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Compulsive Scalp Picking

I am 28 years old and have picked scabs on my scalp since I was about 12 years old.  Normally I find little imperfections, possibly dandruff or dry scalp, and I pick at it until it becomes a scab.  Once a scab develops, I find myself uncontrollably picking at it, so it usually never heals or takes an extremely long time or another scab to develop to stop.  Right now, I have a total of six scabs that I have created on my scalp.  When I am picking I can't necessarily say that it relieves stress like I have found on some of the other web sites, but more of an obsession that I can't control.  I have been treated for depression and PTSD, but have never mentioned my compulsive picking.  I have been prescribed both Zoloft and Prozac with Klonopin for the symptoms of anxiety and depression, but I still seem to pick at me head.  The kicker is that I also do this in my sleep.  I will literally wake up with blood under my nails.  What treatment options are there other than medication?  Should I tell my primary care physician or should I talk to a psychiatrist?  What are some of the causes of this, could it be OCD?  I don't really have any sort of rituals like you see or read about or extreme fears, but I can not seem to stop picking at my scalp, and although I am not pulling at my hair, I am noticing hair loss.  Any feedback would be appreciated.
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Avatar universal
Hi All,
I am 32 and started picking about 4 years ago, right around the time I started having panic attacks. It progressed to panic disorder with agoraphobia. I was embarrassed for awhile and I know that seems to be the consensus on this blog too. I used to be afraid of my panic disorder too but in therapy my doctor instilled in me that these are issues that need to be dealt with obviously but that I shouldn't try to hide my issues because that causes more stress and worsens the problem. I left my old company where my panic disorder was looked at as a weakness and not a medical condition and now I work at a company where I feel comfortable explaining to people that I have disorders, I'm working on them, and that I can still function. The more people I share my story with, the more empowered I feel. It reinforces the idea to not be ashamed. With the picking, my friends know, my family knows, and my hairdresser knows (she sees the scabs when I come in). I haven't told my therapist yet but I plan to next week when I see her so that I can start working on it. Unfortunately I really love picking my scalp when I am bored or stressed and I feel like it's going to be hard but Some episodes of picking literally leave my hair matted with blood. My lymph nodes are swollen so I know it is causing infection. I hope those who have posted on here or read this are able to get the assistance they need, but do not be ashamed. It's a mental health issue that needs to be addressed just like a broken leg needs to be mended. You wouldn't tell someone with a broken leg to walk it off. So good luck, I hope my post makes you feel at least a little better. Know that you are not alone!
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Avatar universal
Dear friend,  I have the same exact problem. This effects my life and tried to control this. Can you give me any advice at all? I feel like I can't heal this problem by myself. Any suggestines would be so grateful.Please email me at ***@****. If not, I am so happy that I found someone with the same problem that I have.                                                                                                                                                                  Thankyou                                                                                                                 Chrystyne                           ***@****                                            
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Avatar universal
I 16 and I pick my scalp like this, but the think is I dont itch much, my head doesent feel itchy. Usually I just feel crawly. Even after showers I can pick. And with no ******* dandruff to pick at, I get very frustrated. THERES NOTHING TO PICK AT I CANT GET MY DAILY FIX UHG
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1 Comments
I also pick my scalp. The more I want to stop the harder it gets. It bleeds and makes me feel gross and unattractive as I know its there. My partner picks his hands and I think I unconsciously adopted this as a coping strategy. I do it when driving or sat at home or during times of stress. I am worried about my daughter adopting the behaviour. I also pick other scabs when they appear and have scarring. I feel like I mutilating myself beyond repair. I really do identify with you all. My partner gets stressed why I bring it up with him about getting this under control for both of our sakes. It is not healthy or needed but it is compulsive
Avatar universal
ithink this ghastly headscratching is a form of obsessivecompulsive disorder for me anyway as ive got that in other ways too
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Avatar universal
im having a little bit of success by wrapping my head in bandages and wearing a headscarf over it-they healed a little bit
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Avatar universal
I do the same thing. I will try to stop doing it for a few days so it's not so painful when I dye my hair but it still hurts. Right now, my whole scalp is radiating with pain bc I'm really stressed. I feel gross because I'm always brushing off the dry skin from my shoulders. I even notice it collects in my bra sometimes. It's hard. I don't compulsively snack, I started vaping and quit smoking 2 years ago. But I can't seem to keep myself from doing some habit or another 24/7. I think the oils are a great idea and I'm going to try that. Maybe it will help smooth the parts i like to scratch and I won't get relief from scratching anymore.
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