Table 1 Components of the Compassion for Skin Conditions self-help intervention

1

Normalising the difficulties of living with skin conditions. Explanation of the three systems of emotions (threat/protection, drive/excitement, and soothing systems) and the soothing system as the regulator of threat/protection system. Audio recording (and text version) of soothing rhythm breathing practice.

Practise soothing rhythm breathing, e.g. 5 min daily.

2

Tricky brain explanation (emotions and cognitive abilities). Vicious cycle of thoughts and emotions. Example thought record.

Notice self-criticism: fill in your own examples on the thought record (situations, emotions and thoughts). Continue breathing practice.

3

Example of how the emotional tone of self-talk can affect our feelings. Audio recording (and text version) of ‘compassionate other’ imagery.

Practise ‘compassionate other’ imagery, e.g. 5 min daily.

4

Compassionate writing instructions. Example compassionate letter to oneself.

Write a compassionate letter (5–15 min).

5

Explanation of qualities of compassion (wisdom, strength/authority, and commitment). Audio recordings (and text versions) of ‘building the compassionate self’ imagery and ‘addressing self-criticism’.

Practise ‘compassionate self’ imagery, e.g 5 min daily.

6

Explanation of why a written relapse prevention plan (summary of learning points) is helpful. Example relapse prevention worksheet.

Complete the relapse prevention worksheet.