I began picking at my face when I was 14- it used to be maybe once a month- then in the past 3 years it been almost every day- and this years it's been multiple times a day. I have tried everything to stop- pick pads, sending money to someone else everytime I did it, watching pimple popping videos, spending hundreds on skin care (even though I create the acne by picking) making threats/punishments for it, making rewards for not doing it, trying to transfer it somewhere else on my body, going on medication, going off medication, doing copious amounts of handcrafts, almost anything you can think of doing I have tried and it only gets worse and worse. It has genuinely destroyed my self esteem and desire to go out. I have now for the first year ever created permanent visible scarring on my skin, and makeup looks awful and I feel like just makes it look more obvious. I have become way more antisocial, and I never feel pretty anymore- my fiance also has this issue, and we both get so ashamed by it but also almost enable eachother because I think "Well she did, so I can do it too." I'm out of answers, and I won't even plan a wedding or take engagement photos because I can't handle my appearance- people have told me before they don't even notice- maybe their being honest but it's all I can see. Have any of you found long term success trying this program? I've had OCD therapy before but never for this specific issue- which is now my biggest one.