Lesson 23: Skin Removal Syndrome Course (Lessons 831-860) · Course Catalog

1. Understand the characteristics and psychological mechanisms of skin peeling syndrome
   Recognize the core characteristics of skin peeling syndrome and understand its relationship with anxiety and self-regulation imbalance.
2. Identifying and correcting cognitive misunderstandings about skin peeling
   Correct negative beliefs such as "I can't control it" and "I'm weird" and establish a new framework for understanding.
3. Training in alternative techniques to reduce skin-stripping behaviors
   Learn safe alternative behaviors: squeezing a ball, massaging, deep breathing, rinsing with cold water, etc.
4. Improve self-control and reduce impulsive behavior
   Strengthen the experience of control through awareness-delay-substitution training.
5. Coping with negative emotions and interpersonal stress in skin peeling syndrome
   When faced with shame, anxiety, and social distress, practice expressing yourself and seeking support.
6. Establish long-term relapse prevention mechanisms and a mind-body balance plan
   Establish a rhythm and relaxation mechanism to solidify a stable mindset and the habit of reflection.
7. Identifying the warning signs and triggering situations of skin peeling
   Learn to recognize early signs such as physical tension, attention drift, and fingertip exploration, so as to intervene and stabilize the pace before impulses reach their peak.
8. Recording and tracking skin peeling behavior patterns
   Create a trigger log to record the time, emotion, location, and intensity, helping you to see hidden patterns and find the earliest point where you can intervene.
9. Alternative movement and sensory stimulation conditioning training
   Use alternative strategies such as pinching rope balls, tactile stones, and resistance bands to safely release hand-related anxiety energy.
10. Reconstructing from Impulse to Self-Acceptance
    Shift from "I failed again" to "I am practicing understanding impulses" to establish a gentler self-relationship and behavioral transition path.
11. Understand the characteristics and psychological mechanisms of skin peeling syndrome
    Clarifying the three major mechanisms of skin detachment syndrome—cognitive, impulsive, and emotional—lays a psychological foundation for effective adjustment strategies.
12. Identifying and correcting cognitive misunderstandings about skin peeling
    Reconstruct erroneous thoughts such as "I can't stop" and "I look terrible" to reduce anxiety-driven cyclical behaviors.
13. Training in alternative techniques to reduce skin-stripping behaviors
    By training hand preparation movements, structured tactile substitution, and task switching, the speed at which unconsciousness leads to action execution is reduced.
14. Improve self-control and reduce impulsive behavior
    Through small-scale delayed practice and the accumulation of successful experiences, strengthen your sense of control over impulses and your internal stability system.
15. Coping with negative emotions and interpersonal stress in skin peeling syndrome
    Address shame, anxiety, concealment, and misunderstandings with others; develop healthy ways of expressing emotions and safe communication strategies.
16. Establish long-term relapse prevention mechanisms and a mind-body balance plan
    Establish a stable system in four areas: rhythm, sleep, stress management, and skin care, to reduce the risk of rebound during periods of high stress.
17. Identifying the warning signs and triggering situations of skin peeling
    Further enhance sensitivity to triggering events and physical signs, and practice timely awareness and early intervention.
18. Recording and tracking skin peeling behavior patterns
    Structure behavioral records, including intensity, environment, and time distribution, to more accurately identify key correction points.
19. Alternative movement and sensory stimulation conditioning training
    Expand the library of alternative actions, such as hot and cold stimuli, deep pressure, and tactile object switching, to strengthen the immediate channel from "impulse to substitution".
20. Understanding the link between anxiety, tension, and skin peeling
    Understand the anxiety regulation mechanisms behind behavior and learn to distinguish between "emotional release" and "habitual actions".
21. Three-step method for delaying impulse response
    Practice the three-step structure of "pause-substitute-reassess" to create an intervention buffer when impulses escalate.
22. Non-punitive relapse review method
    Analyze relapse points in a non-blaming manner to establish a healthy cycle of "understanding-adjustment-movement," rather than self-attack.
23. Improve sleep and daily routine, reduce impulsive frequency
    Optimize sleep, light, diet, and circadian rhythms to reduce the urge to detach due to fatigue and nervous system overload.
24. Liberate yourself from perfectionism and compulsion.
    Understand the compulsive standard that "skin must be flawless," and learn to relax, soften, and be realistic about your self-expectations.
25. Enhance body awareness and restore a sense of self and security.
    Through breathing, tactile, and body scan training, the connection and safety boundaries with the body are rebuilt.
26. Healing Writing Exercises on Self-Forgiveness and Shame
    By using therapeutic writing to address shame, self-blame, and hidden emotions, the focus shifts from punishment to recovery.
27. Using art therapy to express the experience of skin peeling
    Using color, lines, and textures to express the emotional tension behind the stripping away, allowing invisible pressure to find a safe outlet.
28. Establish social support systems and communication plans
    Learn to express your needs to trusted people, and make connections and support an important resource for reducing impulsive behavior.
29. Daily strategies for long-term maintenance and prevention of relapse
    Strengthen mechanisms of behavioral substitution, rhythm, care, and record-keeping to make stability a sustainable life structure.
30. Integration and Summary: From Control to Acceptance - A Holistic Reconstruction of Mind and Body
    Looking back on the entire therapy, “reducing impulsivity” and “enhancing self-acceptance” were combined into a long-term, stable mind-body framework.
31. Traditional Color Mandala (Supplementary Course)
    Traditional color mandala courses focus on the psychological impact of color and self-expression.
32. Lesson 23: Skin Peeling Syndrome (Lessons 811-840) Course Assessment
    Please complete the course evaluation to review your learning and provide suggestions. This will help you deepen your understanding and help us improve the course.