Skin picking has been an enormous problem for me. I deal with depression, anxiety, and ADD. I've always had oily skin and would squeeze pores, which caused enlargement. I went through a horrible time a few years ago. Hormone changes led to acne rosacea which led to the worst picking of my life. For 2 and a half years, I was out of control. My face was covered in open wounds, and I didn't leave the house for a week at a time. I still don't know what that was about. It's much better now, but the urge hasn't disappeared. I feel a lot of embarrassment about the appearance of my skin, rough, thickened, waxy, flaking, and sometimes flushing red. I already had a full plate emotionally before this skin problem started. One day at a time.