Dr Jayesh Mukhi, Abhishek Somani, Charuhas Akre


Psycho dermatology addresses the interaction between mind and skin. Psychiatry is more focused on the 'internal' no visible disease and
dermatology is focused on the 'external' visible disease. There exists a complex interplay between the two disciplines which needs to be understood
to offer correct treatment. Psycho- dermatologic disorders fall into three categories: psycho-physiologic disorders, primary psychiatric disorders
and secondary psychiatric disorders. Psycho-physiologic disorders (e.g. psoriasis and eczema) are associated with skin problems that are not
directly connected to the mind but that react to emotional states, such as stress. Primary psychiatric disorders involve psychiatric conditions that
result in self-induced cutaneous manifestations, such as trichotillomania and delusions of parasitosis. Secondary psychiatric disorders are
associated with disfiguring skin disorders. The disfigurement results in psychological problems, such as decreased self-esteem, depression or
social phobia. In more than one third of dermatology patients, effective managements of skin conditions involve consideration of associated
psychological factors.
Conclusion: Increased understanding of bio psychological approaches and liaison among primary care physicians, psychiatrists, and
dermatologist could be very useful and highly beneficial.


Psycho cutaneous disorders, mind, skin, consultation-liasion psychiatry

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