If you find yourself unable to resist scratching your head due to an itchy scalp, addressing the underlying cause is key. Dandruff and reactions to hair products are frequent triggers for this discomfort. Fortunately, you can manage these issues with readily available remedies. In cases where scratching becomes compulsive, indicating a condition known as dermatillomania, seeking professional guidance is advisable. Consultation with a healthcare provider can lead to a tailored treatment plan, while support groups and online resources offer valuable support on the path to recovery.
Steps
Relieving an Itchy Scalp

- Many over-the-counter shampoos can be used regularly to treat and prevent dandruff.
- If over-the-counter options prove ineffective, consult a healthcare professional for prescription-strength antifungal shampoo. Topical cortisone may also be recommended.
- Dandruff flakes typically appear white or yellow and result from seborrheic dermatitis, a common skin condition.

- Hair bleaches, dyes, shampoos, conditioners, and chemicals for perms and straighteners commonly trigger contact dermatitis.
- If the rash persists after a few days, consult a doctor or dermatologist. They typically prescribe topical steroids or oral antihistamines for treatment.
- If uncertain about the triggering chemical, inquire about specialized tests from your dermatologist. This can help you avoid the chemical in the future!

- Nits adhere to individual hair strands near the scalp and may resemble stubborn dandruff initially. Adult lice are approximately the size of a sesame seed and may be visible on the scalp.
- The medication should be effective upon contact. After rinsing, utilize a fine-toothed comb or specialized 'nit comb' to remove dead lice and nits.
- Repeat this process every 2-3 days for at least 2 weeks to ensure complete lice eradication.

- Occasionally, scalp rashes are raised and feature black dots or a stubbly appearance.

- Experiencing psoriasis for the first time can be daunting! Treatments are often effective, but lifestyle adjustments such as dietary changes or stress reduction may also be necessary for complete resolution. Your doctor will provide comprehensive guidance.
- If you've experienced flare-ups before and are familiar with the condition, you can attempt over-the-counter medicated shampoos and scale treatments for relief. If these prove ineffective, schedule an appointment with your dermatologist.
Coping with a Compulsive Habit

- People with dermatillomania may avoid social situations and work due to embarrassment.
- Dermatillomania typically starts during puberty but can affect both children and adults.

- Cognitive behavior therapy (CBT) and habit reversal training are effective treatment options.
- Conditions like depression and obsessive-compulsive disorder are often associated with dermatillomania and may require medications like fluoxetine, fluvoxamine, or escitalopram.
- Since skin-picking can indicate underlying medical issues, it's crucial to receive a proper diagnosis from a healthcare provider.
- For assistance in finding a therapist, visit https://www.bfrb.org/find-help-support.

- A stress ball provides a safe outlet for fidgeting and may help alleviate stress.
- If a stress ball isn't available, wearing gloves can serve a similar purpose.

- For instance, if heavy traffic triggers your scratching during your commute, consider an alternative route.
- Many individuals are triggered by mirrors. If this applies to you, consider removing bedroom mirrors and installing softer bathroom lighting.
- Remember, triggers aren't solely stress-related. Scratching can occur during calm moments or distractions.

- While short nails won't completely eliminate the urge to scratch, they can mitigate the harm and make the behavior less enticing.

- For access to support groups and other BFRB resources, visit https://www.bfrb.org/find-help-support
Insights
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Don't feel ashamed if you're dealing with dermatillomania. Conditions like this are more prevalent than you might realize, and seeking help and support is crucial for recovery.
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Enlist trusted individuals to help monitor your scratching or picking habits, providing reminders to cease the behavior when necessary.
Alerts
- If over-the-counter products fail to alleviate your itchy scalp, seek prompt medical attention.
- If you notice swollen, inflamed scratches, lesions, or open wounds on your scalp, it's imperative to consult a medical professional promptly to address potential infections.