Multiple skin lesions and old scars on face and extremities

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Question

A 46-year old woman presents with multiple skin lesions and old scars on her face and extremities. she reports a compulsion to pick at her skin, which has resulted in significant facial scarring. this condition has led her to miss work and to cover her face in public. the patient also mentions leaving work meetings to pick at her skin in the restroom. she admits to snorting cocaine once or twice a month in small quantities and consuming alcohol on weekends. she has a family history of hoarding disorder in her sister. given the likely diagnosis, what is the best initial treatment for this patient?

Reference no: EM133691404

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