Shannon Kavanaugh | Skin Picking Madness
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Skin Picking Madness

Skin Picking Madness

I wrote this post weeks ago. Every time I think about publishsing it, I freak out a little because no one knows this, not even my bestest friends and that makes my heart beat a little faster just typing it. I have gone back and forth over whether this qualifies as an “overshare”. I’m still not sure. I do know that it’s honest and I’m proud of that, if nothing else.

But hey… when you are your authentic self you give others the unspoken permission to be their authentic selves… and really, truly, that is why I write.

I made fun of my mother’s Tourettes when I was a child. I didn’t even know she had Tourettes until my father told me when I was 17. We were on our way back from my court hearing. I got into trouble for under-aged drinking and I failed to comply with the requirements of my probation which landed me in front of a judge. I don’t remember the details of the whole matter because at the time, I was using cigarettes, marijuana and alcohol to forget it.

Seventeen years later, and now that I am a writer, I find myself mining my memory for these purposely forgotten things trying to untangle and label the mess. I work hard to identify and put words to the pain, love, regret and destiny in my life; a mingling of therapy and craft I suppose. Even now, clear-headed and with the benefit of a little wisdom on my side, I’m surprised at what I find. Just when I think I’ve untangled and labeled something correctly in my mind, I go to write it down and it comes out differently again.

What I remember is feeling annoyed and embarrassed in front of my friends by her repetitive tics and nonsensical sentences. “What is wrong with you? Will you just stop saying that?!” I yelled at her more than once. I couldn’t understand why she wouldn’t just shut up? What I couldn’t understand is that she couldn’t shut up.

My mother said a lot of things repetitively, but one of those things was not an explanation, and when all you know is one thing from the day you were born, you forget that it could be anything different. I thought my mother’s tics and tendencies were habits, idiosyncrasies, something normal and ordinary and nothing more.

Whether it be shame, embarrassment, her private nature or stoicism, she never shared with me why she swiped the hair from her eyes 30 times in a row while saying something like, “Why did I do that?”

I never knew either until that day in the car with my Dad. I suspect he told me the true nature of her condition to guilt me. It worked. When I was 17 my relationship with my parents was tumultuous at its best. We argued about everything and talked about nothing.

I realize that “never” is a strong and loaded word so I tend to use it judiciously. My mother never displayed overt affections, at least at a time in my life that has a memory. Her affections came disguised in the form of a coveted sweater or simply not putting up a fight when I asked to stay at a friend’s house. In the absence of outward affections, and in my confusion of deciphering her coded ones, I felt emotionally abandoned. When I was 17, I was in a place of resentment and blame and even though I wanted nothing to do with them, I still needed my parents for everything. That made me an angry person. I began doing all the destructive things hurt people do which is all things 17-year-old girls should never do.

Before I did those things, when I was 11, I tore off the ends off my hair. I thought I hated split ends. When I was 15 I chewed my fingernails backwards from the cuticle to the tip. This took a considerable amount of effort and resulted in a fair amount of pain. I thought I had a problematic nail-biting habit. After that, I gained access to the less disfiguring, and extremely effective coping mechanisms of the aforementioned cigarettes, drugs and alcohol. Later, I would find that these things had a shelf-life. Once their expiration dates were reached, they stopped effectively anesthesizing the anxiety, and created a whole host of other problems as well. Even so, I used those things beyond their usefulness and didn’t stop until I settled down into a loving relationship and stable career.

Then I began tearing the skin from the soles of my feet.

I used to think I was cutting back the rough patches on my heels, you know, like a home pedicure. But soon, I was picking off all the patches and not just the rough ones. Even though the bottoms of my feet looked like raw hamburger, I couldn’t resist the temptation to do it again and again. It was then that I realized it was more than an irritation with cracked heels. I was about 24 when it started which means I’ve been doing it for 10 years.

This week I learned a name for it. It’s called Dermatillomania. All though it was unfamiliar, I recognized the word immediately like a glimpse of my reflection when I wasn’t expecting it. Oh yeah that’s me! I was overcome with the urge to know more about me. What does it mean?

Derma= skin, Till(ean)= to pick or pull off, Mania= madness.

Skin-picking madness.

The day after a brutal podiatal mutilation it feels like I am walking on hot coals. Like fire-walkers everywhere I step into the pain, knowing better. Each tender outer step is a reminder of my inner shame, of which, I am the only one left to blame. For reasons I have yet to work out, I believe I deserve this pain. It is my punishment for a lack of self-control, a list of imperfections and past indiscretions– such as those against my mother and myself– a self-flaggalation. I know it’s silly and stupid and irrational, but as I learned, all disorders are.

