Summarize this content material to 1000 phrases What are BFRBs?
Physique centered repetitive behaviors or BFRBs are extra generally known as pores and skin selecting or hair pulling problems. They contain “any repetitive self-grooming habits that entails biting, pulling, selecting, or scraping one’s personal hair, pores and skin, lips, cheeks, or nails that may result in bodily injury to the physique and have been met with a number of makes an attempt to cease or lower the habits.” (TLC basis)
One remedy possibility that has promising information and analysis to help is the ComB mannequin.
What’s the ComB mannequin?
The great behavioral remedy or the ComB mannequin is a remedy protocol developed by (Mansueto 2019) that tackles the complexity of treating BFRBs. It begins with utilizing a CBT evaluation instrument, a practical evaluation. This seems at ways in which inner and exterior environments are impacting the BFRB that the shopper needs to alter. It’s a method for the clinician to develop a really distinctive and particular remedy for the shopper. It’s a solution to arrange your atmosphere so that you’re extra prone to handle the urge to select or pull.
Let’s undergo an instance!
The SCAMP mannequin is a framework that guides the clinician by completely different areas or domains to evaluate. Every area tackles remedy from a wide range of artistic angles and leaves the shopper with a wide range of expertise and strategies for particular triggers.
Sensory – All of us have a nervous system that has completely different wants. Utilizing this area, we take a look at specific sensory wants the shopper has and select strategies based mostly on that. For instance: If a shopper’s nervous system is craving a easy feeling, the clinician can present examples of easy objects the shopper can use similar to utilizing a face masks or pimple patches that create a smoothness over a pimple or bump. Or utilizing a fear stone or calm patch to the touch.
Cognitive – There are particular cognitive perception techniques and ideas that often come up in remedy. The self-help guide lists out a few of them. It is a solution to see how the shopper’s inner self-talk and ideas can unknowingly enhance selecting/pulling or managing it. For instance: “I’ll simply choose/pull for a minute/only one” Rebuttal: How usually do I cease after a minute or after only one? Reply: By no means!. Utilizing post-it notes within the toilet with a few of these rebuttals may be useful.
Affective – Our moods and feelings impression how we view issues and the way we work together with them. This a part of the mannequin goes by emotion regulation expertise. For instance: If a shopper’s selecting/pulling occurs each time they get burdened, the clinician would supply stress relieving strategies and choices for the shopper to do as an alternative of selecting/pulling.
Motor – Particular motions {that a} shopper does or a place they place their hand would possibly set off an urge to select or pull. Pondering of issues to make it much less interesting or tougher to tug/choose. For instance: getting gel nails or a manicure can change the sensation of the shopper’s nails and they’re much less prone to get the identical aid/feeling from selecting and pulling.
Place – Particular locations would possibly set off a shopper to select or pull extra, similar to the lavatory or whereas driving. For instance: dimming the lights within the toilet as a way to’t see within the mirror as clearly/intently and fewer prone to get triggered by a hair or pores and skin bump.
I’d advocate the next in case you are excited about receiving extra coaching or sources. The TLC basis BFRBs coaching program:“Medical Coaching Institute – TLC Basis for Bfrbs.” Medical Coaching Institute – TLC Basis for BFRBs. Accessed 21 Aug. 2023.
Ebook: Mansueto, Charles S., et al. Overcoming Physique-Targeted Repetitive Behaviors: A Complete Behavioral Remedy for Hair Pulling and Pores and skin Selecting. New Harbinger Publications, 2019.
This put up is introduced in collaboration with ADAA’s OCD and Associated Problems SIG. Be taught extra concerning the SIG.
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