Psychosomatic Studies in Dermatology

Primary psychiatric conditions encountered in dermatology include dermatitis artefacta, trichotillomania (TTM) and neurotic excoriations. For these disorders, the primary pathologic condition involves the psyche; therefore, any cutaneous findings are self-induced. Herein, we review common primary psychiatric conditions in dermatology – dermatitis artefacta, neurotic excoriations and TTM – and examine their epidemiology, clinical presentation, differential diagnosis and treatment strategies. For all primary psychiatric disorders, the most effective underlying strategy is to first establish a strong therapeutic rapport with the patient. Various pharmacologic and non-pharmacologic therapies can then be attempted afterwards to successfully manage these patients.

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“…[23] The predominant patient population includes women, with a mean age of onset between the third to fifth decade. [103940]…”

Section: Resultsmentioning

confidence: 99%

Primary psychiatric conditions: Dermatitis artefacta, trichotillomania and neurotic excoriations

2013

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show abstract

“…A variety of treatments have been suggested for this condition including simple psychotherapy (Klauder, 1925; Calnan and O'Neill, 1952), dynamically orientated psychotherapy (Seitz, 1953), reassurance and support (Cormia, 1951), appeals to reason (Pusey and Senear, 1920), encouragement towards self‐control (Adamson, 1915) and shock therapy (Michelson, 1945). Strangely there have been few reports on the effect of psychotropic drugs.…”

Section: Discussionmentioning

confidence: 99%