What treatment options for extreme dermatillomania?

I have dealt with dermatillomania centered ocd since middle school that has transformed from moderate to severe. I know that there is cbt but i was wondering if there is something else to along side it. I currently am taking 150 ml of sertraline. It has ruined my face, my back. I don’t have many pictures of my self. My self esteem is nonexistent and I’m constantly putting my health and self at risk. Any advice is appreciated.

I have dealt with dermatillomania centered ocd since middle school that has transformed from moderate to severe. I know that there is cbt but i was wondering if there is something else to along side it. I currently am taking 150 ml of sertraline. It has ruined my face, my back. I don’t have many pictures of my self. My self esteem is nonexistent and I’m constantly putting my health and self at risk. Any advice is appreciated.