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Skin Picking Disorder, also known as compulsive skin picking or dermatophagia, is characterized by the repetitive and uncontrollable squeezing, scratching or peeling of one's own skin, which often leads to skin tissue damage and even infection. Patients are often triggered to do this due to anxiety, tension or irritability, and obtain temporary emotional relief or satisfaction by peeling their skin. However, after the behavior, they often feel a strong sense of shame and self-blame, which further intensifies their inner anxiety and stress, forming a vicious cycle. This symptom is more common on the face, arms or legs. Patients find it difficult to control their behavioral impulses and usually use tools such as fingers and tweezers. Continuous peeling leads to severe skin damage and scars, and even obvious changes in appearance, which damages the patient's self-esteem and self-cognition. Patients often consciously avoid social occasions, fearing the attention or evaluation of others, and gradually fall into social isolation and depression, affecting their overall quality of life.

Teaching objectives:

The main teaching objectives of the skin peeling disorder course are: to help patients deeply understand the specific triggers and psychological mechanisms of their own skin peeling behavior, and master the signals and emotional states of identifying peeling impulses; to teach cognitive behavioral therapy (CBT) and habit reversal training (HRT), effectively master behavioral replacement strategies, and gradually reduce the frequency of peeling behavior; through auxiliary methods such as mindfulness and art therapy, guide patients to express and release their inner anxiety, improve emotional awareness and self-control ability; help patients correct negative self-cognition, reduce shame and self-blame, gradually reshape a positive self-image, and ultimately achieve long-term relapse prevention and stability of mental health.

Course Schedule:

Lesson 125:Understand the characteristics and psychological mechanisms of skin peeling syndrome

The act of peeling is not a bad habit, but rather an outlet for emotional stress.

You are not "intentionally hurting yourself" but rather trying to stabilize yourself through control.

Knowing it is the starting point to break out of the repetitive cycle.

Lesson 126:Identifying and correcting cognitive misunderstandings about skin peeling

"I can't stop" is just a habitual thought, not a fact.

Not every patch of skin needs to be "treated," many are just anxiety speaking.

When you see the traps of thinking, action is no longer the only option.

Lesson 127:Training in alternative techniques to reduce skin-stripping behaviors

Your hands can touch soft things and press small objects instead of hurting your skin.

Replacement behaviors are exercises in healing, not compromise.

You can build your own library of soothing actions.

Lesson 128:Improve self-control and reduce impulsive behavior

Every three-second pause is establishing a new path for self-control.

You don't have to be perfect right away, but you can gradually regain control.

Controlling impulses is not about suppressing them, but about giving yourself the right to choose.

Lesson 129:Coping with negative emotions and interpersonal stress in skin peeling syndrome

Sometimes it’s not your appearance that makes you feel inferior, but you are afraid that others will see the pain inside.

You can express yourself, not hide. You deserve to be understood.

When facing others, you don't need to explain everything, just protect yourself.

Lesson 130:Establish long-term relapse prevention mechanisms and a mind-body balance plan

Stability does not mean never making mistakes, but being willing to come back after every deviation.

Emotions, body, and behavior are the three major elements that you need to protect in the long term.

You are learning a balance of being flexible without collapsing.

Please complete the course evaluation to review your learning and provide suggestions. This will help you deepen your understanding and help us improve the course.