t just about visible skin damage. Teens may pick at scabs, pimples, calluses, or even healthy skin, often using their fingers or tools like tweezers and pins. Physical signs can include clusters of scabs, scars, or open wounds, usually on easily accessible areas like the face, arms, and hands. Emotional signs include frustration, embarrassment, or feeling unable to stop, while behavioural signs may include spending excessive time in private spaces, avoiding activities that reveal skin, or withdrawing socially.
The research clearly shows that treatment for skin-picking in children and adolescents is most effective when it combines Cognitive Behavioural Therapy (CBT) with Habit Reversal Training (HRT). These therapies help teens identify triggers, increase awareness of their picking, and develop healthier behaviours to replace it. CBT also addresses underlying thoughts and emotions that may fuel the behaviour. For some teens, medication such as selective serotonin reuptake inhibitors (SSRIs) can complement therapy, particularly if anxiety, depression, or obsessive-compulsive tendencies are also present.
Research emphasises that family involvement significantly improves outcomes. Parents can support their teen by creating a low-stress environment, helping identify triggers, and encouraging alternative coping strategies, like using stress balls or fidget toys. Open, non-judgmental communication and positive reinforcement for reduced picking can make therapy more effective and help teens feel understood and supported.
Skin-picking in children and adolescents is challenging but treatable. The research is clear: early intervention with evidence-based therapy, combined with supportive parenting and environmental strategies, leads to the best outcomes. If you’re concerned about your teen, seeking help from a psychologist experienced in excoriation disorder is the best first step toward recovery.
*Source: Good Health. (2025, July 25). Excoriation Disorder Treatment for Teens: What Parents Need to Know.
Help your child notice when and why they pick—stress, boredom, or certain places
Use fidget toys, stress balls or textured items to redirect the urge
Try gloves, bandages or limiting mirror time to reduce picking opportunities
Clinical Psychologist, Director of MindBox Psychology
Our Psychologists are highly qualified, holding Masters or Doctorate degrees in Clinical Psychology. We provide treatment for child and adolescent skin-picking using Cognitive Behavioural Therapy (CBT) and other evidence-based treatments like
Acceptance and Commitment Therapy (ACT for Children). We also offer treatment for skin-picking in adults—click here to learn more about our approach.
Hours: Monday to Friday 9am to 5pm
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