I’ve been in therapy for years (finally have a therapist I like) and on Zoloft for 10+ years. (18-21, then 23-33 years old),Before Zoloft I tried every type of Ssri. I take klonopin here are there but try to avoid consistent use. 

I’ve tried upping and lowering my medication dose to see if either helps with my anxiety/depression/skin picking (nope). I cannot go off Zoloft, it’s the only thing that makes me functional. I’m open to adding on medication.

I have fidget toys too. Just nothing helps. I feel like I’m going to have terrible skin forever and I’ve avoided dating because I’m so ashamed. I did do a chemical peel many years back in my early 20s but then I just kept picking at my skin anyway. 

Are there any other add on medications for the compulsions or skin treatments?