Compulsive skin picking is a Body Focused Repetitive Behavior (BFRB) is characterized by rubbing, scratching, picking, and/or digging at one’s skin in attempt to address perceived imperfections. Picking at skin irregularities is something most people do from time to time but in compulsive skin picking, the picking is done to the extent that tissue damage is caused despite repeated attempts to stop. Emotions occurring before or during picking can include anxiety, frustration, depression, and even boredom. After picking, many experience shame, embarrassment, or regret. Picking can cause tremendous emotional distress, isolation, and difficulties in social, school, and work settings in addition to the risk of physical damage from the repetitive picking.