Skin disease can be more than skin deepOur skin is one of the first things people notice about us.Blemishes, rashes, dry, flaky skin - all these can breedinsecurity, even suicidality, even though the basic skin conditionis relatively benign. Skin disease can lead to psychiatricdisturbance.But symptoms of skin disease can also indicate psychologicaldisturbance. Scratching, scarring, bleeding, rashes. These skindisturbances can be the result of psychiatric disease.How do you help a dermatological patient with a psychologicalreaction? How do you differentiate psychological causes from trueskin disease? These are challenges that ask dermatologists,psychiatrists, psychologists and other health care specialists tocollaborate.Practical Psychodermatology provides a simple,comprehensive, practical and up-to-date guide for the management ofpatients with psychocutaneous disease. Edited by dermatologists andpsychiatrists to ensure it as relevant to both specialties itcovers:* History and examination* Assessment and risk management* Psychiatric aspects of dermatological disease* Dermatological aspects of psychiatric disease* Management and treatmentThe international and multi-specialty approach of PracticalPsychodermatology provides a unique toolkit for dermatologists,psychiatrists, psychologists and other health care specialistsneeding to care for patients whose suffering is more than skindeep.

Contributors viiForeword xiPreface xiiiSection 1: Introduction1 Introduction 3Anthony Bewley, Michelle Magid, Jason S. Reichenberg and Ruth E. Taylor2 History and examination 11Ruth E. Taylor, Jason S. Reichenberg, Michelle Magid and Anthony BewleySection 2: Management in psychodermatology3 Psychopharmacology in psychodermatology 21Sussann Kotara, Michelle Magid and Maureen Burrows4 Adherence in the treatment of chronic skin diseases 33Laura F. Sandoval, Christine S. Ahn and Steven R. Feldman5 Psychological assessment and interventions for people with skin disease 40Reena B. Shah6 Risk and risk management in psychodermatology 50William H. Reid and Simon Kirwin7 Self-help for management of psychological distress associated with skin conditions 60Andrew R. Thompson8 Habit reversal therapy: a behavioural approach to atopic eczema and other skin conditions 66Christopher Bridgett9 Nursing interventions in psychodermatology 72Fiona Cowdell and Steven ErsserSection 3: Skin diseases with secondary psychiatric disorders10 Psychological impact of hair loss 81Paul Farrant and Sue McHale11 Psoriasis and psychodermatology 90Christine Bundy, Lis Cordingley and Chris Griffiths12 Living well with a skin condition: what it takes 97Henrietta Spalding, Wendy Eastwood, Krysia Saul and Susan Bradbrooke13 Chronic skin disease and anxiety, depression and other affective disorders 104Steven Reid and Wojtek WojcikSection 4: Psychiatric disorders with secondary skin manifestations14 Delusional infestation 117Peter Lepping, Roland Freudenmann and Markus Huber15 Body dysmorphic disorder 127Emma Baldock and David Veale16 Pickers, pokers, and pullers: obsessive-compulsive and related disorders in dermatology 134Jonathan S. Abramowitz and Ryan J. Jacoby17 Factitious skin disorder (dermatitis artefacta) 142Jonathan Millard and Leslie MillardSection 5: Cutaneous sensory (pain) disorders18 Medically unexplained symptoms and health anxieties: somatic symptom and related disorders 153Angharad Ruttley, Audrey Ng and Anna Burnside19 Dysesthetic syndromes 164Sara A. Hylwa, Mark D.P. Davis and Mark R. Pittelkow20 Chronic idiopathic mucocutaneous pain syndromes: vulvodynia, penodynia, and scrotodynia 173Peter J. Lynch and Libby Edwards21 Burning mouth syndrome 180Alison Bruce, Rochelle R. Torgerson, Cooper C. Wriston and Tania M. Gonzalez Santiago22 Nodular prurigo 186Wei Sheng Tan, Hong Liang Tey and Mark B.Y. TangSection 6: Special populations and situations23 Child and adolescent psychodermatology 197Birgit Westphal and Osman Malik24 Psychodermato-oncology: psychological reactions to skin cancer 206Andrew G. Affleck and Lesley Howells25 Botulinum toxin treatment in depression 216M. Axel Wollmer, Michelle Magid and Tillmann H.C. Kruger26 The Morgellons debate 220Jason S. Reichenberg and Michelle Magid27 Substance misuse and the dermatology patient 224Alexander VernerGlossary 231Appendix: Screening questionnaires and scales 238Index 268