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Psychodermatological disorders: recognition and treatment.

Philip D Shenefelt¹

¹Department of Dermatology and Cutaneous Surgery, College of Medicine, University of South Florida, Tampa, FL, USA.

International Journal of Dermatology

|October 19, 2011

Summary

The skin and brain interact, influencing dermatological disorders. Integrating mind-body therapies, like cognitive-behavioral methods and psychotropic drugs, can enhance skin disorder treatment.

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Area of Science:

Psychodermatology
Psychoneuroimmunology
Behavioral Medicine

Background:

Dermatological disorders frequently exhibit psychosomatic and behavioral components.
The skin and brain engage in continuous bidirectional communication via psychoneuroimmunoendocrine pathways and behaviors.
These mind-body interactions significantly impact the onset and exacerbation of skin conditions.

Purpose of the Study:

To emphasize the importance of considering psychoneuroimmunoendocrine and behavioral factors in treating dermatological disorders.
To review mind-influencing therapeutic options for enhancing dermatological treatment outcomes.
To discuss the management of primary psychiatric disorders and secondary psychiatric conditions related to skin disorders.

Main Methods:

Review of psychotropic medications, alternative therapies (herbs, supplements), placebo effect, suggestion, cognitive-behavioral therapy, biofeedback, and hypnosis.
Exploration of combination therapies and non-drug interventions for treatment resistance.
Discussion of therapeutic strategies for psychophysiological skin disorders and psychiatric comorbidities.

Main Results:

Mind-influencing therapies, including psychotropic drugs and behavioral interventions, can complement standard dermatological treatments.
Combination therapies or the addition of non-drug modalities may be effective when single treatments fail.
Stress-counteracting therapies are beneficial for psychophysiological skin disorders.
Treating primary psychiatric disorders often improves associated skin conditions, while secondary psychiatric disorders require specific interventions.

Conclusions:

Mind-body interactions are crucial in managing dermatological disorders, necessitating integrated treatment approaches.
A range of psychodermatological interventions, from pharmacotherapy to behavioral techniques, can be employed.
Comprehensive management involves addressing both the skin condition and any associated psychiatric comorbidities.