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Managing the patient with psychiatric issues in dermatologic practice.
Janna S Gordon-Elliott1, Philip R Muskin
1Department of Psychiatry, Weill Cornell Medical College, New York, NY, USA.
Clinics in Dermatology
|December 19, 2012
Summary
Dermatologists must recognize how psychological issues manifest in skin conditions. Understanding the interplay between psychiatric and dermatologic disorders is crucial for effective patient care.
Area of Science:
- Psychodermatology
- Psychiatry
- Dermatology
Background:
- The skin serves as a vital medium for patients to express emotions and physical symptoms.
- Dermatologists must identify psychological issues manifesting in skin conditions and their psychiatric-dermatologic interplay.
Purpose of the Study:
- To review dermatologic conditions with underlying emotional causes.
- To explore the influence of psychosocial factors on chronic dermatoses.
- To discuss special issues in managing patients with psychodermatologic conditions.
Main Methods:
- Literature review of psychodermatologic conditions.
- Analysis of the interplay between psychiatric and dermatologic disorders.
- Discussion of psychosocial influences on common skin diseases.
Main Results:
- Conditions like delusional parasitosis, dermatitis artefacta, trichotillomania, and somatoform disorders have emotional origins.
- Chronic dermatoses such as psoriasis, atopic dermatitis, and acne are modulated by psychosocial factors.
- Management challenges include medication interactions and handling difficult patient encounters.
Conclusions:
- Recognizing the psychological component in dermatologic presentations is essential for accurate diagnosis and treatment.
- Psychosocial factors significantly impact the course and management of many skin diseases.
- Addressing the "difficult" patient and medication interactions are key considerations in psychodermatology.
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