Psychodermatology

Funded by: Lilly

This RCGP accredited resource composed of 10 clinical cases, assesses the user’s knowledge of psychodermatology.

Successful completion of the resource provides 1 hour of CPD, delivered by Learna Ltd.

Introduction

The mind and the skin are inextricably linked. Many dermatological conditions are exacerbated by stress, and cause significant psychosocial distress to patients. Additionally, psychodermatology also encompasses a rare group of primary psychiatric disorders in which there are psychiatric symptoms (e.g. delusions, obsessions, compulsions) that manifest with skin symptomatology. The challenge for the dermatologist is to recognise these conditions so that they are included in your differential diagnosis, and to work in conjunction with psychiatrists to initiate and monitor treatment. Management is often challenging, with many patients lacking insight and often resisting referral to psychiatric specialists. A good dermatologist should have an awareness of the appropriate medical and psychological treatments options available to them, and developing a good rapport with the patient will improve the chances of a patient successfully engaging with treatment.

Aims and Objectives

On completion of this resource, you should:
  • Have an improved understanding of the typical presentations of psychocutaneous disorders including dermatitis artefacta, delusional parasitosis, acne excoriée, neurotic excoriations and trichotillomania
  • Understand the differential diagnosis for the common psychocutaneous conditions listed above
  • Have an improved recognition of the impact of mood on common dermatological conditions and the potential of treatments to influence psychiatric well being
  • Have an improved awareness of the most common treatments for psychocutaneous conditions and their important side effects

Date of publish: 14th September 2016