The first time that Nat’s picking behavior went from just a bad habit to actually inflicting self-harm was when she was going through a particularly anxiety-provoking social situation. He first noticed he was growing skin tags, or small benign tumours on his skin, back in 2000.
By 2007, they were so bad that he went to a local dermatologist to have them removed through cauterization. Vitiligo can affect small spots or large patches of skin. "People may pick out of habit or boredom, and, at times, may not even be aware that they are picking," explains the International OCD Foundation "Skin Picking Disorder Fact Sheet." "People may also pick in an attempt to cope with negative emotions (e.g., anxiety, sadness, anger) and/or in response to feelings of mounting stress and tension." Skin picking disorder may affect as many as 1 in 20 people.

According to the International OCD Foundation "Skin Picking Disorder Fact Sheet", skin picking disorder involves repeated skin picking, skin picking that interferes with daily activities, and skin picking that can cause tissue damage. Applying the oil two to three times daily till the tag dries and falls off is necessary to remove the skin tag with this method.

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