Approach in the excoriation disorder: a developing field

• Autor(a) principal: Silva, Camila Soares da
• Data de Publicação: 2023
• Tipo de documento: Artigo
• Idioma: por
• Título da fonte: Debates em Psiquiatria (Online)
• Texto Completo: https://revistardp.org.br/revista/article/view/655
• topic: transtorno de escoriação; dermatotilmania; transtorno; skin picking; excoriation disorder; dermatotillomania; disorder; skin picking; trastorno por excoriación; dermatotilomanía; trastorno; skin picking

Excoriation Disorder (ET), that is, the habit of causing skin lesions, usually on the face, causing functional impairment, is common in psychiatric psychopathology, but still infrequent in clinical practice. Less than 20% of patients with ET seek treatment. In this work, a bibliographic review was carried out on the proposed theme and possibilities of established approaches. The treatment of ET with Habit Reversal Therapy (HRT) is considered effective. This therapy is based on four techniques: awareness, competitive response practice, motivation and generalization. The main psychoactive drugs evaluated were Selective Serotonin Reuptake Inhibitors (SSRIs), with controversial results. Another approach that also addresses the reversal of habits is the Rothbaum Protocol (RP), which associates stress management with management. Unlike HRT, PR addresses co-occurring depressive and anxious symptoms. There is still some disagreement regarding the treatment of Excoriation Disorder. Therapies with greater applicability show better results for changing intrinsic habits. Psychotropic drugs for impulse control corroborate with greater awareness and, consequently, avoidance of symptoms.