Break the itch-scratch cycle. This part explains other things you can do when you notice your itchy skin instead of scratching.

Part 3 - Breaking the itch scratch cycle

Breaking the itch-scratch cycle

Did you record the times and places you were most itchy?

How did noticing and recording your scratching go last week?

This week we will look at things you can do instead of scratching.

A person recording their scratching in the scratch tracking diary

Recap of part 2

Feeling itchy

A person feeling itchy

Breaking the itch-scratch cycle

Recap of part 2

Feeling itchy

A person scratching the eczema on their arm

Scratching

Breaking the itch-scratch cycle

Recap of part 2

Feeling itchy

Scratching

Damage to your skin

A person feeling the damage on their skin from the eczema

Breaking the itch-scratch cycle

Recap of part 2

Feeling itchy

Scratching

Damage to your skin

In order to break the cycle of scratching, we need to do something else. This next part will give you some ideas about other things you can do.

Breaking the itch-scratch cycle

Recap of part 2

Activities to help you change your behaviour...

Breaking the itch-scratch cycle

Breaking the itch-scratch cycle

Scratching is a natural response because it helps us cope with the itch. So it is hard to stop unless we replace it with something else that relieves itching.

The activities included in this programme are designed to replicate some of the benefits of scratching. The activities can help by:

  • Redirecting your attention

  • Providing a new sensation

  • Keeping your hands busy

  • Releasing ‘feel good’ chemicals in your brain

  • Put your body into a calm state

Why have these activities been chosen?

Breaking the itch-scratch cycle

We have 6 activities for you to try

Squeezing the sponge

Trace your hand

Distract your hands

5,4,3,2,1

Boost your mood

Squeezing the sponge activity

Breaking the itch-scratch cycle

1) Make a fist for 15 seconds

(imagine you are squeezing a sponge and the water is running through your fingers).

A person squeezing a sponge with water dripping down their arm

Breaking the itch-scratch cycle

2) Think about a happy memory or do some deep breathing while 'squeezing the sponge'.

A person thinking of a happy memory and breathing deeply whilst squeezing a sponge

Breaking the itch-scratch cycle

3) When you're done - are you still feeling itchy?

A person thinking about whether they still feel itchy after doing the squeezing the sponge activity

Breaking the itch-scratch cycle

4) If you are, repeat the squeezing the sponge activity.

A person squeezing a sponge with water dripping down their arm

Breaking the itch-scratch cycle

5) Keep going until the itchy feeling goes away or improves.

A person celebrating not feeling itchy after the squeezing the sponge activity

Breaking the itch-scratch cycle

Deep breathing activity

To help you relax:

Breaking the itch-scratch cycle

Take a deep breath in through your nose and push it down into your tummy.

A person imagining being in the water and taking deep breaths to stay calm

Breaking the itch-scratch cycle

Then hold it for 3 seconds.

A person holding their breath for 3 seconds whilst under water
Slowwwwwllllyyyy

Breaking the itch-scratch cycle

Then breathe out of your mouth slowly.

A person breathing out slowly

Slowwlllyyy

Breaking the itch-scratch cycle

Trace your hand activity

Breaking the itch-scratch cycle

You can use your hand to focus your breathing.

Breaking the itch-scratch cycle

Put one hand up in front of you.

Breaking the itch-scratch cycle

Use a finger on your other hand to trace around it.

Breaking the itch-scratch cycle

As you go up each finger breathe in slowly...

Breaking the itch-scratch cycle

As you go up each finger breathe in slowly...

 

and as you go down the finger breathe out slowly.

Breaking the itch-scratch cycle

As you go up each finger breathe in slowly...

 

and as you go down the finger breathe out slowly.

Breaking the itch-scratch cycle

As you go up each finger breathe in slowly...

 

and as you go down the finger breathe out slowly.

Breaking the itch-scratch cycle

As you go up each finger breathe in slowly...

 

and as you go down the finger breathe out slowly.

Breaking the itch-scratch cycle

As you go up each finger breathe in slowly...

 

and as you go down the finger breathe out slowly.

Breaking the itch-scratch cycle

As you go up each finger breathe in slowly...

 

and as you go down the finger breathe out slowly.

Breaking the itch-scratch cycle

As you go up each finger breathe in slowly...

 

and as you go down the finger breathe out slowly.

Breaking the itch-scratch cycle

Boost your mood Activity

To help when you feel down...

Breaking the itch-scratch cycle

Think about a happy memory or a place that makes you feel good - like the beach.

A memory of relaxing on the beach enjoying listening to music a holiday
A memory of going surfing and having a good time

Breaking the itch-scratch cycle

Sing a song or listen to some music.

 

You could try tapping along to the beat.

Someone enjoying music and playing a guitar

Breaking the itch-scratch cycle

Dance...

Run...

or move your body in a way that feels good.

Stretch...

Someone having fun whilst being outdoors

Breaking the itch-scratch cycle

Distract your hands

Breaking the itch-scratch cycle

If you feel bored or need to do something with your hands use a fidget device such as a...

Fidget spinner

Stress ball

Blue tack

Fidget popper

Breaking the itch-scratch cycle

Keep doing this until the feeling to scratch goes away.

