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Handbook of Psychodermatology
Abdul Latheef EN
CHAPTER 1:
Skin and Psyche
STRESS AND PSYCHONEUROIMMUNOLOGY
Neurogenic Inflammation
Stress and Immune Response
Acute or Mild Stress
Chronic or Severe Stress
STRESS AND BARRIER FUNCTION OF THE SKIN
STRESS AND WOUND HEALING
Psoriasis
Atopic Dermatitis
Infections
CONCLUSION
CHAPTER 2:
Skin, Mind and Beauty
FACTORS AFFECTING THE PERCEPTION OF ATTRACTIVENESS
UNDERSTANDING OF MOTIVATION
CONCEPT OF SELF-PERCEPTION
CHAPTER 3:
Case Taking in Psychodermatology
APPROACH TO A POSSIBLE PSYCHODERMATOLOGY PATIENT
COUNSELING OF A PSYCHODERMATOLOGY PATIENT
CONCLUSION
CHAPTER 4:
Assessment Tools and Questionnaires in Psychodermatology
SCALES TO SCREEN FOR PSYCHOLOGICAL DISTURBANCES
DEPRESSION
QUALITY OF LIFE
THE DERMATOLOGY LIFE QUALITY INDEX OR DLQI
CHILDREN
CHAPTER 5:
Primary Psychiatric Disorders—Cutaneous Manifestations
FACTITIOUS DISORDERS/SELF-INFLICTED DERMATITIS
Dermatitis Artefacta Syndrome
Clinical Features
Management
Prognosis
Dermatitis Para-artefacta Syndrome (DPS)
Skin-picking Syndrome (Epidermotillomania, Neurotic Excoriations)
Acne excoriée
Pseudo-knuckle Pads
Morsicatio Buccarum
Cheilitis Factitia (Lip-licker's Dermatitis)
Trichotillomania, Trichotemnomania, Trichoteiromania
Malingering
Special Forms
Gardner–Diamond Syndrome (Painful Ecchymoses Syndrome, Psychogenic Purpura, and Painful Bruising Syndrome)
Münchausen Syndrome
Münchausen-by-Proxy Syndrome
DERMATOSES AS A RESULT OF DELUSIONAL ILLNESSES AND HALLUCINATIONS
Delusion of Parasitosis/ Ekbom's Syndrome
Clinical Profile
Differential Diagnosis
Management
Bromhidrosis
Hypochondriacal Delusions
Body Dysmorphic Delusions
Management
SOMATOFORM DISORDERS
Somatization Disorder
Psychogenic Pruritus
Clinical features
Commonest Sites
Management
DERMATOSES AS A RESULT OF COMPULSIVE DISORDERS
Washing Eczema
Primary Lichen Simplex Chronicus
Sites Involved
Psychiatric Symptoms
Differential Diagnosis
Management
CHAPTER 6:
Secondary Psychiatric Disorders in Dermatology Patients
INTRODUCTION
EPIDEMIOLOGY
CLASSIFICATION
Psychosocial Reactions
Disfigurement
Stigmatization
Impaired Quality of Life
Suicide
Psychiatric Disorders
Depression
Anxiety Disorders
Adjustment Disorders
Psychosis
Delirium
Substance Abuse
Special Population
CONCLUSION
CHAPTER 7:
Psychophysiologic Skin Disorders
ALOPECIA AREATA
ATOPIC ECZEMA
PSORIASIS
URTICARIA
LICHEN PLANUS
VITILIGO
PSYCHOGENIC PURPURA
ROSACEA
ACNE
SEBORRHEIC DERMATITIS
PRURIGO NODULARIS
MISCELLANEOUS
MANAGEMENT OF PSYCHOPHYSIOLOGIC DISORDERS
CHAPTER 8:
Impact of Dermatological Diseases on Psyche of Patient Family and Society
SKIN DISEASE AND PSYCHOLOGY
PSYCHOLOGICAL IMPACT OF SKIN DISEASE ON PATIENT
Negative Body Image
Coping and Adjustment Problems
Social Withdrawal
Depressive Disorders
Anxiety Disorders
Compulsive Disorders
Stress and Adjustment Disorders
Dissociative Disorders
Personality Disorders
PSYCHOLOGICAL IMPACT OF SKIN DISEASE ON PATIENT'S FAMILY
Coping in Relationships by Family Members
Child and Parents
Partners
Change in Social Behavior among Family Members
PSYCHOLOGICAL IMPACT OF SKIN DISEASE ON SOCIETY
