Skin-picking (excoriation) and hair-pulling (trichotillomania) are often categorized as OCD-related disorders. And for some people, they are. But in my experience, these behaviors can have different roots. For many, they function more like emotional regulation tools—similar to other forms of self-harm. When that’s the case, traditional OCD treatments might not be effective. Everyone’s experience is different, and the “why” behind the behavior matters. As always, Instagram isn’t therapy. If you o

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