Since this thread got bumped up again, I thought I'd update my previous comment. Working with a therapist did help....what helped me even more was getting on antianxiety medication. It is the ONLY thing that helped me really get it under control. I can't say that I've completely stopped picking at my skin, but it really has become a non-issue. If I start to pick, I notice it and can stop. The urge to pick is minimal, and it's not such a huge part of my life anymore.