Within the medical community, there is some controversy surrounding the diagnosis of excoriation disorder. Because there isn’t a known cause, many health care providers are unsure of how to classify the condition. Currently, most physicians categorize excoriation disorder along with other body-focused repetitive behaviors, such as picking, pulling, or scraping at hair, skin, and nails. When performing a physical exam to look for signs of skin picking, a doctor will ask a patient about their feelings around the action. If a physician suspects excoriation disorder, they will typically refer the patient to a mental health professional after treating any physical effects.

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