When you grow impulsive and make less than optimal choices, are you aware that it is happening?

When you grow impulsive and make less than optimal choices, are you aware that it is happening?
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Yes, yes, yes. The best example I can give is that I am a compulsive skin picker. Have been since the age of 5. I know it’s awful, bad for me, and unsightly, but It’s basically painful to avoid it. I scream at myself as well, I agonize as I watch myself remove layers of skin, but there is some weird disconnect between my actions and my mind at the moment. I can’t for the life of me understand why, and I’ve always considered myself crazy. Most others do as well because they haven’t experienced the begging, pleading, even violent and abrasive demands to stop that bounce around inside a locked room somewhere in my mind. Then again, perhaps that is the qualification for crazy. I just wish I could stop.
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