should I just see a derm

Woke up mid-scratch again last night, arm already red before I even opened my eyes, ugh. This flare’s been going about 2 months, mostly at night, I’m up 2-3 times scratching without deciding to. Haven’t broken skin yet but it feels close some nights (not exaggerating). Not sure if its the bedroom, detergent, or just my skin barrier being wrecked already. Anyone else wake up mid-scratch too, like your hands moved before your brain caught up? And at what point do you just book the dermatologist instead of trying to isolate it yourself?