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Habit Reversal Training is a multi-stage treatment program developed to treat a variety of repetitive behavioral disorders. Compulsive Skin picking is a condition where a person picks the skin repetitively, without awareness to the point of obliterating the skin itself. The objective of habit reversal training is to reduce the tics that are connected with impulse control disorder like compulsive skin picking.

Habit reversal training for skin picking has four components. They are awareness training, competing response training, building motivation, and generalization of skills. Habit reversal training for skin picking is based on an urge, a sensation before a tic. The objective of habit reversal training for skin picking is to replace bad habits with constructive ones.

Awareness training is used to inform the affected person of the tics and other behaviors so the subject can maintain self control. The affected person describes his or her behavior in detail while looking in a mirror. The therapist is tasked to point out the number of incidence of impulse behavior and it is done over and over until the subject learns to identify the moment the tic transpired. As this progress, the person can now determine when an impulse behavior is about to occur by identifying the urge, sensation or thought. Then awareness training is complete if the affected person identifies all the situations in which the impulse behavior occurs.

Once the person affected is informed of the impulse behavior, then a competing response should be formed to replace the old behavior. The usual competing response is opposite of the original impulse behavior and should take note the duration of the effectivity. It is suggested that the response shouldn’t cause an audience.

Complement and praise should be often given out to build motivation. The subject should be aware of all the problems caused by the behavior.

The final phase is to apply the competent response to the impulse behavior in different contexts and different environments. A person needs to keep on practicing whether at home or in a workplace.

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