I also learned something else about Dermatillomania. Recently, researchers linked a gene mutation associated with Trichotillomania (obsessive hair-pulling which is in the same family as Dermatillomania) to the same gene associated with Tourette’s Syndrome.  In fact, Dermatillomania used to be considered an obsessive-compulsive disorder, but from recent findings is now classified in the DSM-IV as an impulse control disorder… just like Tourette’s Syndrome. Although not conclusive, it would appear that my skin-picking madness is genetic.

Honestly, having Dermatillomania hasn’t affected my life in dramatic ways (unlike the self-flagellation methods of yore). It’s not something that I’m proud of, and besides my husband, I have never told another soul about my soles. But it’s not something I’m necessarily ashamed of either–at least publically. It’s been easy enough to hide my feet, and I’ve never been ridiculed because of it, unlike the way my mother was–say, by her own daughter. Luckily, I haven’t lived with public humiliation or the exposed evidence of my self-inflicted disfigurement, and I am left only to imagine what kind of debilitating, emotional pain that might cause in a person.

I think it might make you emotionally guarded, perhaps also ashamed, embarrassed, private-natured and maybe, even stoic.

You see, as a writer I mine my purposefully forgotten memories and try to assign labels to them. I often think I’ve found pain, but it nearly always turns out to be love… and destiny, always destiny.

*In case you were wondering, I asked my mother if it was okay to post this on my blog. Her first reaction wasn’t good. I was disappointed not because I couldnt’ publish it, but because I thought I failed as a writer to convey the sentiment appropriately. I don’t know what changed her mind, but she allowed it. Thanks Mom and Happy Mother’s Day.

**This post was inpspired by an amazingly honest writer named Adrienne Jones. She writes at www.nopointsforstyle.com. When I contacted her to let her know that I had written something because I was so touched and inspired by something she had written, she gave me an award. I am so honored by this. Thank you Adrienne.

24 Comments
  • Kimberly Muench
    Posted at 16:45h, 11 May

    LOVE your honesty Shannon! I had to share (part of) this with my 14 year old son because he is constantly picking at the soles of his feet claiming it’s dead skin.

    • Shannon Lell
      Posted at 16:51h, 11 May

      Thank you Kimberly. My honesty is making me pace the floor right now. I’m a little thin-skinned when it comes to writing about private things. <—- pun not intended, or maybe it was. I don't know anymore. Thanks anyway.

  • Kimberly Muench
    Posted at 01:21h, 12 May

    I completely understand…my book is a VERY revealing look at my life from the time I got pregnant at 18 until 2008 when I got my son (21 at the time) into rehab. And although I am anxious about it at times, I have yet to get negative comments. Some don’t say anything, others commend my ability to be so brutally honest. I found writing the book so incredibly cathartic that it has prompted me to write brutally honestly each week, as you do. Every time I so, I feel more comfortable in my own skin. That is the priceless gift I give to myself.

  • thederelictdog
    Posted at 17:28h, 14 May

    Ah, I’m guilty of this as well. As of current, I’m fifteen years old and a compulsive head-scratcher. The more stressors in my life, the more I scratch. I hope that you can find the power within yourself to stop- or in the least, be at peace with yourself.

    • Shannon Lell
      Posted at 05:09h, 15 May

      …. and isn’t that the whole point really? Peace with oneself? May you find it, also.

  • An Open Letter to Addicts in My Life « Shannon Lell
    Posted at 05:38h, 15 May

    […] the same, it just looks different on different people. On me, it can look like a panic attack, or self-mutilation, on others it looks like obesity, infidelity, rage, bankruptcy and righteousness. It’s all […]

  • Adrienne Jones (@NoStylePoints)
    Posted at 23:55h, 19 June

    The amount of time it took me to get here notwithstanding (sorry ’bout that!), this is incredibly brave.

    Now I will give you one of these:
    http://www.nopointsforstyle.com/nps-bad-ass-blogger-award

    • Shannon Lell
      Posted at 04:45h, 20 June

      Thank you Adrienne. I appreciate your kind words, and the award! Woo Hoo!

  • threewhitegomezes
    Posted at 14:32h, 29 August

    Today I have an appt with my dr. I am going to show her my secret, the soles of my feet.

    • Shannon Lell
      Posted at 18:35h, 29 August

      Wow. That just gave me chills. Please, please let me know what your doctor says. I have not been as brave. Honestly, every time I think of this post I crumple a little on the inside. But I don’t delete it because it’s my truth and I want to live in that space no matter how much it hurts. I hope you get some information that helps you today. Namaste.

