Abstract：
:Personality disorders (PDs) are stable and enduring patterns of thought, feeling, and behavior that deviate from one's cultural norms and cause impairment in functionality. Patients with PDs are commonly encountered in the dermatologic setting and can be perceived by providers as "difficult." Given that PDs are chronic, rigid, and frustrating to deal with, it is important to be skillful in the approach to such patients, especially in the era of the value-based reimbursement system, in which patient satisfaction is crucial for reimbursement. This contribution discusses four PDs most commonly encountered in the dermatology setting: Borderline, histrionic, obsessive-compulsive, and narcissistic. Although the details regarding the approach to patients for each PD differ as discussed, once a PD is identified, there are few key management strategies that can be helpful in minimizing conflict and enhancing outcomes. In patients with PD, the presenting skin complaint is often a secondary problem, as there may be an underlying psychologic issue (somatization). Understanding the underlying psychologic aspect of the patients' dermatologic complaints and adapting behaviors to the patients' needs are fundamental for maximizing patient satisfaction.
journal_name
Clin Dermatoljournal_title
Clinics in dermatologyauthors
Nakamura M,Koo Jdoi
10.1016/j.clindermatol.2017.01.009subject
Has Abstractpub_date
2017-01-01 00:00:00pages
312-318issue
3eissn
0738-081Xissn
1879-1131pii
S0738-081X(17)30023-8journal_volume
35pub_type
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