ation disorder) requires an assessment of the extent to which the individual’s skin picking
has become independent of the unde rlying dermatological condition. 
Substance/medication-induced disorders. Skin-picking symptoms may also be induced
by certain substances (e.g., cocaine), in whic h case excoriation disorder should not be di-
agnosed. If such skin picking is clinically significant, then a diagnosis of substance/med-
ication-induced obsessive-compulsive and re lated disorder should be considered.