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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

Introduction to the TLC Conference for Parents

Ruth Golomb, LCPC

The Behavior Therapy Center of Greater Washington, DC

what are bfrbs
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
Why Does My Child Do This?

Current understanding

Common mistaken beliefs

who is affected by bfrbs
Who Is Affected By BFRBs?
  • Age of onset
  • Baby Trich
what can i do to help my child
What Can I Do To Help My Child?
  • Coming here
  • Learning About the Problem
  • Taking Care of Yourself
comprehensive behavioral model comb
Comprehensive Behavioral Model (ComB)
  • Assessing the Complex Behavior (BFRB)
  • Modalities of the Behavior
    • Sensory
    • Cognitive
    • Affective
    • Motor
    • Place (Environment)
what to do while attending this conference
What to do While Attending this Conference
  • Educate Yourself
  • Attend Parent Group Presentation
  • Take Breaks
sensory s camp
Sensory (SCAMP)

Sensory Distraction-

Baths

Massage

Bath sponge

Make-up brush

sensory s camp9
Sensory (SCAMP)

Topical Medications

Antibiotic cream

Cortisone cream

Lacrilube

sensory s camp10
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”

cognitive s c amp
Cognitive (SCAMP)

Cognitive Coping

Cognitive correction

Problem solving strategies

cognitive s c amp12
Cognitive (SCAMP)

Cognitive Conditioning

Psychoeducation

affective sc a mp
Affective (SCAMP)

Relaxation

Controlled Breathing

Meditation, Yoga

Progressive Muscle Relaxation

affective sc a mp14
Affective (SCAMP)

Emotive

Assertiveness

Journal Writing, Talking With Friends

Exercise, Volunteer Work

Acceptance, Use of Affirmations

Daily Gratitude List

affective sc a mp15
Affective (SCAMP)

Positive Practice

Positive Visualization

Covert and Actual Rehearsal

affective sc a mp16
Affective (SCAMP)

Medications

Serotonin reuptake inhibitors

Antidepressants

Anxiolytics

motor sca m p
Motor (SCAMP)

Awareness Training

Self Monitoring

Finger bandages

Rubber Fingertips

Scarf, Hat, Ponytail

Glasses, Petroleum jelly on eyelashes

motor sca m p18
Motor (SCAMP)

Response Prevention

Gloves

Band Aids on fingertips

Cut fingernails short

Rubber fingertips

motor sca m p19
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

place scam p
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”)