Conditions And Treatments In Psychodermatology

Psychodermatology is a broad sub-specialty that sees any dermatological condition with a psychological impact. Some of the other specialist conditions I see often include:

  • Body dysmorphic disorder (BDD)
  • Skin picking disorder (SPD)
  • Acne excoriee
  • Hair pulling disorder (or trichotillomania)
  • Medically unexplained skin signs/symptoms 
  • Skin sensitivity 
  • Pruritus (itch)
  • Nodular prurigo (itchy nodules on the skin)

In addition to conventional treatments for dermatological conditions, a psychodermatological treatment plan can include:

  • Habit reversal therapy (used to break the itch-scratch cycle)
  • Psychological interventions (e.g. mindfulness, acceptance and commitment therapy, other talking therapies)
  • Educational interventions (used to improve understanding of skin conditions and adherence to treatment plans)
  • Mood management
  • Anxiety management
  • Lifestyle advice (e.g. sleep routine, diet, exercise)
  • Stress management techniques (e.g. relaxation therapy)
  • I favour holistic treatment as it offers a more long-term approach that takes several factors into account when treating a skin condition.

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