According to the DSM V; Excoriation disorder is the recurrent picking of ones own skin. The most common sites are the face, arms, and hands but individuals may picky from any body site and many pick at multiple sites. Many individuals pick with their fingernails but some also use other objects. Individuals with excoriation disorder may spend a significant amount of time picking at their skin, which leads to skin lesions. Individuals with excoriation have made several attempts to stop or decrease their skin picking and the picking creates distress and impacts daily functioning.