  • Jim
    Posted at 20:46h, 05 October

    I do this too!

  • jade
    Posted at 06:44h, 27 December

    shit, I do this in spurts and it has been years since I had done it, I want to know why I am doing it again. It starts with an intense itch… I pull sheets until its raw… watery ooze… now i can’t go get a pedicure… dammit…. wtf? is it anger, insecurity? what? what?

    • Shannon Lell
      Posted at 06:47h, 27 December

      I would say, anxiety. Something isn’t right in your life and you’re repressing it through what amounts to self-inflicted pain. The picking is the symptom of something deeper. Go within. <— not to sound all Mr. Miyagi on you.

  • Angela Hartlin
    Posted at 05:01h, 21 March

    “I also learned something else about Dermatillomania. Recently, researchers linked a gene mutation associated with Trichotillomania (obsessive hair-pulling which is in the same family as Dermatillomania) to the same gene associated with Tourette’s Syndrome. In fact, Dermatillomania used to be considered an obsessive-compulsive disorder, but from recent findings is now classified in the DSM-IV as an impulse control disorder… just like Tourette’s Syndrome. Although not conclusive, it would appear that my skin-picking madness is genetic.”
    Thank you for sharing your story! The genetics have not been linked definitively yet although research is getting closer (unless you found an article that has had the breakthrough?) and since it’s been added to the DSM 5 as “Excoriation Disorder, it’s been classified under a host of mental health afflictions called “Obsessive- Compulsive and Related Disorders”. Ultimately, they shifted the focus away from impulse control disorders because ICD’s most typically have negative consequences on other people (I believe it was the reason… Dr. Jon E. Grant did a webinar, which can be seen in the Trichotillomania Learning Center’s archives if you’re a member).
    This disorder is so multi-faceted since it is thought that it can be a standalone disorder (despite emotional duress proving more comorbid mental health issues), but it can also be a symptom of another disorder. It has traits of anxiety disorders, a body dysmorphic component, obsessive-compulsive, tic disorders (such as the above mentioned Tourette’s although it’s less likely to be connected). We still have so much to learn about this disorder and hopefully will now that it is recognized in the DSM 5. 🙂

  • JoAnn
    Posted at 15:55h, 20 June

    I have done this for years…. Had NO idea that it was a disorder, although I suppose I should have been able to figure it out. 😉 Thanks for sharing your story. I’m not sure what I will DO about it, as of yet… Mine started with a scar that I had on my foot. It has been there since 5th grade and part of the scar was dry and the skin was peeling. I started to pull then, and have ALWAYS messed with that scar since. It looks most horrible when I’m at the pool and my feet are wet, because it then stands out even more. People are always asking me what I did….and I have to admit that it’s a scar from when I was 10….and I can’t leave it alone. (I’m now 39….). I also have always ripped my toe nails… I can not stand to have the feeling of a nail above the skin. I rip until they bleed. Sometimes I rip until there is no nail left at all. I am always putting nail polish on, (to make it look like there is still a nail there…) and have to have it in my purse to fix any rips that I may do during the day at work. Recently, the picking has graduated to include the right side of the back of my foot that has dry skin and the underside of the sole of my foot. It’s only my right foot….except the nails…that, I do on both feet, and with my finger nails, as well. Although, not as bad with my fingers, because people can see those…. There are always ripped nails and stray skin around me when I’m sitting still for any length of time. I assume others don’t notice, but I’m sure they do. I’ve NEVER really told anyone this before, and wasn’t even intending on writing all of this, but I guess it is a bit therapeutic in a way, and, as I write… I am now realizing just how much I do this! Thanks again for sharing…it helps to feel a little less alone.

    • Shannon Lell
      Posted at 20:51h, 21 June

      Wow. Thank you for writing JoAnn. This is probably the most vulnerable piece I’ve ever written and it STILL resonates with so many people. It’s why I do this crazy thing… showing my insides like this. Thanks for reading.

  • Tonya
    Posted at 23:34h, 17 July

    I am a 38 year old ‘normal’ looking Mother of 2. I have had this same issue, first assuming it was Tourette’s related – some how – or OCD related – from at least age 10. I used to pick my finger nails down to the open skin – leaving them unsightly and questionable. At my current age, I still ‘pick’ my finger skin and my feet obsessively. What I would give to be ‘normal’! I want beautiful, unpicked nails and fingers, just like my friends. Sad to have these issues. I guess it could be worse, though.

