Aw Kittykat, i pick too, and pull out my hair. My face is usually where i pick so i have plenty of marks and scabs at any one time and i have bald patches on my head, eybrows and very sparse eyelashes. Its hard and i also find this time of year unbearable. I can sympathise with the itching too especially at night, it does feel as though insects are crawling all over me.
That saying, its not nearly as bad as it used to be a few years ago, after managing to find out one of the doctors at my surgery is more clued up on depression than any of the rest of them. My own doctor is useless with MH problems. Maybe find out if there's another dr at your surgery who specialises in this area?
What my doctor did was to get me to do something else when i realised i was picking, not easy as you do it subconciously, but when i did i would go and get everything ready to make a cup of tea. Sounds silly yes? But it was the concentrating on making the tea, getting the pot out, boiling the water, heating the pot etc, almost a tea ritual if you like, to try and get my mind to change its way of thinking ( CBT ) even if it was for that wee while. It doesn't work straght away, but over time it does lessen the picking and hair pulling for me. I also along the way have other little things i've incorporated in to my life to help with the picking and self harming. Ive recently learned to crochet so my hands are kept busier so less picking.
He also put me on another antidepressant at night, one with a mild sedative in it and compatible with my daily antid's to relax me for sleep this has helped reduce the itching and also my restless legs!
I'm still a work in progress obviously, and this time of year is bad for me anxiety, depression and otherwise, and i'll probably still have bad episodes throughout my life, but there is hope, there is ways to help lessen the picking etc, and you are definately not alone!
I lost my daughter at 8 months and she was born sleeping, not through hydrops though. I think what i'm trying to say again is you are not alone in this, there is help somewhere, and even chatting on here is a start. Good luck and you never know both of us might end up scab free at some point in our lives!! I also echo approachingatunnel get writing, get published, and i'll buy you're first book 