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I've suffered from obsessive thoughts since I was 16. 

So much so I used to go into hypotheticals. I used to "re enact" scenes between people. Trying to figure out how people act and why... 

It was borderline psychosis as some psychiatrists put it. The thinking as irrational. Hence my treatment with zyprexa (on and off) since about 19 until 2008. 

I've had chronic Depersonalization Disorder since 2008. Since then I still struggle with OCD, mood swings, Depression, dissociation etc. But I've managed fairly well.

Then this rash appeared at the corners of my mouth. It's disgusting. I've taken over 400 pictures. I've seen 5 dermatologists. No one can figure it out.

Multiple treatment failures.

Now it's really exacerbating my Depersonalization and ocd... and my thought process is becoming illogical again. I feel like people are looking at me,I get angry, etc. I'm moody ups and downs depressed etc.

My Dr wants me to try abilify to get thru.

That's in addition to the cocktail of meds I take for chronic Depersonalization.

So take a look at the pics. If it were you would you be concerned?

It's the first and last thing I think about every day.... 

It's driving me crazy...

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Of course I'm not overreacting.

I'm looking at my post thinking that looks disgusting. And just my fkg luck nothing helps!

The problem (as my psychiatrist explains it) is that people with a predisposition to obsess or think and become illogical with their thought processes (paranoid, self conscious) in addition to anxiety dissociation Depersonalization and depression don't cope with things like this as say a "normal" person would....

It looks horrible! Wtf 

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1 hour ago, DividedMind said:

   It looks horrible! Wtf 

To be honest, I don't see a rash in the corners of your mouth in any of the pictures you posted....

In fact, looking at the pictures objectively, it appears like you have excellent, clear skin to me.

In other words, I don't think you have anything to worry about regarding your skin.....Have your told your pdoc about your skin concerns?

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I agree with CrazyRedhead, the pictures show your skin looking excellent. Sorry that is not the answer you are looking for.

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2 hours ago, CrazyRedhead said:

To be honest, I don't see a rash in the corners of your mouth in any of the pictures you posted....

In fact, looking at the pictures objectively, it appears like you have excellent, clear skin to me.

In other words, I don't think you have anything to worry about regarding your skin.....Have your told your pdoc about your skin concerns?

Yes. I've shown the pictures to my social worker and my psychiatrist. My social worker initially says it warrants a look by a Dr but then I told her I've seen 5 over a course of 6 months she said I have to find a way to move on.

I've shown them the pictures and discussed the way its making me feel (when I talk to people they look at it). I also discussed with them some of my irrational thoughts like being paranoid, angry or sad for no reason and the worsening of my mood swings and depression because of this and my psychiatrist suggested I try abilify to help suppress these thoughts. 

This would be in addition to my combination of luvox, klonopin, and lamictal for chronic Depersonalization (which I've been on since inheriting the condition in 2008). But I also have mild bipolar type 2, OCD, anxiety, body dysmorphic disorder, and depression.

The medication cocktail above helps with the other conditions but are actually the recommended treatment for chronic Depersonalization as per the university of London Depersonalization research institute. 

I'm attaching some more photos.... It's not a "rash" per say. But more like pigmentation/discoloration/inflammation... specifically extending outward of the right corner of my mouth. It's like there is a "line" around the lip... you can clearly see it in the 2nd photo.

In the 4th photo you can see the right side of my mouth the pigmentation/inflammation that extends beyond my lip...

in the 3rd pic you can see I didn't have it last year this time. This is my biggest issue. Something at a physiological level in my body has changed that is causing this. I can actually "feel" it... like physically feel it... seriously. So I want to find the root cause and fix it.

Now in the last picture you HAVE to see something. The right side (left on the photo) of the area around my mouth had a darkened/inflamed area that extends outwards of my mouth. It's pretty bad. And pretty obvious.

Thx for your responses. I really appreciate it. 

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I see no skin issues at all, none. And I stared hard at your pictures. Do other people who see you in person say they see something there?  Because I truly don’t.   Now I admit I see imperfections in myself no one else sees, so I know how it is when it seems obvious to me, but only me. I get that you are seeing something, but really do the dermatologists and others see it as well?  I would consider the med suggestion. It sounds very distressing to be going through this. 

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9 hours ago, sugarsugar said:

I see no skin issues at all, none. And I stared hard at your pictures. Do other people who see you in person say they see something there?  Because I truly don’t.   Now I admit I see imperfections in myself no one else sees, so I know how it is when it seems obvious to me, but only me. I get that you are seeing something, but really do the dermatologists and others see it as well?  I would consider the med suggestion. It sounds very distressing to be going through this. 

The other dermatolgists said it is indicative of a condition called angular chelitis (angles of the mouth). I've tried (as is common for angular chelitis or inflammation) anti fungal creams and hydrocortisone creams ansd ointments with no improvement. They say there is no known cause if its not fungal or vitamin deficient. Or bacterial. It's usually something that resolves itself. So some do see it... They claim its "not that bad"... others say to "leave it alone"... Or "its not that bad"... people have looked at the pics (who know me from prior to the onset) know my skin has changed. Even my social worker said it warrants an evaluation. Problem is no one can help. 

Adding fuel tobthe fire is my mental make up. Anxiety, Depersonalization, and mood swings. This has worsened things term fold.

Not sure if I want to add abilify to my regimen... although it is tempting. I feel depressed and anxious for no reason.

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8 hours ago, sbdivemaster said:

Like others, I really don't see anything.  However, not everything can show up well in pics.

Does it itch?  Is it painful?  Does the skin crack or peel?  Does it come and go, or is it constant?  Is it exacerbated by anything in particular?  Food?  Beverage?  Is it worse in the morning?  At night?  The same all day long?

No itching no pain. No cracking or peeling... its constant. A year or more now. The last time I had it (only time prior to this) was in 2003... I didn't have half the psych dx I do now (only anxiety OCD etc no chronic Depersonalization or bipolar type 2) .. I saw about 5 Drs then top nothing helped... eventually I just forgot and it went away. Aesthetically it looks and presents worse when I don't Shane. It looks best when I'm clean shaven with aloe (like today). When I think about it I think I can feel it more but not sure... 

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Look at the rightside of my mouth (left if your looking at the photo)... you can see where my lip "ends" (called the vermilion border) but this brownish skin extends outwards... 

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1 minute ago, notloki said:

Have you tried a more potent steroid than hydrocortisone ?

Yeah. I've even had steroid injections. 

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