Twenty-one-year-old Samantha says that four years ago, she began obsessively picking at her skin, and she desperately wants help overcoming the compulsion. And, Stormy says her boyfriend, Keven's, perfectionism is tearing their relationship apart. When confronted with some of his many demands for their household, will Keven see things differently? Plus, Cindie says she’ll do anything to avoid going to the doctor, despite her family history of heart attacks, breast cancer and early deaths. Dr. Freda-Lewis Hall, Chief Medical Officer of Pfizer, stresses the importance of getting checkups. Will her words make an impact on Cindie? For more information, visit

Obsessed with Picking

Samantha, 21, says that she can’t control constantly picking at her skin, leaving her with scabs and scars all over her face and body. "I don’t think that people understand why I pick, and I don’t think people understand that I can’t stop," Samantha says. She explains that she began picking when she was 17 years old and abusing Xanax and alcohol. "The first time I picked, I was at my dad's house. I looked at my face in a magnified, lighted mirror and I saw all of the things that I thought were wrong," she recalls. "I would just sit in front of the mirror with tweezers and pick and pick at anything — to the point where, when I was done, I'd have big wounds on my face."

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"What goes through my mind when I'm picking is getting whatever it is out," Samantha says. "The only time I stop is when there is a lot of blood on my face and on my hands, and it's all overwhelming," she explains. She says that immediately after she's done picking, she feels relieved, but only momentarily. "Then it sinks in what I've done, and I feel sad," she says. "I absolutely hate the skin I’m in because I have holes and indents and scars on my face," Samantha confides. She says she never leaves the house without makeup on — and she even wears foundation to bed.

"I don't know why she's hurting herself like this." Hear from Samantha's mom, Denise. Plus, Dr. Phil challenges Samantha to remove her makeup.

In a previously taped piece, Samantha reveals to her mother that her sister, Rachel, has also started picking at her skin within the last year — and admits that the two will stand in the mirror and pick together. "That Samantha is allowing herself to do that in front of Rachel is very surprising to me," Denise says. "I'm very concerned about my younger daughter," she continues. "Just last week, I begged Rachel to please not start doing that and to tell me if she had an issue, or anxiety or something, because I can't take it."

"I don't want her to end up like me." And, Dr. Phil has some tough questions for Denise: "Are you an M.I.A. mom?"

"You know when you examine this honestly, that this has to do with anxiety, and it has to do with self-esteem."

"If we just break the habit, it will come back," Dr. Phil tells Samantha. "We have to take this away, but then we have to put major coping skills in its place, so you don't need it," he explains. He tells both sisters, "The good news is that neither of you have disfigured yourself to the point that you can't return to completely normal in terms of your skin. You haven't gone too far, but you're getting close," he warns. Dr. Phil offers to make professional help available to Samantha and Rachel. "What you need to do is be able to identify your anxiety, alleviate your anxiety and take away the need for the ritual," he insists. Both girls accept the help.

"Mr. Perfectionist"

Stormy says that when she met her boyfriend, Keven, two years ago, she couldn’t find a single flaw in him. But eight months later, when she and her two children moved into his house, Stormy says "Mr. Perfect" turned into "Mr. Perfectionism," obsessed with order, cleanliness and having everything done his way.  "I think he has OCD," Stormy says. She explains that when she does chores like vacuuming or making the bed, Keven follows her around and re-does everything. "My home always has to be in complete order," she says. "If toys or laundry are out of place, he wants them to be put away right away.”

Keven insists that he’s not the problem and says that Stormy lacks attention to detail and thoroughness when it comes to keeping the house neat. "I just want everything to be done right, 100 percent, and not half-assed,” he says. He explains that he wants his home to look like "something you’d see in a magazine."

Last winter, after six months of living together, Stormy says that her arguments with Keven got so bad that she actually left him after a big fight, while she was pregnant with their son. She says that Keven blamed her when his dog got sick and died, thinking that she had somehow harmed the animal — a claim that Stormy denies. "He just kept blaming me," she recalls. "We just couldn't take it anymore, and we decided to break up."

"When she was out of the house, I was in heaven," Keven confesses. "I had my house back, and I was happy."

Hear some of Keven's house rules. "It's exhausting living that way," he admits.

"The pursuit of perfection is in and of itself a flawed pursuit, because there is no perfection."

"You're experiencing a lot of anxiety inside," Dr. Phil tells Keven. "What people do sometimes is they feel like if they can control their external world, then they feel a sense of calmness internally," he explains, adding, "But they can never control it enough to make it really work." Dr. Phil offers to handpick a professional to help Keven cope with his anxiety, and Keven accepts.

Avoiding the Doctor

Cindie, 42, says that she had a major health scare 15 years ago when precancerous cells were found in her uterus after the birth of her third son. She says she had the cells frozen and from that point on, she put her health on the backburner because of a divorce, raising a newborn son and finding a job. Now, Cindie says that she avoids routine tests like pap smears and mammograms, because she’s terrified about what doctors might find. "It’s been 17 years since I’ve been to the doctor for a regular checkup," Cindie admits. "I'm afraid because it's been so long," she says. "It's just that fear of the unknown for me."

Cindie explains that her family has a history of breast cancer, heart disease and early deaths. She says that her father died of a heart attack at the age of 50, and her brother passed away when he was just 29 years old during an epileptic seizure. In addition, Cindie says her mother has had triple bypass surgery, and she has an aunt and a cousin who are breast cancer survivors. "With my family history, it definitely makes me more afraid," she confides.

Dr. Phil introduces Dr. Freda Lewis-Hall, Chief Medical Officer of Pfizer, who explains that many people have fears about health issues — and avoid checkups and tests as a result.

Dr. Freda-Lewis Hall offers tips for facing your fears and taking charge of your health. Will Cindie agree to get her first mammogram ever?

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