I pick at my skin, but at existing flaws. For example, I had a small insect bite on my shoulder which I've picked at constantly, and now, several weeks later, I have a sizeable red and painful wound. I do the same thing with lumps and, scratches, cuts, spots etc. I never pick at a healthy bit of skin, there is always something else. I don't know if this would count as dermatillomania or not?