Stigmatization
CHAPTER 9:
Drug Treatment of Psychodermatological Conditions
WORKING CLASSIFICATION
Choosing a Drug—Some Tips
Antipsychotics
Indications
In Psychiatry
Typical Antipsychotics
Atypical Antipsychotics
Depot Preparations
Mechanism of Action of Antipsychotics
Side Effects
Neuroleptic Malignant Syndrome
Chronic Neurological—Tardive Dyskinesia, Tardive Akathisia
Depression
Diagnosis
Antidepressants
Indications
Side Effects of SSRIs
Newer Drugs—SNRIs
Newer Drugs—NASSAs
Newer Drugs—DNRI
Antidepressant Discontinuation Syndromes
Latest Addition
Anxiolytics/Hypnotics—Benzodiazepines (BDZ)
Hypnotics/Non-BDZ Hypnotics—Z drugs
Mood Stabilizers—Bipolar Disorders
Anti-Parkinsonian Agents
Adjuvants
CHAPTER 10:
Psychological Intervention in Psychodermatological Conditions-1
HABIT REVERSAL
Awareness Training
Competing Response
Motivation and Social Support
Record sheet
SUPPORTIVE THERAPY
Catharsis
Reassurance
Suggestions and Guidance
Encouragement
RELAXATION PROCEDURES
Jacobson Progressive Muscular Relation (JPMR)
Guided Imagery
Biofeedback
Temperature Biofeedback (TBF)
Autogenic Training
COGNITIVE BEHAVIOR THERAPY
Defining and Operationalizing Terms
Questioning the Evidence
Worst, Best, Most Likely
Use of Rationale Response
CONCLUSION
CHAPTER 11:
Psychological Interventions in Psychodermatological Conditions-2
PSYCHO EDUCATION
HYPNOTHERAPY
Introduction
History
Stages of Hypnosis
Induction Phase
Suggestion Phase (Trance)
How Does it Work?
Suggestions—Key Points
Benefits of Hypnotherapy
Ideal Age
Risks and Complications
Dermatological Conditions
The Author's Experience
CONCLUSION
GROUP THERAPY
FAMILY THERAPY
BEHAVIOR THERAPY
Systematic Desensitization
NEUROLINGUISTIC PROGRAMMING
CHAPTER 12:
Psychology of an Aesthetic Patient
DISEASE DERMATOLOGY VS DESIRE DERMATOLOGY
TYPES OF EXPECTATIONS AND PSYCHOLOGICAL NEEDS
Assessment of the Patient's Psychology
Understanding the Root Cause Behind a Particular Psychology
INTERVENTION AND DECISION TO DO THE PROCEDURE
WARNING SIGNS FOR WHEN NOT TO DO PROCEDURES
CONCLUSION
CHAPTER 13:
Psychological and Neuropsychiatric Complications of HIV and STD
HIV/AIDS (ACQUIRED IMMUNODEFICIENCY SYNDROME)
CLINICAL PSYCHIATRIC PRESENTATIONS
MANAGEMENT OF PSYCHIATRIC DISORDERS
STD (Sexually Transmitted Diseases)
Management
Venereological Hypochondriasis
Management
Useful Psychological Procedures
CHAPTER 14:
Meditation—An Experience Beyond Words
WHAT IS MEDITATION?
MEDITATION AS MEDICATION; EXPLORING THE MEDICAL BENEFITS OF MEDITATION
CLASSIFICATION
Some Well-established and Known Systems of Meditation
Yoga
Transcendental Meditation
‘Vedanta’ based Philosophical Meditation
Pranayama
Suggesting One Simple and Generalized Method
Mindfulness Meditation*
Mindfulness Based Stress Reduction (MBSR)
Mindfulness-based Cognitive Therapy (MBCT)
Instructions—Breath Meditation
Instructions—Body Scan Meditation
CHAPTER 15:
Psychodermatology Liaison Clinic
SCOPE
SAMPLE OF A CASE RECORD IN A LIAISON CLINIC
Dermatology Notes
Psychiatry Notes
Clinical Psychology Notes
Advantages of Psychodermatology Approach
INDEX
TOC
Index
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