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26 Cards in this Set

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DISCLAIMER

Some of these cards are poorly written because this lecture is ridiculous.

Types of "Skin Disorders"

Psychophysiologic Disorders


Psychiatric Disorder with Dermatologic Symptoms


Dermatologic disorders with psychiatric symptoms

Describe the diffuse brain

Evidence that the brain can start, influence, and s top biologic skin events, making the skin is part of the diffuse brain.

Immune component yo Psychophysiologic disoders

Effected by stress, depression, anxiety, and personality traits that cause negative social feedback

Describe how skin diseases are Bi directional

Relationship between the skin disease and psychological distress

Effects of inc levels of proinflammatory cytokines

Causes Inflammation




In turn can cause amplified psychological distress and depressive symptoms

Psychophyiologic Disorders

Psoriasis


Atopic Dermatitis


Acne Excoriee


Hyperhidrosis


Urticaria


Herpes


HPV

What is the prototype of the psychophysiologic Disorders

Psoriasis

Define Psychophysiolgical disodders

Physical symptoms or diseases that are caused by or worsened by psychological factors




Formally Psychosomatic disorder

Difference between PsychoPhys Disorder and Hypochondriac

PsychoPhys has actual physiological damage to the body

Medical ex of PsychoPhys Disorders

Asthma


Hypertension


Gastritis


IBS


Headaches

How can Psoriasis present?

Psychological of life stressors tend to precede onset of psoriasis




Immune driven and charactreized by sig mental health issues




40% meet criteria for mood disorders




50% suffer from anxiety

PsychoSocial effects of Psorasis

Disturbances in body image


QoL


Anticipation of rejection


Feels of being flawed


Guilt and Shame


Secretiveness

Treatments for Psoriasis

Biofeeback


Medication


Hypnosis relaxation


Behavioral techniques


Symptom control imagery training


Antidepressants

Psychiatric disorders with Dermatologic symptoms

•Somatoformdisorder


-- Mental illness with one or more bodily symptoms including pain


•Anxietydisorder


•Factitiousdisorder


--Delibrate creation or exaggeration of symptoms. Lie or mimic symptoms, hurt themselves to bring on symptoms.


•Impulse-controldisorder


•Eatingdisorder

Even more psychiatric disorders with Dermatologic symptoms

•DermatitisArtefacta


•Delusionsof Parasitosis


•Trichotillomania


•Obsessive-CompulsiveDisorders


•PhobicStates


•Body dysmorphicdisorder


•EatingDisorders


•NeuroticExcoriations

Define Dermatitis Artefacta

Self inflicted cutaneous lesion that the pt typically denies having induced




Within reach of dominant hand




Pts induce by rubbing, scratching, picking, butting, biting, caustic agents

Describe Trichotillmania

Recurrent pulling out of ones hair


Impulse control disorder




Pts exp inc sense of tension immediately before an episode of hair pulling.

Describe OCD

Biting of nails and lips, tongue and cheeks


Excessive hand washing


Excessive showering


Irritant dermatitis

Describe Phobic States

Commonly feared conditions


- STD


- Cancer


- AIDs


- Herpes


- Repeared hand washing

Describe Dysmorphobia

Complaints or concerns usually occur in 3 main areas: face, scalp, genitals




Face and Scalp: Excessive redness, scarring, large pores, facial hair




Genitals: Hair loss, red scrotum, urethral discharge, herpes, and AIDs Phobia

Describe Eating disorders

Primarily the result of starvation and malnutrition or self-induced vomiting and the use of laxatives, emetics or diuretics




Lanugo-like hair


Hyperpigmentation


Poor wound healing


Dry scalp hair


Alopecia


Cheilitis

Treatment for PsychoPhys Treatment

SSRIs


Clomipramine


Low does atypical antipsychotics


Alpha agonists


Cognitive behavioral therapy


Psycho edu


Family Therapy

Emotional effects of Dermatologic disorders with psychiatric symptoms

"Life ruining"


Depression and anxiety


Impaired social interactions


Dec Self esteem


Dec Body image

Dermatologic disorders with Psychiatric symptoms

Severe Acne


Alopecia


Areata


Vitiligo

Treatment for Dermatologic disorders with psychiatric symptoms

Improve sleep


Managing psychiatric symptoms such as anxiety, anger, social embarrassment, social withdrawal


Psychotherapy


Hypnosis


Relaxation training


Biofeedback