  • Tonya
    Posted at 23:38h, 17 July

    I don’t get professional manicures or pedicures either, out of embarrassment. I take an anti-anxiety med but it has never cleared my long, lived issue. My husband says that I could just ‘stop’, anytime that I choose to. I wish that it were that easy. I hate it! It’s ugly and embarrassing. Glad to know that I am not the only one!

  • Molly
    Posted at 19:38h, 21 October

    I just found your post. I have been questioning opening up about this because I do this too and realized only a year ago that it was actually a real disorder and not just a bad habit. I have always struggled with severe anxiety and it was worsened during my last pregnancy. So much so that I began pulling the skin on my lips and it got infected. That’s when I knew I had a problem. Thank you for your honesty. I hope I can open up like you did.

  • Anna
    Posted at 03:50h, 24 November

    For those who focus exclusively on the bottoms of your feet and your scalp, be sure to first rule out a physical cause. You may have a Candida-related skin condition, such as the little-known fungal infection called MOCCASIN FEET (does the skin get white and spongy after soaking in water?). The condition needs to be treated INTERNALLY with the guidance of a naturopath or herbalist. One can take powerful probiotics combined with prescribed anti-fungal medicines (such as Lamisil) or use natural anti-fungal cures such as Colloidal Silver, garlic, Pau D’Arco, Black Walnut extract, oregano extract, coconut oil, and others. Sugar, yeast, wheat, and alcohol should be avoided during the cleansing process, if possible (not everyone can do this because they Candida organisms are creating the sugar and alcohol cravings). But this needs to be done slowly and carefully due to what people call “Die Off” of the organism (“Herzheimer’s Reaction”) which can be serious enough to land you in an E.R.. If you pick at your feet or scalp because you have a fungal skin condition, I hope this has been helpful. Be sure to work with a naturapath or other healer because Die Off can be pretty intense when it is too much for your liver and kidneys. So please be careful. Good luck!

  • Jackie Maphis
    Posted at 13:23h, 10 March

    Thank you for putting a name to this, I am 57 yeat old grandmother of 1, mother of 2. I grew up with tourette. I never knew what it was until I saw a talkshow when in my late 20’s. I always thought you had to vocalize, and most people do. As I am sure you know, this is hard type. A lot of tears and bad memories come up as I do. There was no knowledge of anyone else in the family with tics. I was 11 when i started to manifest what has become my lifelong tic, a rapid scunching up of the eyes and blinking. (this is killer when I have a migrain) I was teased and harrassed by everyone in my family. I was told it was a habit I needed to break. I was sent to therapists who told me that I could quit if I wanted and that I was acting out because of my parents divorce, etc. My Mother tried bribes and punishments. She didn’t know (she has since apologized for this). I learned to mask the tics, hide my face, turn away for some great purpose to tic. I was married 26 years and he swears he never saw me tic. …So much for attentiveness…..

    Some time ago. I can’t put a finger on just when , I started picking. It was some time in the past 10 years. I think it started between the time my husband decided to have a trial seperation for a month and when he finally asked for a divorce two and a half years later. I am having an especially bad day and my legs are a bloody mess, so I decided to use google for some comraderie or something. Right now it is mostly just my legs. I make deals with myself. Ok Jackie, you can pick the legs as much as you like as long as you leave the arms alone. I was a banker for a while and long sleeves became a fashion choice I had to make. I am sure you understand this. Thanks for giving me a place to share a very private pain.

    BTW I quit my day job and now focus soley on my art and for the most place can hide the issue from Everyone but those closest to me. No they don’t get it, but for the most part I am ok. (my art blog is here on wordpress)

    • Shannon Lell
      Posted at 22:11h, 14 March

      I do understand Jackie. You are welcome here.

  • Brasilmagic
    Posted at 15:33h, 16 July

    I have skin-picking problems too, and it is genetic. My paternal grandmother had it bad. I pick acne on my chin (menopausal acne) and my cuticles, and every other rough surface there is. It is a terrible habit that gets worse when I am anxious. I can relate to all of you. I really don’t see many people with this condition.

  • Julie
    Posted at 23:12h, 23 March

    I have just typed In FEET PICKING and can’t believe what I have found!! I have been PICKING the soles of my feet since childhood, I remember my dad having to carry me on his shoulder on holiday because my feet were so sore ( I was only 3 or 4.) I’m now 58 and still doing it but not quite as bad. Having said that I also have a problem with alcohol and always have. I have 3 grown-up children. My son is suffering with anxiety and depression at this time in his life he is 33 with 2 children and a fantastic partner who’s very supportive, as are the rest of the family. So glad I read your post as now I don’t feel so alone with this….well done and wish you well xxx