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Essential Psychiatry for the Aesthetic Practitioner. Edition No. 1

  • Book

  • 256 Pages
  • May 2021
  • John Wiley and Sons Ltd
  • ID: 5836872
ESSENTIAL PSYCHIATRY FOR THE AESTHETIC PRACTITIONER

Aesthetic practice requires an understanding of human psychology, yet professionals across cosmetic medicine and related fields receive no formal training in identifying and managing psychological conditions. Essential Psychiatry for the Aesthetic Practitioner provides concise yet comprehensive guidance on approaching patient assessment, identifying common psychiatric diseases, and managing challenging situations in cosmetic practice. This much-needed guide brings together contributions by dermatologists, plastic surgeons, psychiatrists, psychologists, and other experts to help practitioners understand the role of psychology in cosmetic practice and improve interpersonal relations with their patients.

Assuming no previous background knowledge in psychiatry, the text provides cosmetic practitioners of all training and experience levels with clear guidance, real-world advice, and effective psychological tools to assist their practice. Through common clinical scenarios, readers learn to determine if a patient is a good candidate for a cosmetic procedure, enhance the patient experience, deal with difficult personalities in the cosmetic clinic, recognize obsessive compulsive and body dysmorphic disorders, and more.- Describes how to use psychologically informed approaches and treatments for aesthetic patients- Features easy-to-use psychological tools such as motivational interviewing, progressive muscle relaxation, guided imagery, and acceptance and commitment therapy- Includes extensive references and practical tips for understanding the psychological implications of cosmetic treatments- Covers cosmetic consultations for female, male, and transgender patients- Discusses the history and psychology of beauty as well as the role of cosmetics and cosmeceuticals- Emphasizes the importance of screening for common psychological comorbidities- Addresses the impact of social media on self-image and its role in a growing crisis in beauty and appearance- Highlights the need to develop new guidelines to treat rapidly evolving patient populations- Explores how gender fluidity and variations in ethnicity are changing the approaches to aesthetic patients

Essential Psychiatry for the Aesthetic Practitioner is required reading for dermatologists, plastic surgeons, cosmetic doctors, dentists, nurses, and physician assistants and all other professionals working in aesthetic medicine.

Table of Contents

List of Contributors xi

Preface xv

Part I The Basics 1

1 Stress, Skin, and Beauty: The Basic Science Base 3
Mary D. Sun and Evan A. Rieder

Basic Science Principles 3

Clinical Correlates 5

Conclusions 9

References 9

2 The Science and Psychology of Beauty 22
Vanessa J. Cutler

Evolutionary Explanations for Beauty 22

Beauty as a Function of Health 23

Weight and Attractiveness 23

Facial Proportions 24

Age and Youth 26

Enhancing Beauty 26

Beauty and the Media 27

Conclusions 28

References 28

3 The Use of Cosmetic Products to Improve Self Esteem & Quality of Life 34
Zoe Diana Draelos

Introduction 34

Human Perceptions of Physical Beauty 34

Topical Cosmetic Products for the Patient with Facial Scarring 36

Cosmetic Camouflage Application 37

Conducting a Cosmetic Product Consultation 39

Conclusions 40

References 40

4 An Approach to Cosmeceuticals 42
Emily C. Milam and Evan A. Rieder

Introduction 42

Case Study 42

Active Ingredients and Indications 44

Approaching the Evidence 44

The Evidence Base is Limited 45

Psychology, Skin Care, and Self-Care 45

Practical Solutions for Patient Consultation 46

Conclusions 46

References 47

Part II Assessment 49

5 Aesthetic Assessment and Theories of Beauty 51
Michael Abrouk, Leslie Harris, Evan A. Rieder, and Jill S. Waibel

Introduction 51

Beauty in our World 52

The Link between Beauty and Mathematics: From Phi to the Golden Triangle 53

Neoclassical Canons and Aesthetics 54

Scales of Aesthetic Assessment 55

How to Approach the Face 57

Case Studies 58

Conclusions 61

References 62

6 The Cosmetic Consultation: Anatomy and Psychology - The Female Patient 64
Eagan Zettlemoyer and Noëlle S. Sherber

Introduction 64

Female Facial Anatomy 64

Structuring the Consult 70

Case Studies 73

Conclusions 75

References 76

7 The Cosmetic Consultation: Anatomy and Psychology - The Male Patient 79
Kalee Shah, Nathaniel Lampley III, and Anthony Rossi

Introduction 79

Male Facial Anatomy 80

Structuring the Consult, Considering Patient Motivations and Psychology 85

Case Studies 87

Conclusions 90

References 91

8 The Cosmetic Consultation: Anatomy and Psychology - The Transgender Patient 94
Brian Ginsberg

Introduction 94

Anatomy 94

Structuring the Consult 95

Setting Expectations 99

Treating Minors 99

Case Studies 99

Conclusions 101

References 101

Part III Perception 105

9 Aesthetic Interventions and the Perception of the Self: Quality of Life and Patient Reported Outcomes 107
Danielle Weitzer and Richard G. Fried

