A hidden struggle: Excoriation disorder and its impact on men

Excoriation disorder, commonly known as skin-picking disorder or dermatillomania, is a mental health condition characterised by repetitive and compulsive picking of one’s own skin, leading to tissue damage. While often overlooked, this disorder affects individuals of all genders, and its impact on men is a subject that deserves attention. In this blog, we’ll delve into the intricacies of excoriation disorder and explore how it manifests in men, shedding light on the challenges they face in seeking help and understanding.
The Nature of Excoriation Disorder:
Excoriation disorder goes beyond occasional picking or the urge to pop a pimple. It involves a repetitive and uncontrollable behaviour that can result in significant physical and emotional consequences. Individuals with this disorder may pick at their skin to the point of causing open wounds, scarring, and infections. The urge to pick is often driven by various factors, including stress, anxiety, boredom, or a distorted body image.
Excoriation Disorder in Men:
While research on excoriation disorder predominantly focuses on women, it is essential to recognise that men are also affected by this condition. Men may face unique challenges in acknowledging and seeking help for their skin-picking behaviours due to societal expectations and stereotypes surrounding masculinity. The stigma associated with mental health issues can make it particularly difficult for men to open up about their struggles with excoriation disorder.
Social Stigma and Masculinity:
In many societies, there exists a prevailing notion that men should be strong, stoic, and impervious to vulnerabilities. Mental health conditions, including excoriation disorder, may be perceived as signs of weakness, leading men to internalise their struggles and avoid seeking help. This stigma can exacerbate the isolation and shame that individuals with excoriation disorder may already feel.
Impact on Relationships and Daily Life:
Excoriation disorder can take a toll on various aspects of a person’s life, including relationships and daily functioning. Men with the disorder may find it challenging to engage in social activities, maintain intimate relationships, or pursue career goals due to the preoccupation with skin picking. The visible consequences of the disorder, such as scars and wounds, may also contribute to feelings of self-consciousness and embarrassment.
Treatment and Support:
Recognising the signs of excoriation disorder in men is crucial for promoting early intervention and effective treatment. Cognitive-behavioural therapy (CBT) has shown success in treating this disorder by addressing underlying thoughts and behaviours. Additionally, support groups and individual therapy can provide a safe space for men to share their experiences and challenges without judgment.
Breaking the Stigma:
To improve awareness and support for men with excoriation disorder, it is essential to break down the stigma surrounding mental health. Encouraging open conversations, normalising seeking help, and challenging traditional notions of masculinity can create an environment where individuals feel empowered to address their mental health concerns without fear of judgment.
Conclusion:
Excoriation disorder affects individuals regardless of gender, and it is crucial to recognise the unique challenges faced by men in dealing with this condition. By fostering understanding, breaking down stereotypes, and promoting open conversations, we can create a more inclusive and supportive environment for men struggling with excoriation disorder. Seeking help is a sign of strength, and by dismantling the stigma surrounding mental health, we can pave the way for a healthier and more compassionate society.