Ever since I was a kid, I picked at scabs, which led to messing with pimples, and cystic acne, once in awhile. When I do it, I don't think of it as punishing myself, but merely just to get the thing off of my face or neck. I don't get any pleasure from it. Maybe it is a OCD thing, but it certainly doesn't get in the way of my life. Just a yucky scar that lasts longer than normal. I already take meds for depression/anxiety- maybe a change of meds would help?