In the 1980s, Swedish dermatologist Peter Noren developed a behavioural approach to the
treatment of long term atopic eczema. This approach has been further developed by
dermatologist Richard Staughton and psychiatrist Christopher Bridgett at the Chelsea and
Westminster Hospital in London.[58][59] Patients undergo a six-week monitored program
involving scratch habit reversal and self awareness of scratching levels. For long term
eczema sufferers, scratching can become habitual. Sometimes scratching becomes a reflex,
resulting in scratching without conscious awareness, rather than from the feeling of
itchiness itself. The habit reversal program is done in conjunction with the standard
applied emollient/corticosteroid treatments so that the skin can heal. It also reduces
future scratching, as well as reduces the likelihood of further flareups. The
behavioural approach can give an eczema sufferer some control over the degree of
severity of eczema.
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