Oh man, I could have written this a few years ago! So similar it's scary! I tried EVERYTHING to quit. You're not lazy or weak-willed. I don't know you at all and yet I know you're not because you've been fighting this for 10 years. That takes a hell of a lot of energy, determination, and will-power!

What finally worked for me was taking medication for OCD (I take Luvox, but there are many others). The meds didn't make the obsession and compulsion to skin pick go away completely, but they reduced them enough so that all those techniques (gloves, covering mirrors, etc) that had never worked for me before actually worked! It wasn't an easy way out at all, because I still had to work (and continue to work) at not picking with all those healthy coping and distraction mechanisms. Rather, it is like my OCD is a radio station with the volume turned up so high that no amount of determination and healthy coping skills can ever be heard over it. The Luvox turns the volume down. It's not off, but it is SOOOOOOOO much better than before!!!

Good luck and hang in there! You are definitely not alone!!!