Excoriation disorder (also called skin picking disorder) is a newly added, often overlooked mental disorder in the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders (APA, 2013). The purpose of this article is to increase professional counselors’ abilities to recognize and effectively address the symptoms of excoriation disorder. In this article, the etiologies, diagnostic criteria and assessment strategies for excoriation disorder are described. Excoriation disorder develops as the result of biological and physical contributors and might serve to regulate emotions. A review is provided of specific interventions and treatments, such as cognitive behavioral therapy and acceptance and commitment therapy, which have demonstrated success in treating those who have excoriation disorder.