Treatment Options For Excoriation Disorder

Van Toller (1994) noted that malodour associated with skin ulceration can lead to serious psychological problems, ranging from general depression to becoming a virtual social outcast.

This disorder is something that should not be taken lightly and should be dealt with immediately because there are numerous ways in which a person can cope with it.

It is a beautiful, sunny day in Miami, Florida. The birds are chirping, and the fresh ocean breeze is rustling the leaves. Steve Weston is trying to make the most out of this hot, summer day. He spots a moving truck outside his window. A young girl with dark hair and bright yellow glasses and what appears to be her father get out of the truck and go into the house next door. Steve was not expecting new neighbors so soon. All of the sudden, Steve hears loud banging noises, one after the other after the other. To others that is the sound of a nail gun going off, but to him that is the sound of the bullets firing from an M240 machine gun. He is transported to the battlefield where he lost his best friend and wife, Caroline Jones. After Steve came

I am collaborating with a client on her oral habit of cheek biting. The client is aware that her habit and how its a behavior of an obsessive and compulsive reaction to stress and anxiety. My client stressed to me that she knows that her habit could eventually cause or turn into a type of oral cancer if not controlled. Mindless behaviors are called body focused repetitive behavior. My client informed me of the situations that shes in that she starts the habit, whether she is driving, doing stressful paperwork for her job, and when she is talking on the phone. She then feels the broken jagged skin which then drives her into a compulsion to want to smooth out the affected area. As a team we are attempting habit reversal therapy acceptance

Tourette syndrome is a neurological disorder first described by a French physician named Georges Gilles de la Tourette, in 1885. Tourette syndrome (TS) consists of varies abrupt, rapid, involuntary, and repeated movements or vocal sounds, known as tics. “Until 1970, TS was frequently misdiagnosed as schizophrenia, obsessive-compulsive disorder, epilepsy, or nervous habits,” concluding that this mental disorder is extremely rare and has similar characteristics as other mental disorders (Kahn and Fawcett 375). Since there is no specific test that can diagnose TS, doctors have to rely on a person’s behaviors and personal history to identify the disorder. About one person in two thousand people is likely to have TS; additionally males are four

Nervous habits also identified as body focused repetitive behaviors (BFRBs) are behaviors that occur repeatedly across situations and consist of undesired repetitive, manipulative, problematic and or destructive behaviors directed toward the body such as hand-to-head (e.g., hair pulling, hair twirling), hand-to-mouth (e.g., nail biting, thumb sucking), hand-to-body (e.g., skin picking, skin scratching), and oral behaviors (e.g., teeth grinding, mouth biting) and are often seen to play a role in emotion regulation and can arise during periods of heightened tension (Miltenberger,2005 ; Roberts, O’Connor, Bélanger, 2013; Woods & Miltenberger, 1995). The Diagnostic and Statistical Manual of Mental Disorders, fifth edition, does

Considering the secrecy surrounding OCD symptoms, it is important for family members to pay attention to early signs of ritualistic behaviors becoming troublesome. When OCD is suspected, a comprehensive clinical evaluation – including detailed interviews with parents and, if possible teachers – is required in order to check the obsessions, sensory phenomenon and compulsions in the case. In younger children, OCD features might appear subtly during play activities or drawing. It is vital to differentiate between obsessive compulsive symptoms and normal childhood behavior, such as the normal practice or actions during playtime, food time or bedtime. In this context, the information about degree of distress, impairment and time consumed performing rituals should provide enough data to decide whether or not treatment is warranted. Moreover, it is also important to assess insight and the family’s perception of the symptoms, as well as how family members deal with the patient.

