The Snakes and Ladders of Habit Reversal

Some things really help habit reversal, but some things can hinder

The children’s game of Snakes & Ladders came from India.

Progress in the game depends on getting ahead using ladders, avoiding the hazardous snakes.

Success using habit reversal [HR] in The Combined Approach [TCA] to chronic atopic eczema depends also on helpful and unhelpful factors

The HR Ladders: helpful!

• Using the clicker!
• Ensuring optimal conventional treatment
• Support from significant others
• Planning HR for particular circumstances
• Brilliant results within only a few weeks
• Availability of a Zap-Pack at follow-up

The HR Snakes: unhelpful!

Demoralisation, from past experience
Prejudice – clinical and non-clinical
Failure to understand TCA
• Starting HR without registration
• Starting TCA when distracted by life events
Stopping HR too soon – needs about four weeks!

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