Behavior Disorders in Dermatology

Question 1

Mind and Skin Connection:

Answer 1

• Same ectodermal origin
• Affected by same hormones and neurotransmitters
• NICS (neuro-immuno-cutaneous system)

Question 2

Effects of stress on skin:

Answer 2

• Exacerbates a skin disorder

- Cannot judge stress by skin disorder severity

Question 3

Correlations with chronic skin problems:

Answer 3

• High prevalence of depression and anxiety
• Trouble sleeping (enhancing inflammatory processes)
• Large comorbidity between psychiatric disorders and dermatologic disorders

Question 4

Psychodermatologic Categories:

Answer 4

• Psychophysiologic Disorders
• Psychiatric Disorders With Dermatological Symptoms
• Dermatological Disorders With Psychiatric Symptoms

Question 5

What is a Psychophysiologic Disorder?

Answer 5

-Skin disorders worsened or affected by emotional states

Question 6

What is a Psychiatric Disorder with Dermatological Symptoms?

Answer 6

• Skin disorder in which primary problem is psychological

- Skin manifestations are self-induced

Question 7

What is a Dermatological Disorder with Psychiatric Symptoms?

Answer 7

-The skin manifestations cause psychological problems

Question 8

Psychophysiologic disorder:

Answer 8

• Skin disease not caused by stress but exacerbated by stress
• Emotional triggers bring flare ups!

Question 9

Psoriasis:

Answer 9

• Psychophysiologic disorder
• Onset predicted by a number of stressors; 80% of the time the ONSET IS PREDICTED BY STRESS
• Most common psychiatric symptoms -> body image and social functioning

Question 10

Atopic Dermatitis:

Answer 10

• Psychophysiologic disorder

- Interpersonal and family stressors cause flare up

Question 11

Acne Excoriee:

Answer 11

• Psychophysiologic
• Habitual act of picking skin LESIONS (present before picking) independent of acne severity
• Men -> due to depression/anxiety (Test question)
• Women -> immature personality and a cry for help (Test question)
• Habit Reversal Therapy -> train their hand to go elsewhere than their face

Question 12

Psychiatric Disorders with Dermatological Symptoms:

Answer 12

• Skin disorders in which the primary problem is psychological
• Skin manifestations are self-induced
• Perfectionist or OCD

Question 13

Dermatitis Artefactas:

Answer 13

• Psychiatric Disorder
• Form of a Factitious Disorder
• Physical or sexual abuse
• More elaborate ways to harm themselves other than excoriation
• Think something is in their body so they dig stuff out

Question 14

Factitious Disorder:

Answer 14

-Self-inflicted cutaneous lesions deliberate and conscious, satisfies an unconscious psychological or emotional need

Question 15

Trichotillomania:

Answer 15

• Psychiatric disorder
• Childhood trauma and emotional neglect
• Relief from pulling hair

Question 16

Body Dysmorphic Disorder:

Answer 16

• OCD and related disorders

- Perceives something wrong with their body visible to only them

Question 17

Dermatological Disorders with Psychiatric Symptoms:

Answer 17

• Skin disorder that they obsess about causing a psych disorder
• Can be life-ruining

Question 18

Alopecia Areata:

Answer 18

• Derm with psych
• Non scarring hair loss on any hair bearing part of body
• Family history and autoimmune diseases

Question 19

Vitiligo:

Answer 19

• Derm with psych

- Leukoderma characterized by depigmentation of epidermis

Question 20

What to look for in chronic diseases:

Answer 20

• Potential to commit suicide
• Anxiety and Depression
• Anxiety always precedes depression