Conditions resulting from interaction between skin and psyche are not uncommon, and are often difficult to treat for the practicing dermatologist. This paper presents a simplified classification of these conditions, and reviews the general principles of treatment. Since both a psychiatric and a dermatologic diagnosis are necessary for effective treatment, psychiatric symptoms are tabulated for ready reference. The dermatologic aspects of these conditions are not described in detail, because these can be found in any standard dermatology text. The probable mechanisms of action of current antidepressant, anxiolytic, and antipsychotic drugs are reviewed, dosage schedules commonly used in dermatology are tabulated, and clinical indications in dermatologic patients outlined. The expectable long-term prognosis in the various patient groups is described.
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