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Introduction to the TLC Conference for Parents

Introduction to the TLC Conference for Parents Ruth Golomb, LCPC The Behavior Therapy Center of Greater Washington, DC What are BFRBs Body Focused Repetitive Behaviors Hair pulling Skin picking Nail biting Biting the inside of the cheek Why Does My Child Do This? Current understanding

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Introduction to the TLC Conference for Parents

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  1. Introduction to the TLC Conference for Parents Ruth Golomb, LCPC The Behavior Therapy Center of Greater Washington, DC

  2. What are BFRBs • Body Focused Repetitive Behaviors • Hair pulling • Skin picking • Nail biting • Biting the inside of the cheek

  3. Why Does My Child Do This? Current understanding Common mistaken beliefs

  4. Who Is Affected By BFRBs? • Age of onset • Baby Trich

  5. What Can I Do To Help My Child? • Coming here • Learning About the Problem • Taking Care of Yourself

  6. Comprehensive Behavioral Model (ComB) • Assessing the Complex Behavior (BFRB) • Modalities of the Behavior • Sensory • Cognitive • Affective • Motor • Place (Environment)

  7. What to do While Attending this Conference • Educate Yourself • Attend Parent Group Presentation • Take Breaks

  8. Sensory (SCAMP) Sensory Distraction- Baths Massage Bath sponge Make-up brush

  9. Sensory (SCAMP) Topical Medications Antibiotic cream Cortisone cream Lacrilube

  10. Sensory (SCAMP) Sensory Substitution Positive Skin Care (Facial masks, toners, creams, astringents) Brush hair Nibble on food Knotted floss run between fingers, sandpaper, nail brush, tactile “toys”

  11. Cognitive (SCAMP) Cognitive Coping Cognitive correction Problem solving strategies

  12. Cognitive (SCAMP) Cognitive Conditioning Psychoeducation

  13. Affective (SCAMP) Relaxation Controlled Breathing Meditation, Yoga Progressive Muscle Relaxation

  14. Affective (SCAMP) Emotive Assertiveness Journal Writing, Talking With Friends Exercise, Volunteer Work Acceptance, Use of Affirmations Daily Gratitude List

  15. Affective (SCAMP) Positive Practice Positive Visualization Covert and Actual Rehearsal

  16. Affective (SCAMP) Medications Serotonin reuptake inhibitors Antidepressants Anxiolytics

  17. Motor (SCAMP) Awareness Training Self Monitoring Finger bandages Rubber Fingertips Scarf, Hat, Ponytail Glasses, Petroleum jelly on eyelashes

  18. Motor (SCAMP) Response Prevention Gloves Band Aids on fingertips Cut fingernails short Rubber fingertips

  19. Motor (SCAMP) Competing Response Training Manicure, file, buff, or brush nails Hold appealing object (smooth rock, worry beads, etc.) or toy Crafts (beads, knitting, etc.) Physical Exercise

  20. Place (SCAMP) Stimulus Control Remove/cover mirrors Remove tweezers Stay out of certain rooms or sit in a different seat Dim the light Place a reminder note in the room (“use your strategies”)

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