Fidget spinner

Stress ball

Blue tack

Fidget popper

Breaking the itch-scratch cycle

This video shows you a range of commonly used fidget devices. But you can use anything you have around the house already.

Click to start watching

Breaking the itch-scratch cycle

5,4,3,2,1 activity

Breaking the itch-scratch cycle

Thinking about each of your 5 senses can help you to stop thinking about your itch.

 

Lets see what you can see, touch, hear, smell, and taste.

Breaking the itch-scratch cycle

5 things you can see.

Someone looking through binoculars focusing on what they can see

4 things you can touch.

3 things you can hear.

2 things you can smell.

1 thing you can taste.

Breaking the itch-scratch cycle

Maybe you can see the ceiling, some trees, your computer. What colour are they?

5 things you can see.

4 things you can touch.

3 things you can hear.

2 things you can smell.

1 thing you can taste.

2 hands focusing on what they can touch and feel

Breaking the itch-scratch cycle

Maybe you can touch your clothes, your hands, a chair. What texture are they?

5 things you can see.

4 things you can touch.

3 things you can hear.

2 things you can smell.

1 thing you can taste.

Someone with their hand to their ear to hear things around them

Breaking the itch-scratch cycle

Maybe you can hear a bird, a ticking clock, or the traffic outside. Are they loud or quiet sounds?

5 things you can see.

4 things you can touch.

3 things you can hear.

2 things you can smell.

1 thing you can taste.

A nose smelling the smells around

Breaking the itch-scratch cycle

Maybe you can smell your clothes, soap, or scents in the air. Is there something nearby you can smell?

5 things you can see.

4 things you can touch.

3 things you can hear.

2 things you can smell.

1 thing you can taste.

A tongue tasting something nice

Breaking the itch-scratch cycle

What does the inside of your mouth taste like? Can you taste something you have eaten today?

Breaking the itch-scratch cycle

"I find it helpful to wear a little bracelet with beads. That way I can easily use my fidget during meetings at work!"

Georgia's story

Georgia wearing a bracelet and using it as a fidget to distract from itching

Georgia

Now think about when you scratch.

Situations that make us scratch

Look at your scratching diary to understand what situations are making you scratch.

Breaking the itch-scratch cycle

What can you do to stop yourself scratching?

Will you try out the activities you have just learnt?

Do you have ideas of your own you can try?

If you scratch when you are stressed...

 

try doing something to relax e.g. the deep breathing activity

Situations that make us scratch

A person relaxing reading a book

Breaking the itch-scratch cycle

If you scratch when you are watching television, this may be a sign that you are bored...

 

try doing something else with your hands e.g. the trace your hand activity

Situations that make us scratch

A person using a fidget toy whilst on the sofa

Breaking the itch-scratch cycle

If you scratch when you are feeling angry...

 

try doing something that makes you calm e.g. the 54321 activity

Situations that make us scratch

A person sitting on a swing to stay calm and relax

Breaking the itch-scratch cycle

If you scratch when you feel sad...

 

try doing something that makes you feel happy e.g. the boost your mood activity.

Someone on a skateboard having fun to feel happy

Situations that make us scratch

Breaking the itch-scratch cycle

Once you know the times and reasons you scratch you can change what you do.

Situations that make us scratch

Look back at Part 2 in your scratching diary to see if you can figure out some particular times and reasons that you scratch.

Breaking the itch-scratch cycle

When trying out these ideas to stop you from scratching, it is important to still notice how often you are actually scratching.

A person using their scratching diary to record their scratching

Continue to notice

Breaking the itch-scratch cycle

Your scratching diary can help you do this.

Continue to notice

If you have a bad day and find yourself scratching a lot, don’t worry, try again the next day. 

A person achieving their goals of scratching less symbolised by climbing a mountain

Breaking the itch-scratch cycle

Continue to notice

Breaking the itch-scratch cycle

Follow the same steps as Part 2 to track how many times you scratch, but this time try using out some of the ideas we have discussed to reduce your scratching.

Step 1: Decide a time you will record your scratching and how long you will record for.

Step 2: Use a clicker counter (or a clicker counter app) to record how many times you scratch while you try some of the ideas we have discussed.

Step 3: At the end of your time recording, use your scratching diary to record how many times you scratch and the situation you were in.

Continue to notice

Breaking the itch-scratch cycle

Why?...

  • Helps you to check how well you are doing.

  • Help you to see what works and what doesn't work.

  • Motivates you to keep going.

Reminders

Don’t worry if sometimes you still scratch.

Notice the times you don't scratch instead.

Let others know how you are doing.

Feeling more itchy than usual could be a sign you are having an eczema flare-up. See part 1 for a reminder on how to treat an eczema flare up.

What to do next?

Try out a new activity or strategy to replace your scratching.

You can use the ‘Part 3 Tracker’ in your scratching diary on the homepage.

Or you can record it in another way that works for you. 

If things don’t work out, you can try a different activity to find what works best for you.

You can come back to Part 3 to remind yourself of the different options at any time.

Keep noticing and recording your scratching at times that work for you.

Thanks for completing part 3

Rapid trial 13+ Scratch Less - Part 3

By KidsInControl

Rapid trial 13+ Scratch Less - Part 3

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