In my behavioral/cognitive therapy, I'm learning that anxiety and worry is behind a lot of my skin picking. My mom is a big worrier. My wife is a worrier. And I'm a worrier, although I don't always show it publicly.
I guess that's why I'm a compulsive skin picker.
I use skin picking as a way to alleviate my worry. And I keep it hidden so no one knows about my external worry.
My anxiety and worry is something I'm learning to control. I'm learning relaxation, and meditation techniques. I've downloaded meditation tracks on iTunes and bought the "Meditation for Dummies" book last year.
But I'm finding I still worry.
The antidote to worry, I find, is being in the present. Being mindful about what's going on in your life now, instead of the future. Because worry and anxiety is all about the unknown, and the future--the possibility of something happening in the future.
Like worrying about bills, or work. It's ok to think about them, but when it turns to worry, then I find that skin picking happens.
I use skin picking as a way to deal with my anxiety. I use it as a way to relax--it must be some sort of comfort.
So I'm being more mindful and in the present.
Bonus: Here's a good article on ways to help with overcoming worry.