Therapeutic management of psychodermatological disorders.

Abstract:

BACKGROUND:The skin and the brain interact through psychoneuroimmunoendocrine mechanisms and through behaviors that can strongly influence the initiation or flaring of skin disorders. OBJECTIVE:To obtain knowledge of these factors to assist in designing treatment plans for specific skin disorders. METHODS:Psychocutaneous disease literature for the past 80 years was reviewed. RESULTS/CONCLUSION:Therapeutic options include standard psychotropic drugs and alternative herbs and supplements, the placebo effect, suggestion, cognitive-behavioral methods, biofeedback, and hypnosis. When simple measures fail to produce the desired results, combinations of drugs or addition of nonpharmacological therapies may produce better results. Psychophysiological skin disorders may respond well to nonpharmacological therapies that counteract stress, supplemented when indicated by anxiolytic or antidepressant drugs. Treatment of primary psychiatric disorders that affect the skin often results in improvement of the associated skin disorders. Psychiatric disorders secondary to skin disorders may also require treatment.

authors

Shenefelt PD

doi

10.1517/14656566.9.6.973

subject

Has Abstract

pub_date

2008-04-01 00:00:00

pages

973-85

issue

6

eissn

1465-6566

issn

1744-7666

journal_volume

9

pub_type

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