(graphic detail below)

I know for myself, it might start out as a little spot but if my anxiety is very high then I might keep picking at it until I start picking at the skin around it, and it eventually ends up as a 'hole' in my face from where I have picked so much skin and tissue away. It sounds horrible, and i guess it is. I have large scars on my face from this. I don't know how large US coins are but I have scars that are at least the size of our 20c pieces... It is embarrassing especially as they cannot be hidden and makeup does little to hide it, but the compulsion over-rides everything else. (Even cutting my fingernails has not stopped me...)

Sorry about the graphics but I hope this helps you a little?