Skin disease can be more than skin deep
Our skin is one of the first things people notice about us. Blemishes, rashes, dry, flaky skin – all these can breed insecurity, even suicidality, even though the basic skin condition is relatively benign. Skin disease can lead to psychiatric disturbance.
But symptoms of skin disease can also indicate psychological disturbance. Scratching, scarring, bleeding, rashes. These skin disturbances can be the result of psychiatric disease.
How do you help a dermatological patient with a psychological reaction? How do you differentiate psychological causes from true skin disease? These are challenges that ask dermatologists, psychiatrists, psychologists and other health care specialists to collaborate.
Practical Psychodermatology provides a simple, comprehensive, practical and up-to-date guide for the management of patients with psychocutaneous disease. Edited by dermatologists and psychiatrists to ensure it as relevant to both specialties it covers:
- History and examination
- Assessment and risk management
- Psychiatric aspects of dermatological disease
- Dermatological aspects of psychiatric disease
- Management and treatment
The international and multi-specialty approach of Practical Psychodermatology provides a unique toolkit for dermatologists, psychiatrists, psychologists and other health care specialists needing to care for patients whose suffering is more than skin deep.
Table of Contents
Contributors, vii
Foreword, xi
Preface, xiii
Section 1: Introduction
1 Introduction, 3
Anthony Bewley, Michelle Magid, Jason S. Reichenberg and Ruth E. Taylor
2 History and examination, 11
Ruth E. Taylor, Jason S. Reichenberg, Michelle Magid and Anthony Bewley
Section 2: Management in psychodermatology
3 Psychopharmacology in psychodermatology, 21
Sussann Kotara, Michelle Magid and Maureen Burrows
4 Adherence in the treatment of chronic skin diseases, 33
Laura F. Sandoval, Christine S. Ahn and Steven R. Feldman
5 Psychological assessment and interventions for people with skin disease, 40
Reena B. Shah
6 Risk and risk management in psychodermatology, 50
William H. Reid and Simon Kirwin
7 Self-help for management of psychological distress associated with skin conditions, 60
Andrew R. Thompson
8 Habit reversal therapy: a behavioural approach to atopic eczema and other skin conditions, 66
Christopher Bridgett
9 Nursing interventions in psychodermatology, 72
Fiona Cowdell and Steven Ersser
Section 3: Skin diseases with secondary psychiatric disorders
10 Psychological impact of hair loss, 81
Paul Farrant and Sue McHale
11 Psoriasis and psychodermatology, 90
Christine Bundy, Lis Cordingley and Chris Griffi ths
12 Living well with a skin condition: what it takes, 97
Henrietta Spalding, Wendy Eastwood, Krysia Saul and Susan Bradbrooke
13 Chronic skin disease and anxiety, depression and other affective disorders, 104
Steven Reid and Wojtek Wojcik
Section 4: Psychiatric disorders with secondary skin manifestations
14 Delusional infestation, 117
Peter Lepping, Roland Freudenmann and Markus Huber
15 Body dysmorphic disorder, 127
Emma Baldock and David Veale
16 Pickers, pokers, and pullers: obsessive-compulsive and related disorders in dermatology, 134
Jonathan S. Abramowitz and Ryan J. Jacoby
17 Factitious skin disorder (dermatitis artefacta), 142
Jonathan Millard and Leslie Millard
Section 5: Cutaneous sensory (pain) disorders
18 Medically unexplained symptoms and health anxieties: somatic symptom and related disorders, 153
Angharad Ruttley, Audrey Ng and Anna Burnside
19 Dysesthetic syndromes, 164
Sara A. Hylwa, Mark D.P. Davis and Mark R. Pittelkow
20 Chronic idiopathic mucocutaneous pain syndromes: vulvodynia, penodynia, and scrotodynia, 173
Peter J. Lynch and Libby Edwards
21 Burning mouth syndrome, 180
Alison Bruce, Rochelle R. Torgerson, Cooper C. Wriston and Tania M. Gonzalez Santiago
22 Nodular prurigo, 186
Wei Sheng Tan, Hong Liang Tey and Mark B.Y. Tang
Section 6: Special populations and situations
23 Child and adolescent psychodermatology, 197
Birgit Westphal and Osman Malik
24 Psychodermato-oncology: psychological reactions to skin cancer, 206
Andrew G. Affleck and Lesley Howells
25 Botulinum toxin treatment in depression, 216
M. Axel Wollmer, Michelle Magid and Tillmann H.C. Kruger
26 The Morgellons debate, 220
Jason S. Reichenberg and Michelle Magid
27 Substance misuse and the dermatology patient, 224
Alexander Verner
Glossary, 231
Appendix: Screening questionnaires and scales, 238
Index, 268
