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PROTOCOL FOR THE COMBINED APPROACH ('HABIT REVERSAL') TO ATOPIC SKIN DISEASE IN YOUNGER CHILDREN

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As Used at Daniel Turner Department of Dermatology, Chelsea & Westminster Hospital London

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Prior to the first visit for The Combined Approach, the patient and parents are referred to the Department usually by the general practitioner, and seen by a derma­ tologist for assessment and diagnosis. A referral is then made to the Psychodermatology Service and a series of appointments is arranged.

Visit One Introduction Therapist introduced. Note who attends with child. Arrange distracting activity for child. Broad characteris­ tics of programme described. Usual experience of treat­ ment to date summarised — in contrast, The Combined Approach characterised by collaboration between family and therapist. Emphasis to be on 'managing eczema' rather than 'being managed'; education, by discussion and reading.

Demography Age, other family members.

History of presenting complaint Overview: until recently • Since when? • Then, which parts? How bad? • Anyone else affected? • Asthma? Hayfever? • Hospitalisation? Specialists?

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Profile for Christopher Bridgett

Atopic Skin Disease - A Manual For Practitioners  

An account of a new behavioural approach to the treatment of atopic eczema, written for practitioners, but also for patients

Atopic Skin Disease - A Manual For Practitioners  

An account of a new behavioural approach to the treatment of atopic eczema, written for practitioners, but also for patients