I relate to this so much Sage! I've always avoided activities that I thought might draw attention as self-harm. But I aggressively pick at my skin, pluck hairs, and will scratch my skin or bite my fingers until they hurt when I am particularly stressed. If I have anything else in my hands, like paper, string, of leaves as you mention, I will rip them to pieces instead. I try to do this intentionally sometimes to spare my skin.
I expect there might be something to the adult acne part of that as well. I've noticed that mine gets worse when I am stressed. And then I end up touching my face more...what a vicious cycle!
I expect there might be something to the adult acne part of that as well. I've noticed that mine gets worse when I am stressed. And then I end up touching my face more...what a vicious cycle!