Help-seeking attitudes and experiences in individuals affected by skin picking

Abstract Skin picking disorder is accompanied by substantial psychosocial impairment and requires adequate treatment. However, literature on help-seeking attitudes and healthcare utilization in affected individuals is scarce. Therefore, the present study sought to investigate help-seeking behavior and experiences, as well as attitudes and expectations towards healthcare utilization in individuals with skin picking. The current sample consisted of 133 affected individuals (mean age: M = 26.67, SD = 6.42; 93.2% female), enrolled in a pilot study examining an Internet-based self-help program for skin picking. Data were assessed via self-report within the online baseline assessment prior to randomization. Most participants reported a positive helpfulness expectancy towards professional support for skin picking, and 42% (N = 56) had sought help in at least one professional contact point. While psychotherapists and psychologists were commonly rated as helpful (76.0%/63.2%), dermatological counseling and treatments were mostly not perceived as helpful (83.9%). Common reasons for not seeking help were a low perceived need for treatment, insecurity about treatment providers and their expertise, as well as shame. The present results suggest that individuals with skin picking rarely receive adequate treatment despite an overall positive attitude towards professional support. Increasing awareness and knowledge in professionals and the general public is required to improve the currently insufficient healthcare situation.