Repetitive Behaviours- Skin Picking

Greetings Earthlings! 🙂

Today I’m going to give you an insight into a particular form of repetitive behaviour- skin picking.

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Ok- I know it sounds disgusting, but it is common for those with autism! The statistics are limited, but as many as 14.8% of autists exhibit this type of behaviour.

Skin picking, also known as neurotic excoriation or dermatotillomania  (I really do like the sound of these terms! 😀 ), is characterized by excessive rubbing, scratching, digging, squeezing and gouging of healthy skin. In chronic cases, the urge to pick and scratch can lead to scarring, tissue damage and infection.

If I were you though I probably wouldn’t look the condition up…some of the pictures of these chronic cases are disgusting!

In my own experience, I have a mild tendency towards skin picking. I prod and poke at bites and burns, pick at cuts and scabs etc., but squeezing my skin would be my biggest issue- I find it so addictive and it can be quite hard to stop! I also have a particular tendency to press hard against injured skin, like pinching an infected finger or pressing a sore toe against a hard surface- for some odd reason I find it comforting! It hurts, but I feel better about the injury after doing it. I suppose it must link back to the calming sensation of deep pressure stimulation or something!

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Now before we call the men in the white coats, let’s see if there’s a physiological reason for all of this! 😛

Research suggests that the dopamine pathway may play a particular role in this behaviour.

Dopamine is involved in reward motivated behaviours in the brain. Drugs such as cocaine and methamphetamine activate dopamine, which is thought to contribute to the sensation of skin crawling and subsequent picking often experienced by addicts. So experts believe that dopamine dysfunction may be at play in this behaviour.

As I’ve discussed in other posts (sleep, ADHD, curiosity, inside the autistic brain etc.) dopamine is often dysregulated in the case of autism, so it stands to reason that this neurotransmitter may play an important role in skin picking behaviour in ASD’s.

Other experts point to a psychological reason for the behaviour as there is a strong link between skin picking and co-morbid psychiatric diseases. Skin picking is thought to act as a form of  communication in times of stress in the case of autism and is believed by some to act as a sensory outlet for sensory stimulation and or soothing.

Furthermore, as I’ve previously discussed, we autists tend to have more sensitive skin than the average person, this too could influence our tendency towards picking and scratching our skin.

Ah- so I’m not crazy after all! 😉

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But is there anything we can do to manage it?

Dermatologists and physicians find this one particularly difficult to treat and often seek drug and behavioural interventions to counter skin picking.

For me personally, this is difficult to advise as the reasons for picking differ from person to person, annnnnnd I tend to indulge the behaviour rather than avoid it 😛

However, I have been making conscious attempts to reduce the frequency in recent years to help protect my skin, and to avoid looking like a weirdo in public! Don’t want people thinking I have fleas if I persistently keep scratching myself!

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The best advice that I can give is to keep your hands busy- if they’re occupied, you won’t pick! Gaming and crafting I find can be useful to keep my hands from wandering 🙂

So there we are Earthlings! 🙂 Hope I didn’t disgust you all with this post! 😛

Enjoy the weekend everyone! 🙂

Aoife

 

Autism Management- Fidget Spinners

Greetings Earthlings! 🙂

So today I’m going to take a look at the latest craze- Fidget Spinners. I couldn’t take more than 50 steps in Dublin the other day without someone trying to sell me one! 😛

So what exactly are they?

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In case you’ve been living under a rock, Fidget Spinners are a handheld device where the centre is held between your fingers and you spin the device. They come in all shapes and sizes and are designed to relieve stress.

Here’s a video discussing them and some of the crazy things that people have been using them for:

But what have Fidget Spinners got to do with autism?

Whilst they may have only surged in popularity in recent months, Fidget Spinners were actually invented in the 1990’s to help people who have trouble focusing, such as those with ADHD, anxiety and autism, to channel excess nervous energy and stress into the spinning device. The thinking is that by diverting the excess energy into a physical action, this frees up certain areas of the brain from distraction, allowing you to better pay attention. It is also thought that fidgeting can relieve the brain of negative and obsessive thoughts.

But do they really work?

Opinions are polarizing as to whether or not they actually help. There is very little scientific evidence to support these claims. Of the studies that are out there, most focus on general fidgeting such as foot tapping, where it has been shown that movement can help to maintain alertness and improve working memory, but there are no studies specific to the Fidget Spinner itself.

Some experts warn that these toys may actually prove to be even more of a distraction for people with attention disorders. In theory, the toys occupy the hands so that you can focus your mind on the lesson (like stress balls), however, experts believe that the visually pleasing spin of the blades could add a further element of distraction.

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For teachers, they are proving to be a distracting nightmare in the classroom with many banning the device.

As opinions are divided, I decided to get one for myself and, pardon the pun, give it a whirl 😉

There is definitely something oddly satisfying about holding the device between your fingers as it whirs into life, and there have been several moments where I’ve felt the addictive urge to spin it throughout the day.

However, I did not find it soothing from an anxiety perspective. In fact it actually really annoyed me when it would stop spinning and I would have to get the rotors spinning again! 😛 I also found that it didn’t substitute as a calming “stim” and that I still reached to fidget with my necklace whilst I was using the Fidget Spinner!

That being said, autism is a spectrum where no two are alike. The Fidget Spinner may not work for me, but it could still be a nifty little tool to help manage ADHD and anxiety in another autist 🙂

So by all means, go on! Give it a spin!! 😉

(I have got to stop with these terrible puns… 😛 )

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Aoife

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