Therapeutic implications of personality disorders in dermatology

Abstract

There is a significant psychiatric comorbidity that exists in multiple dermatological conditions, stemming from the patient''s own psychological make up. This article reviews personality disorders and their types, which influence the course and prognosis of several psychodermatological disorders. Self-inflicted skin lesions, for example, are usually associated with obsessive-compulsive behavior, but they also share connections to Narcissistic and Borderline personality disorders. Body dysmorphic disorder is another psychodermatological condition seen in dermatology, aesthetic, and cosmetic surgery clinics, which is influenced by patient's personality type. In general, there is a significantly high proportion of personality disorders seen in aesthetic and cosmetic surgery. The management of patients with personality disorders is challenging, but joint liaison between psychiatry and dermatology has proven helpful and can provide patients with the best care for their psychological needs and dermatologic care.

Understanding the experiences of anger in the onset and progression of psoriasis: A thematic analysis

“…Similarly, co‐morbid mental health conditions influenced behaviour and emotion, such as increasing sensory awareness of psoriasis, suggesting a quasi‐sensory hyperawareness 50,51 . The findings included compulsive picking alongside co‐morbid obsessive‐compulsive disorder and borderline personality disorder, supporting the ‘itch–scratch cycle’ 27 or evidencing psychological symptoms 52–54 . The close, symbolic relationship between anger, heat and redness/inflammation that is commonly metaphorical was reported as a lived, physical sensation, with skin temperature changes when angry.…”

“… 50 , 51 The findings included compulsive picking alongside co‐morbid obsessive‐compulsive disorder and borderline personality disorder, supporting the ‘itch–scratch cycle’ 27 or evidencing psychological symptoms. 52 , 53 , 54 The close, symbolic relationship between anger, heat and redness/inflammation that is commonly metaphorical was reported as a lived, physical sensation, with skin temperature changes when angry. While there is limited research on blood flow in psoriatic plaques, temperature differences could be explained by basal flux/emissivity in psoriatic regions.…”

Transtorno dimórfico corporal - Insatisfação patológica com autoimagem e a busca por procedimentos estéticos

“…Scherer, et al, (2017) 14 relatam que a medicina estética também trabalha com técnicas de reabilitação pós-cirúrgicas, muitas vezes essenciais para a recuperação dos indivíduos em etapas pós-operatórias. Logo, o desenvolvimento da saúde estética proporciona não só a construção da imagem corporal, como também a reabilitação e a promoção à saúde física, mental e social dos indivíduos¹⁴.…”