Skin and the Mind (Psychodermatology)

Abstract

Many skin conditions have a major psychological component, which if not dealt with, will result in poor response to treatment. Conversely, some psychiatric conditions can present with a skin manifestation. GPs are well placed to deal holistically with both the skin problem and any associated emotional, psychological or psychiatric issues. There is a lot of stigma attached to skin diseases especially if it affects exposed areas (face or hands). This can be intensified by the mistaken belief that many skin rashes are infectious or cancerous. The anxiety associated with skin diseases can cause stress which can further exacerbate the skin problem. Stress can also cause picking and scratching which may mask the underlying disease and make diagnosis of the primary skin problem difficult. In this chapter we will explore the link between the skin and the mind.