Management of psychocutaneous disorders: A practical approach for dermatologists

Abstract

Psychodermatology is a growing specialty which is gaining momentum in different parts of the world. It focuses on the connection between skin and psyche. Psychocutaneous conditions are characterized by those disorders where stress is the key element in exacerbating skin conditions or flare ups of dermatoses like psoriasis and atopic dermatitis. There is a direct relationship of stress with the course, and prognosis of the skin disease. In some situations, there is no skin condition but the lesions are self-inflicted and such disorders are always associated with underlying psychopathology or psychological conflicts. Sometimes emotional problems are more prominent as a result of having skin disease, and the psychological consequences may be more severe than the physical symptoms. Management of these conditions require a combination of psychpharmacology, psychotherapy, and liaison clinics of psychiatry and dermatology. This review focuses on the common management approach which can be adopted by dermatologists in treating patients with psychodermatological disorders, improving doctor-patient relationship and therapeutic bond.

Review of the diagnosis and management of pediatric psychodermatologic conditions: Part I

“…Dermatologic care consisting of wound care and occlusive dressings may be useful as a diagnostic strategy, to demonstrate healing of lesions will occur without continued interference from the patient 22 . Dermatologists can also provide treatment for scars that result from skin‐picking behavior, which can support positive mental health by reducing the visible reminders and associated stigma of the disease 17 .…”

Pszichodermatológia és egészségpszichológiai ellátás a bőrgyógyászatban

“…Négy típusba sorolhatjuk a pszichodermatológiai betegségeket: pszichofiziológiai bőrbetegségek; pszichiátriai betegségek bőrtünetekkel; bőrbetegségek pszichiátriai tünetekkel; egyéb zavarok (Jafferany, 2007;Jafferany, Ferreira et al, 2020;Jafferany & Franca, 2016;Koo & Lee, 2003). Ezen kategóriák meghatározásait és példákat olvashatunk a különböző típusokra az 1. táblázatban.…”

Stress and Skin: An Overview of Mind Body Therapies as a Treatment Strategy in Dermatology

“…Jafferany categorized the skin conditions affected by stress including psychophysiologic disorders, which are defined as "skin diseases that are precipitated or exacerbated by psychological stress". These include acne, alopecia areata, atopic dermatitis, psoriasis, rosacea, chronic spontaneous urticaria, and others [11].…”