Abstract
Psychocutaneous diseases are commonly encountered in the practice of dermatology, and many affected individuals lack insight into their condition or refuse a psychiatric referral. With a systematic approach to evaluation and treatment, such patients can be successfully managed by dermatologists. Psychodermatologic disorders can be conceptualized in two ways: (1) by the type of psychodermatologic condition – primary psychiatric disorder, secondary psychiatric disorder, psychogenic pruritus and dysesthesia, or psychophysiologic disorder; or (2) by the symptom complex and diagnostic pattern of the underlying psychopathology – anxiety, depression, psychosis, and/or obsession–compulsion. Treatment utilizing psychopharmacologic agents and non-pharmacologic therapies can be directed by the underlying psychopathology. This chapter reviews selected primary and secondary psychiatric conditions that are frequently seen by dermatologists.
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