Skin picking disorder is a challenging disease at the intersection of psychiatry and dermatology. Cognitive behavioral therapy (CBT) techniques have been proven to benefit patients with skin picking disorder. However, because patients with skin picking disorder may decline referral to a mental health professional, dermatologists should be aware of techniques based on CBT, such as habit reversal therapy (HRT), and be prepared to implement them in clinical practice to decrease the burden of disease in affected patients.