Sheila a 26 year old single female who lives with her family was admitted to an outpatient department of psychiatry Sheila

Question

Sheila a 26 year old single female who lives with her family was admitted to an outpatient department of psychiatry Sheila suffered from childhood sexual abuse when she was nine years old The abuse lasted for four years She presented complaints of excessive skin scratching of the fingers forearms and upper back for the last three years However in the past two years the picking has been a daily routine which was associated with emotional stress followed by a feeling of relief after picking She had been treated by her general practitioner and dermatologist for approximately two years although none of the therapies provided a complete clinical result Eventually Sheila was diagnosed as having O excoriation skin picking disorder Oborderline personality disorder O post traumatic stress disorder O obsessive compulsive disorder

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