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What is the link between Skin Picking Disorder and ADHD?

There is a known association between skin picking disorder (also known as excoriation disorder or dermatillomania) and ADHD (attention-deficit/hyperactivity disorder). While they are separate conditions, some individuals with ADHD may be more prone to developing skin picking habits or engaging in repetitive behaviors.

ADHD is commonly diagnosed in childhood, and symptoms such as impulsivity, hyperactivity, and difficulties with self-regulation can be observed at an early age. Skin picking behaviors may develop later on, typically during late childhood or adolescence, although they can also occur earlier or later in life.

It's worth noting that skin picking can also occur in individuals without ADHD, and the relationship between the two conditions is not fully understood. The onset and progression of skin picking can be influenced by various factors, including genetic predisposition, environmental factors, and individual characteristics.

Research suggests that impulsivity and difficulties with self-regulation, which are common features of ADHD, may contribute to the development or exacerbation of skin picking behaviors. People with ADHD may have difficulty resisting the urge to engage in repetitive behaviors like skin picking, especially when feeling restless, bored, or stressed.

Additionally, individuals with ADHD often struggle with executive functioning skills, such as attention control, planning, and organizing. These difficulties may lead to difficulties managing and redirecting their behavior, potentially increasing the likelihood of engaging in skin picking.

It's important to note that not everyone with ADHD will develop skin picking disorder, and skin picking can occur in individuals without ADHD as well. The relationship between the two conditions is complex and can vary from person to person.

There have been studies that have explored the association between skin picking disorder (SPD) and ADHD. Here are a few examples:

  1. A study published in the Journal of Psychiatric Research in 2012 examined the comorbidity (co-occurrence) of SPD and ADHD in adults. The researchers found a significant association between the two conditions, suggesting that individuals with ADHD may have an increased risk of developing skin picking behaviors.

  2. Another study published in the Journal of Obsessive-Compulsive and Related Disorders in 2013 investigated the relationship between SPD, ADHD, and other related conditions in a sample of college students. The findings indicated that individuals with ADHD were more likely to report symptoms of SPD compared to those without ADHD.

  3. A study published in the Journal of Psychopathology and Behavioral Assessment in 2017 examined the association between SPD, ADHD, and other psychiatric disorders in a clinical sample of children and adolescents. The researchers found a higher prevalence of skin picking behaviors in individuals with ADHD compared to those without ADHD, suggesting a potential link between the two.

These studies provide some evidence for a connection between skin picking and ADHD. However, it's important to note that more research is needed to further understand the relationship between these conditions and to determine the underlying mechanisms that contribute to their co-occurrence. 

If you or someone you know is experiencing difficulties with skin picking or ADHD, please reach out to Kairos Wellness Collective.  We have clinicians with personal and professional experience with both conditions, as well as the concurrence of the two.