More recently, Ersser and colleagues (2014) evaluated the literature on psychological and educational interventions for AD focusing on studies conducted among children. Ten randomized controlled trials were reviewed, including 9 educational interventions and one study that evaluated a psychological intervention.Particular promise in terms of modest improvement in disease severity and quality of life was noted in a large study (N=992) that utilized a multidisciplinary group education intervention in an inpatient setting. However, the authors of the review concluded that there is a lack of research on this topic. Accordingly, additional studies evaluating psychological and educational interventions are needed. Previous studies have evaluated time- and resource-intensive interventions that may not be practical outside of a randomized controlled trial or a large academic research setting. Nevertheless, adjunctive psychological interventions are promising for reducing symptoms associated with severe dermatologic issues. To address this gap, the current study will evaluate the utility and acceptability of a brief self-help behavioral intervention in a pilot study, which emphasizes the effectiveness of the study design. A brief self-help intervention that utilizes well-supported cognitive and behavioral psychological strategies will be distributed to interested patients and families to augment the standard skin-directed treatments for eczema or AD. The self-help intervention will be distributed to and discussed with a family in less than five minutes in an outpatient clinic setting by clinical staff with no special training in psychology. The target population is children with AD aged 4-12 years with prominent excoriations and their guardians. At the standard 1-4 month follow-up visit, feasibility and acceptability of the self-help intervention will be assessed. Brief evaluations of medical and behavioral symptoms will be conducted at the initial visit and the follow-up.