Approximately 30% of all dermatology patients experience a psychiatric disorder or some form of notable psychosocial morbidity.1 When the psychiatric concern is related to skin disease, dermatologists are in a unique position to identify the problem and help patients seek treatment. Psychodermatology is a growing field that includes both primary and secondary psychiatric conditions. Primary psychiatric conditions associated with skin findings include disorders where self-induced skin lesions result from an emotional disturbance (eg, acne excoriée).2 In contrast, secondary psychiatric disorders involve emotional disturbances that manifest in response to the psychologic stress caused by the skin condition (eg, major depression induced by severe psoriasis).2 This article will focus on these secondary conditions.
McDonald K, Shelley A, Jafferany M. The PHQ-2 in Dermatology—Standardized Screening for Depression and Suicidal Ideation. JAMA Dermatol. 2018;154(2):139–141. doi:10.1001/jamadermatol.2017.5540
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