Practical Psychodermatology

The aim of Practical Psychodermatology is to provide a simple, comprehensive, practical and up-to-date guide for the management of patients with psychocutaneous disease. The scope of the book will be inclusive and will aim to cover all aspects of psychocutaneous disease, in an accessible way so that non-dermatologists and non-psychiatrists will be easily able to understand the text.

The book will apply a practical facilitative approach to diagnosis and management, and will be summarised by clear boxed texts and algorithms to assist readers.  In addition there will be a reference and website section at the end of each chapter to which the reader can refer for more in depth study.

Edited by Anthony Bewley, MB, ChB, FRCP, Department of Dermatology, The Royal London Hospital & Whipps Cross University Hospital (Barts Health NHS Trust), London, UK

Ruth Taylor, MB ChB, MRCPsych, PhD, Department of Psychiatry, Barts and the London School of Medicine and Dentistry, London, UK

Jason S Reichenberg, MD, Department of Dermatology, University of Texas Southwestern, Austin, TX, USA

Michelle Majid, MD, Department of Psychiatry, University of Southwestern, Austin, TX, USA

Contributors, vii

Foreword, xi

Preface, xiii

Section 1: Introduction

1 Introduction, 3
Anthony Bewley, Michelle Magid, Jason S. Reichenberg and Ruth E. Taylor

2 History and examination, 11
Ruth E. Taylor, Jason S. Reichenberg, Michelle Magid and Anthony Bewley

Section 2: Management in psychodermatology

3 Psychopharmacology in psychodermatology, 21
Sussann Kotara, Michelle Magid and Maureen Burrows

4 Adherence in the treatment of chronic skin diseases, 33
Laura F. Sandoval, Christine S. Ahn and Steven R. Feldman

5 Psychological assessment and interventions for people with skin disease, 40
Reena B. Shah

6 Risk and risk management in psychodermatology, 50
William H. Reid and Simon Kirwin

7 Self-help for management of psychological distress associated with skin conditions, 60
Andrew R. Thompson

8 Habit reversal therapy: a behavioural approach to atopic eczema and other skin conditions, 66
Christopher Bridgett

9 Nursing interventions in psychodermatology, 72
Fiona Cowdell and Steven Ersser

Section 3: Skin diseases with secondary psychiatric disorders

10 Psychological impact of hair loss, 81
Paul Farrant and Sue McHale

11 Psoriasis and psychodermatology, 90
Christine Bundy, Lis Cordingley and Chris Griffi ths

12 Living well with a skin condition: what it takes, 97
Henrietta Spalding, Wendy Eastwood, Krysia Saul and Susan Bradbrooke

13 Chronic skin disease and anxiety, depression and other affective disorders, 104
Steven Reid and Wojtek Wojcik

Section 4: Psychiatric disorders with secondary skin manifestations

14 Delusional infestation, 117
Peter Lepping, Roland Freudenmann and Markus Huber

15 Body dysmorphic disorder, 127
Emma Baldock and David Veale

16 Pickers, pokers, and pullers: obsessive-compulsive and related disorders in dermatology, 134
Jonathan S. Abramowitz and Ryan J. Jacoby

17 Factitious skin disorder (dermatitis artefacta), 142
Jonathan Millard and Leslie Millard

Section 5: Cutaneous sensory (pain) disorders

18 Medically unexplained symptoms and health anxieties: somatic symptom and related disorders, 153
Angharad Ruttley, Audrey Ng and Anna Burnside

19 Dysesthetic syndromes, 164
Sara A. Hylwa, Mark D.P. Davis and Mark R. Pittelkow

20 Chronic idiopathic mucocutaneous pain syndromes: vulvodynia, penodynia, and scrotodynia, 173
Peter J. Lynch and Libby Edwards

21 Burning mouth syndrome, 180
Alison Bruce, Rochelle R. Torgerson, Cooper C. Wriston and Tania M. Gonzalez Santiago

22 Nodular prurigo, 186
Wei Sheng Tan, Hong Liang Tey and Mark B.Y. Tang

Section 6: Special populations and situations

23 Child and adolescent psychodermatology, 197
Birgit Westphal and Osman Malik

24 Psychodermato-oncology: psychological reactions to skin cancer, 206
Andrew G. Affleck and Lesley Howells

25 Botulinum toxin treatment in depression, 216
M. Axel Wollmer, Michelle Magid and Tillmann H.C. Kruger

26 The Morgellons debate, 220
Jason S. Reichenberg and Michelle Magid

27 Substance misuse and the dermatology patient, 224
Alexander Verner

Glossary, 231

Appendix: Screening questionnaires and scales, 238

Index, 268

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