Managing the patient with psychiatric issues in dermatologic practice
Abstract Patients often communicate emotions through their bodies and physical symptoms; the skin commonly serves as a means of expression in the patient-doctor relationship. It is important for the dermatologist to be able to indentify psychological issues that manifest in the skin and the interpla...
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Veröffentlicht in: | Clinics in dermatology 2013, Vol.31 (1), p.3-10 |
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description | Abstract Patients often communicate emotions through their bodies and physical symptoms; the skin commonly serves as a means of expression in the patient-doctor relationship. It is important for the dermatologist to be able to indentify psychological issues that manifest in the skin and the interplay between psychiatric and dermatologic conditions. Delusional parasitosis, dermatitis artefacta, trichotillomania, and somatoform disorders all represent dermatologic conditions with underlying emotional causes. Many chronic dermatoses, such as psoriasis, atopic dermatitis, and acne, modulate and are influenced by psychosocial factors. Special issues, including significant medication interactions and the treatment of the “difficult” patient, are reviewed. |
doi_str_mv | 10.1016/j.clindermatol.2011.11.001 |
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It is important for the dermatologist to be able to indentify psychological issues that manifest in the skin and the interplay between psychiatric and dermatologic conditions. Delusional parasitosis, dermatitis artefacta, trichotillomania, and somatoform disorders all represent dermatologic conditions with underlying emotional causes. Many chronic dermatoses, such as psoriasis, atopic dermatitis, and acne, modulate and are influenced by psychosocial factors. Special issues, including significant medication interactions and the treatment of the “difficult” patient, are reviewed.</description><identifier>ISSN: 0738-081X</identifier><identifier>EISSN: 1879-1131</identifier><identifier>DOI: 10.1016/j.clindermatol.2011.11.001</identifier><identifier>PMID: 23245968</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Dermatology ; Factitious Disorders - diagnosis ; Factitious Disorders - therapy ; Humans ; Physician-Patient Relations ; Psychophysiologic Disorders - diagnosis ; Psychophysiologic Disorders - therapy ; Skin Diseases - psychology ; Stress, Psychological</subject><ispartof>Clinics in dermatology, 2013, Vol.31 (1), p.3-10</ispartof><rights>Elsevier Inc.</rights><rights>2013 Elsevier Inc.</rights><rights>Copyright © 2013 Elsevier Inc. 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Special issues, including significant medication interactions and the treatment of the “difficult” patient, are reviewed.</description><subject>Dermatology</subject><subject>Factitious Disorders - diagnosis</subject><subject>Factitious Disorders - therapy</subject><subject>Humans</subject><subject>Physician-Patient Relations</subject><subject>Psychophysiologic Disorders - diagnosis</subject><subject>Psychophysiologic Disorders - therapy</subject><subject>Skin Diseases - psychology</subject><subject>Stress, Psychological</subject><issn>0738-081X</issn><issn>1879-1131</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2013</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkcFq3DAQhkVoaTZpXyGYnnLxZsaSbTmHQNikSSGlh7bQm9BK411tvLYjaRv27SuzSSk9FQZmEP_MP_qGsY8IcwSsLjZz07nekt_qOHTzAhDnKQDwiM1Q1k2OyPENm0HNZQ4Sfx6zkxA2ACCggnfsuOCFKJtKztjtF93rletXWVxTNuroqI_Zs4vrbAx7s3Y6emcyF8KOQub67NV2WKXn0WsTnaH37G2ru0AfXvIp-_Hp9vviPn_4evd5cf2QG8HLmDeaa82XsNRQt7YSlCopQMq2sYRcYkkV8KYUpSyBV0Zi0cqabCGWlpNt-Sk7P8wd_fCUFopq64KhrtM9DbugsBDQgGh4naSXB6nxQwieWjV6t9V-rxDUhFFt1N8Y1YRRpUgYU_PZi89uuSX7p_WVWxLcHASUfvvLkVfBJHKGrPNkorKD-z-fq3_GTFJndPdIewqbYef7xFOhCoUC9W066HRPRABe1MB_A6Dfn-w</recordid><startdate>2013</startdate><enddate>2013</enddate><creator>Gordon-Elliott, Janna S., MD</creator><creator>Muskin, Philip R., MD</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>2013</creationdate><title>Managing the patient with psychiatric issues in dermatologic practice</title><author>Gordon-Elliott, Janna S., MD ; Muskin, Philip R., MD</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c435t-9a3aa3b0ba07fd64e0ba84088f9de13815e603954585036c812f87ed24bd3edf3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2013</creationdate><topic>Dermatology</topic><topic>Factitious Disorders - diagnosis</topic><topic>Factitious Disorders - therapy</topic><topic>Humans</topic><topic>Physician-Patient Relations</topic><topic>Psychophysiologic Disorders - diagnosis</topic><topic>Psychophysiologic Disorders - therapy</topic><topic>Skin Diseases - psychology</topic><topic>Stress, Psychological</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Gordon-Elliott, Janna S., MD</creatorcontrib><creatorcontrib>Muskin, Philip R., MD</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Clinics in dermatology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Gordon-Elliott, Janna S., MD</au><au>Muskin, Philip R., MD</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Managing the patient with psychiatric issues in dermatologic practice</atitle><jtitle>Clinics in dermatology</jtitle><addtitle>Clin Dermatol</addtitle><date>2013</date><risdate>2013</risdate><volume>31</volume><issue>1</issue><spage>3</spage><epage>10</epage><pages>3-10</pages><issn>0738-081X</issn><eissn>1879-1131</eissn><abstract>Abstract Patients often communicate emotions through their bodies and physical symptoms; the skin commonly serves as a means of expression in the patient-doctor relationship. 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subjects | Dermatology Factitious Disorders - diagnosis Factitious Disorders - therapy Humans Physician-Patient Relations Psychophysiologic Disorders - diagnosis Psychophysiologic Disorders - therapy Skin Diseases - psychology Stress, Psychological |
title | Managing the patient with psychiatric issues in dermatologic practice |
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