Ekbom Syndrome (ES) is the somatic delusion of an infestation of parasites or inanimate particles in or on the body, where no evidence of an infestation is found. Those afflicted often report sensations of small crawling, biting, or burrowing insects on or in their skin, or thread-like fibers stuck in their flesh. Persons with ES often have both visual and tactile hallucinations that support their fixed belief of an infestation. It is not unusual for persons with ES to consult several non-mental health professionals such as exterminators, or dermatologists which delays treatment for many. ES clients with pets frequently believe that their pet is also infested and may repeatedly visit their veterinarian seeking assistance. Additionally, ES sufferers may resort to using dangerous chemicals, and pesticides while trying to rid themselves of their infestation. These noxious chemicals can exacerbate the itching sensations the ES client attributes to the infestation, creating a cyclical problem. People with ES may try to excise the delusional bugs and flay areas of their skin. Obviously, this skin picking can make ES clients vulnerable to secondary infection in the open self-inflicted wounds. Often ES sufferers may keep bits of the skin or scabs in containers, or try to take photographs attempting to prove the existence of the offending parasitic

The anxiety (nervousness) of this disorder causes the individual to feel the urgent need to perform certain routines or rituals (compulsion) (Chakraburtty, 2009). For example, a person who has an unreasonable germ fear constantly washes their hands (Chakraburtty, 2009). The rituals are performed in an attempt to prevent or make the obsessive thoughts go away (Chakraburtty, 2009). The rituals that are performed are temporarily the person will perform the rituals again once his or her obsessive thoughts return (Chakraburtty, 2009).

Trichotillomania, also known as trichotillosis or hair pulling disorder, is defined as an impulse control disorder characterized by the compulsive urge for people to pull out their own hair (Weiss, 2015). Trichotillomania occurs in two forms, conscious and unconscious hair pulling. According to information gathered from the most recent and accurate study for statistics of Trichotillomania, which was performed by group of TrichStop staff in 2013, two and a half million people who live in the United States of America have been affected by trichotillomania at some point in their life (TrichStop, 2013). The hair pulling disorder has many causes as well as several effects that occur to a person during and after the hair pulling disorder is active.

Persistent fears that harm may come to self or a loved one, an unreasonable belief that one has a terrible illness, or an excessive need to do things correctly or perfectly, are common. Again and again, the individual experiences a disturbing thought, such as, "My hands may be contaminated--I must wash them"; "I may have left the gas on"; or "I am going to injure my child." These thoughts are intrusive, unpleasant, and produce a high degree of anxiety. Often the obsessions are of a violent or a sexual nature, or concern illness.

W fits excoriation disorder because she has skin infection on her hands (around the nail) due to picking her skin out with her teeth, hands, tweezers, or pins. Also, she stated that it started around 14 years old; which is around the age range for the onset of this disorder. Hence, her behavior caused distress and impairment in her daily life. She is embarrassed of her fingers in public. Plus, she tried to stop multiple times in vain.

Ben being adopted because some concern, in how much it impacts his feeling about himself. Ben reported feeling bad, however had no idea why. Ben’s negative statement overheard by his parents will need be investigated as well. Working with the Bowen therapy it important to note the multicultural factors that appear in the Marble family (Brown, 1999). Both Jake and Kelly appear to work long hours, spending limited amount of time with each other and the children. It appears they have reverse some stereotypical gender roles. On the other hand Jake seems more passive and Kelly appears the primary disciplinarian and caregiver. This examiner will assist in striking a balance between both encouraging nurturance from both parents (Brown, 1999).

Therapy is the treatment of people who are suffering from the psychological problem and that situation, the therapist works in collaboration with the patient, to determine the cause. This paper seeks to explore the two types of therapy which person-centered therapy and gestalt therapy. The paper will also go into details by comparing and contrasting the two therapies and how they work.

In a general view, Obsessive-Compulsive Disorder is associated with obsessions and compulsions. The obsessions are recurrent thoughts, fears, images, ideas, urges, and doubts. Patients suffering from this disorder often go through fluctuating episodes of compulsion which are in response to an obsessive thought, such as arranging, touching, repeatedly checking on something, and recurrent hand-washing. The patient experiences repeated rise in anxiety from the obsessions, that compels them to indulge in their compulsions as a form of relief (Brown University, 2013). Most of the patients suffering