Introduction 107

Perception of Self 108

Perception by Others 109

Outcome Studies 109

Case Study 110

Consequences and Ethical Concerns 112

Conclusions 112

References 113

10 Aesthetic Interventions and the Perception of Others: Observer Reported Outcomes 115
Payal Shah and Evan A. Rieder

Case Studies 115

Observer Reported Outcomes as a Novel Evaluation Tool for Cosmetic Procedures 118

Conclusions 120

References 121

11 Botulinum Toxins: Beauty, Psychology, and Mood in the Cosmetic Patient 125
Catherine Pisano, Jason Reichenberg, and Michelle Magid

Introduction 125

Case Study 125

Pathogenesis 126

Treatment 126

Clinical Relevance and Implications 128

Conclusions 129

References 129

Part IV Psychological Challenges in Aesthetics 131

12 Boundaries 133
Evan A. Rieder and Jacob Sacks

Introduction 133

Case Studies 133

Conclusions 140

References 140

13 Difficult Personalities and Personality Disorders in the Cosmetic Clinic 141
Mio Nakamura and John Koo

Introduction 141

Difficult Personalities vs. Personality Disorders 141

Personality Disorders 142

Case Studies 144

Conclusions 148

References 149

14 Normative Discontent and Social Dysmorphia in the Cosmetic Patient 151
Susruthi Rajanala and Neelam A. Vashi

Introduction 151

Body Image and Body Image Dissatisfaction 151

Social Dysmorphia 152

Case Study 154

Conclusions 154

References 155

15 Obsessive Compulsive Disorder and Body Dysmorphic Disorder in the Cosmetic Patient 157
Mary D. Sun and Evan A. Rieder

Introduction 157

Case Studies 159

Screening for BDD in Aesthetic Medicine 161

Guide to the Clinical Interview for BDD 162

Clinical Approaches to BDD in Aesthetic Medicine 164

Conclusions 164

References 165

16 Protecting Your Patients: When Enough Is Enough - Saying No and Satisfying the Dissatisfied Patient 168
Jacqueline Watchmaker, Prasanthi Kandula, and Michael S. Kaminer

Introduction 168

The LEAP Technique for a Successful Cosmetic Consult 168

Case Study 170

The BLAST Technique for Dealing with Unhappy Patients 170

Case Study 172

Conclusions 173

References 173

17 Protecting Yourself: Legal Issues in Aesthetic Medicine - Informed Consent, Discharge, and Lawsuits 175
Brian P. Hibler and Mathew M. Avram

Introduction 175

Key Legal Terms 175

Case Studies 177

Conclusions 186

References 186

Part V Psychological Tools to Assist Your Practice 189

18 Psychological Tools to Assist Your Practice: Progressive Muscle Relaxation, Deep Abdominal Breathing, Mindfulness, and Guided Imagery 191
Nicholas Brownstone, Bridget Myers, and Josie Howard

Introduction 191

Case Studies 191

Conclusions 196

References 197

19 Hypnotic Techniques for the Aesthetic Practitioner 200
Philip D. Shenefelt

Introduction 200

Informal Hypnotic Techniques 200

Hypnotizability 201

Formal Hypnotic Techniques 201

Case Studies 202

For Additional Information 204

Conclusions 204

References 205

20 Acceptance and Commitment Therapy in the Aesthetic Setting 206
Vanessa J. Cutler

Introduction 206

Understanding Acceptance and Commitment Therapy 206

Incorporating ACT into an Esthetics Practice 208

Case Study 211

Special Populations to Note 212

Conclusions 212

References 213

21 Behavioral Modification for Acne Excoriée and Skin Picking 216
Karen M. Ong, Mary D. Sun, and Evan A. Rieder

Introduction 216

Case Study 216

Behavioral Modification 219

Conclusions 220

References 221

22 Motivational Interviewing for Identification and Triage of the Cosmetic Addict 223
Richard G. Fried and Evan A. Rieder

Introduction 223

Case Study 223

Using Elements of Motivational Interviewing to Identify and Redirect Inappropriate Cosmetic Patients 225

What Is Motivational Interviewing? 225

Specific Techniques 225

Exploration 227

Change Talk 228

Reflection 228

Breaking Barriers 228

Committing to Change 229

Conclusions 229

References 229

23 Beauty Through the Life Continuum 230
Doris Day

Introduction 230

Communication 230

Trust 231

Case Study 233

Developing a Long-Term Healthy Relationship with Beauty 234

Conclusions 235

References 236

Index 237

Authors

Evan A. Rieder Richard G. Fried