PSYCHODERMATOLOGY
Jun
2013
Vol. 32. No. 2
Introduction
In a busy dermatology practice, we frequently encounter
patients whose psychological problems appear just as important
as their dermatological ones. Some examples include
patients with delusion of parasitosis (Morgellons syndrome),
neurotic excoriations, trichotillomania, cutaneous sensory
disorder and any patient whose skin condition is worsened
with emotional stress. Studies have shown that as many as
one-third of dermatology patients have a significant psychological
issue in connection with their skin complaint.
Therefore, it is helpful in clinical practice to know as much
as possible about the management of psychological issues in
dermatology. On the other hand, despite its high relevance to
our practice, psychodermatology is rarely covered in dermatology
residency programs. In this issue of Seminars in Cutaneous
Medicine and Surgery, we provide a rare opportunity to
learn about psychodermatology. You will find the papers
presented herein to be concise and clinically useful.
This issue covers many important topics such as the optimal
approach to the psychodermatology patient, the role of
emotional stress in worsening skin conditions, and the impact
of disfiguring skin disorders on quality of life. We also
review the diagnosis and management of well-known psychodermatological
disorders, such as delusional disorders,
cutaneous sensory disorders, body dysmorphic disorders,
obsessive-compulsive disorders in dermatology, trichotillomania,
onychophagia, and neurotic excoriations. Lastly, both
pharmacologic and nonpharmacologic approaches to the
management of psychodermatology patients are discussed.
We hope that you find this issue easy to comprehend and
practical. Now that you have a compendium of psychodermatology
in your hands, you are about to embark on an
exciting journey. As you flip through the pages of this issue,
you will uncover some fascinating topics in psychodermatology
written by well-known experts in dermatology and psychiatry
from around the world.
Psychotropic Medications in Dermatology
Psychotropic medications are an essential piece to the treatment of psychodermatologic
disorders. Patients often refuse psychiatric evaluation, and thus dermatologists are often
required to prescribe these medications. Comfort and knowledge of their indications and
uses can help dermatologists combat both primary and secondary psychodermatologic
pathology.
Semin Cutan Med Surg 32:126-129 © 2013 Frontline Medical Communications
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