Tag: The Combined Approach
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Why AtopicSkinDisease.com?
How www.AtopicSkinDisease.com came about A new approach to treating atopic skin disease was introduced at The Daniel Turner Department of Dermatology at Westminster Hospital London in 1989. It is a combined approach, combining optimal conventional topical treatment of atopic eczema with the behaviour modification technique habit reversal to eliminate habitual scratching. Since its introduction it has…
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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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Habit Reversal Tip #1: The Secret World
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Habit Reversal Tip #3: Registration
Ten Tips for Successful Clicking! See page 6 of Adult & Older Children Patient Handbook A hand tally counter is essential for succcess with habit reversal. During the first week of registration scratching is not avoided. Registration allows awaremess of the habit to become clear. A baseline frequency with associated circumstances is recorded before habit reversal begins. Then as habit reversal is introduced, use…
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Peter Norén talks to DrB
Habit reversal and atopic eczema: An interview with Peter Norén MD Peter Norén MD qualified in Medicine at Uppsala University Hospital, Sweden, in 1976 and as a Specialist in Dermatology in 1983. He has been in private practice in Uppsala since 1984, when he founded the Laser Clinic in Uppsala. His expertise has frequently taken…
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Why is it important to avoid saying “stop scratching”?
For others to say “Stop scratching” and “Don’t scratch” is reported as the commonest response that people with atopic eczema get when they scratch in the company of others. And no-one reports the advice helps to them stop, or even reduce scratching – if anything the frustration and irritation the advice causes leads to an…
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Case Report: Mark Gets Better with The Combined Approach
The Combined Approach for Younger Children and Their Parents requires an adaptation of the programme to suit those involved. The following imaginary “case report”, taken from clinical experience,has been written to illustrate what is involved. For further details see Younger Children. Mark is 2½ and lives with his older sister Jennie who is 4, and…
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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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How much of your scratching is due to itch?
Atopic eczema is often described as an itchy condition, but a simple investigation of what this means is an important step in assessment for The Combined Approach In English the two words itching and scratching are often used by everyone – practitioners and patients – as if they mean the same thing. Strictly speaking, an…