Understanding and managing body dysmorphic disorder (BDD), self-harm, and acne excorie requires a nuanced and compassionate approach. In this tutorial, Dr Ben Buchanan and Dr  Izolda Heydenrych will explore these conditions’ psychological and dermatological interplay, offering insights into best-practice consultation techniques. Attendees will gain practical strategies for early detection, patient communication, and intervention to improve patient outcomes. This session is essential for healthcare professionals seeking to refine their approach to these complex and often misunderstood conditions.