By Wolfgang Harth, Uwe Gieler, Daniel Kusnir, Francisco A. Tausk
Psychocutaneous medication bargains an summary of ailments in psychosomatic dermatology and creates a bridge among cutaneous and emotional issues utilizing notable illustrations and scientific photos of psychosomatic dermatology. It covers either universal and infrequent ailments and is helping medical professionals and psychologists realize and care for psychosocial positive factors in dermatology and venerology. This beautifully illustrated medical atlas with concise textual content passages follows the yankee analysis type DSM-V and present evidence-based directions. It permits speedy reputation of masked emotional problems and hence management of the best and effective therapy as early as possible.
Hone your diagnostic imaginative and prescient for psychosomatic problems. deal with your sufferers successfully and successfully. Psychocutaneous medication is an image atlas and textbook that's critical for dermatologists, psychologists, pediatricians and basic practitioners.
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Extra info for Clinical Management in Psychodermatology
A Close-up: student with trichotillomania and adjustment disorder in a psychosocial stress situation at examination time. The three-zone arrangement is clearly recognizable. b,c Other views of patients with trichotillomania Clinical presentation and pathogenesis. 30) is based on pulling out of the hair, resulting in marked hair loss. 18). Around the torn hair is a hairless zone 2. Isolated hemorrhages can be found in the area of the pulled-out hair in the fresh tear area. In addition, the older areas show regrowth (zone 3) with shorter hair that cannot be grasped and pulled yet, which explains the third zone of shorter hair.
The pathological character of the misinterpretation is usually not accepted by the patient, and a referral to a psychiatrist is often refused. Treatment of delusion of parasitosis as part of the liaison service within the dermatology clinic, including the dermatologist, psychiatrist, and patient, has been found beneficial. But because of organizational aspects, this is usually possible only in tertiary medical centers. If a liaison consultation cannot be held, the dermatologist often has to initiate the treatment with psychopharmaceuticals.
22a,b Patient with self-manipulation under stress. a Ball, b Magnet stones (magnetites) to reduce tension current psychopathological symptoms, such as depressive disorders, may be helpful. In DPS conditions such as trichotillomania, therapy with SSRIs may be indicated under the aspect of impaired impulse control. For dissociative artefacts, lowstrength neuroleptics are usually more effective and are preferred. In DPS, a combination therapy with drugs and behavioral therapy has been found beneficial.