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At that age, the physical reaction often comes before the words can catch up, so what helped with my boy was practising a simple replacement gesture at home, like teaching him to tap his own chest or say "no" firmly instead, so his hands have somewhere to go when the feeling hits. It takes a lot of repetition and patience lah, but pairing it with lots of praise the moment he uses words or the gesture instead of scratching really does start to shift the behaviour over time.

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