Tag: Habitual Scratching
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What is atopic skin disease?
Atopy is a condition a person is born with: it is constitutional. Atopy carries with it a possibility of getting asthma, hay fever, and eczema. This is called The Atopic Triad. Eczema and dermatitis are terms that can be used interchangeably for a particular type of skin inflammation. It occurs with atopy, and also without: when it…
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“Behavioural dermatology – The Combined Approach to atopic eczema”
from exchange National Eczema Society Members’ Magazine MARCH 2011 pp20-22 Behavioural medicine – of which behavioural dermatology is a part – links medicine with human behaviour, in order to both improve our understanding of physical illness, and therefore improve its treatment. Behavioural medicine takes account of the behaviour of everyone involved – those…
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How can I count scratching when I am asleep? How does habit reversal help with this?
Scratching during sleep is common for people with atopic eczema. When it is happening it may not disturb the sleep of the person concerned, though it can be very disturbing for anyone sharing the same bed. In the morning blood on the sheets and newly damaged skin are clear evidence of what has been happening…
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Habit Reversal Tip #2: Involving Others
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FAQ: When the skin changes colour with atopic eczema, is it caused by the use of steroid creams or is it caused by regular scratching?
Correct answer: both are true!In the first case, yes steroid creams will change the colour of skin – they very slowly reduce the pigmentation, lightening the colour of the skin. The anti-inflammatory effect of the steroid reduces the activity of all skin cells, including the pigment cells – the “melanocytes“.In the second case, cellular activity…
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Habit Reversal Tip #6: Claws to Paws
Using The Combined Approach for Adults and Older Children, the first habit reversal tactic to practise is making fists with the hands, that would otherwise be used for scratching. The lightly clenched fists are then held still, perhaps with the arms extended down and away from the body, for thirty seconds. It may help to…
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Habit Reversal Tip #7: Scratching Context Assessment
During the first week of The Combined Approach programme for adults and older children with atopic eczema, it is necessary to note the circumstances associated with all scratching It is useful to use a chart like this to note the circumstances associated with scratching: this is best done during the week of registration. Free to download…
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Habit reversal Tip #12 The Telephone is Scratchogenic!
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Scratching and “Deliberate Self Harm”
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Chronic eczema? Keeping short nails isn’t enough!
When scratching eczema becomes a persistent habit, eczema becomes chronic A colleague who I hadn’t seen in a while stopped me outside the hospital and asked for advice about his little girl’s troublesome eczema. He said it didn’t seem that allergy was important, and he was hoping that there was a way I could help.…