Tag: Treatment
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Scratching and “Deliberate Self Harm”
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Habit Reversal for Passive Pessimism
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Habit Reversal Tip #14. Scratching and Atopic Eczema: Quantity v. Quality
For adults and older children following the clinic-based protocol for The Combined Approach to atopic eczema there are particular points to consider at the 3rd visit. This is the same using the self-help version: see Chapter Six of “The Eczema Solution”. An example from a patient handbook log is shown above. Thus, after two weeks…
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Habit Reversal Tip #15 Essentials for Habit Reversal Success
A trouble-shooting guide for when things do not seem to go well Whether you are using habit reversal on your own, or with a practitioner in a clinic, knowing the essentials for success will help, especially if things do not seem to be happening as expected. Experience shows that there are four important steps to…
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The Skin as a Battleground
Sometimes in clinic we talk about how the skin can become a battleground.Perhaps as a territory that is the boundary between ourselves and our surroundings, it is easy to see how this can be. The scratching, picking, rubbing, biting, plucking and squeezing that we can inflict on our skin, hair and nails, represents an emotional…
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Atopic Eczema in Winter
A wintery night outside Chelsea & Westminster Hospital, London, UK Cold weather is associated with more troublesome atopic eczema The many variables that represent trigger factors for acute flare-ups of atopic eczema can be usefully listed as either unavoidable, or avoidable: As a season, winter is a trigger factor that is, for most of us,…
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Habit Reversal Tip #17 The Behavioural Prescription
The Combined Approach to atopic eczema adds a behavioural prescription In addition to skin treatment that can be obtained “over the counter” without prescription, and the prescribed medical treatment, The Combined Approach adds a behavioural treatment, habit reversal training. Using The Combined Approach, collecting data about scratching allows a treatment plan to be put together. After…
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Topical Tip #12 Dry Skin: Prevention is Better Than Cure
When do you use your moisturiser? The treatment programme for The Combined Approach places considerable emphasis on the part played in atopic eczema by dry skin. This diagram is used to explain the relationship between dry skin, eczema, itching and scratching: Dry skin with atopy makes acute flare-up eczema more likely. Both dry skin and…
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Horses for Courses
It is sometimes said in horse racing circles that “there are horses for courses, and courses for horses”. Both race horses, and racecourses vary. Success is linked to matching a horse to a course, and vice versa. The format of The Combined Approach to atopic eczema is also varied, and those that can benefit from…