Cover -- Dedication -- Title page -- Copyright page -- Contents -- Contributors -- Foreword -- Preface -- SECTION 1: Introduction -- CHAPTER 1: Introduction -- Psychodermatology: interfaces, definitions, morbidity and mortality -- The psychodermatology multidisciplinary team -- DSM-IV and DSM-5 -- ICD-10 -- Models of working psychodermatology services -- Setting up a psychodermatology clinic -- British Association of Dermatologists Psychodermatology Working Party Report -- Psychological interventions -- Psychopharmacology -- Assessments tools for psychodermatology patients -- Global psychodermatology groups -- Medicolegal and ethical issues -- References -- CHAPTER 2: History and examination -- The first visit -- Setting expectations -- The setting -- Medical history -- Psychiatric interview -- Physical examination and tissue evaluation -- Planning for follow-up -- Follow-up visits: shifting toward the psychiatric evaluation -- Psychiatrist's approach to a patient with psychocutaneous disease -- References -- SECTION 2: Management in psychodermatology -- CHAPTER 3: Psychopharmacology in psychodermatology -- Introduction to prescribing antidepressant medications -- Treatment of depression -- Treatment of anxiety disorders -- Treatment of obsessive-compulsive and related disorders -- Treatment of somatic symptom and related disorders -- Introduction to prescribing antipsychotic medications -- Treatment of delusional disorders -- Psychiatric and dermatologic side effects -- References -- CHAPTER 4: Adherence in the treatment of chronic skin diseases -- Methods of assessing adherence -- Adherence in chronic skin diseases -- Factors affecting adherence -- Interventions to improve adherence -- More frequent interactions -- Patient-physician relationship -- Education -- Reminders -- Simplifying treatment regimens.

Other psychological tools to promote adherence (see also Chapter 5 and Chapter 9) -- References -- CHAPTER 5: Psychological assessment and interventions for people with skin disease -- Psychologist's initial approach to dermatology clients -- Socratic questioning -- Psychological assessment -- Standardized measures -- Risk assessment -- Special situations -- Psychological interventions -- Basic therapies -- More complex therapies -- Other therapies based on clinical practice -- How does the dermatologist access psychological therapies? -- References -- CHAPTER 6: Risk and risk management in psychodermatology -- Psychiatric risk and the dermatology patient -- Suicide, suicidal thoughts, and suicide risk -- Suicide risk assessment and recognition -- Risk management -- Risk to others -- Direct, intentional violence -- Undirected or collateral danger, including danger from accidents -- Abuse and neglect of children and other vulnerable people -- Risk recognition and index of suspicion -- Dermatologists and psychiatric risk assessment -- References -- CHAPTER 7: Self-help for management of psychological distress associated with skin conditions -- What is self-help? -- Stepped care -- Implications of stepped care and self-help for assessment -- Future research -- References -- CHAPTER 8: Habit reversal therapy: a behavioural approach to atopic eczema and other skin conditions -- Adults and older children with atopic eczema -- Assessment -- Treatment -- Reinforcement -- Follow-up -- Results -- Younger children with atopic eczema [5] -- Assessment -- Treatment -- Follow-up -- Finding out more about The Combined Approach -- Habit reversal and other skin conditions -- References -- CHAPTER 9: Nursing interventions in psychodermatology -- Psychosocial issues in skin conditions -- Effective consultations -- Assessment of psychological health and quality of life.

Psychological interventions -- Cognitive-behavioural therapy (see Chapter 5) -- Habit reversal (see Chapter 8) -- Social cognitive theory -- Future research -- References -- SECTION 3: Skin diseases with secondary psychiatric disorders -- CHAPTER 10: Psychological impact of hair loss -- The hair cycle -- Psychological stress as a cause of hair loss -- Assessing psychiatric impact of hair disease in the clinic -- Clinical assessment of hair disease -- Alopecia areata -- Telogen effluvium -- Male pattern balding -- Female pattern hair loss -- Chemotherapy-related hair loss -- Scarring hair loss -- Hirsutism -- Specific psychopathology leading to hair loss or presenting in the hair clinic -- Body dysmorphic disorder -- Delusional infestation -- Trichotillomania -- Psychological impact of appliances/wigs, camouflage and support groups (see Chapter 12) -- References -- CHAPTER 11: Psoriasis and psychodermatology -- Epidemiology and defining features of psychological functioning -- Pathogenesis -- The biological route -- The behavioural route -- Assessment -- Assessing beliefs -- Assessing mood -- Assessing behaviour -- Treatment -- Future research -- References -- CHAPTER 12: Living well with a skin condition: what it takes -- Living with a disfigurement -- The cultural background -- What does this mean for patients? -- How to promote successful adjustment (see also Chapter 4 and Chapter 11) -- What does each element of FACES mean in practice? -- Application of FACES in the healthcare setting -- References -- CHAPTER 13: Chronic skin disease and anxiety, depression and other affective disorders -- Defining features of key mood and anxiety disorders (see Table 13.1 for DSM-5 criteria) -- Major depression -- Bipolar disorder -- Persistent depressive disorder (dysthymia) -- Generalized anxiety disorder -- Social anxiety disorder (social phobia).

Specific phobia -- Panic disorder -- Agoraphobia -- Pathogenesis -- Biological factors -- Psychological factors -- Social factors -- Clinical assessment -- Screening questionnaires -- History and examination -- Differential diagnosis -- Interaction with skin disease -- Management -- What is the clinician's role? -- Treatment approaches: self-help and community support, psychological therapy and medication -- Failure to respond -- Treatment of specific disorders -- Future research -- References -- SECTION 4: Psychiatric disorders with secondary skin manifestations -- CHAPTER 14: Delusional infestation -- Defining features -- Pathogenesis -- Assessment (Box 14.3) -- Treatment -- Future research -- References -- CHAPTER 15: Body dysmorphic disorder -- Diagnostic criteria -- Clinical features -- Epidemiology and presentation -- Aetiology -- Detection and assessment -- Engagement -- Psychological and psychiatric treatment -- Evidence-based treatment options -- Cognitive-behavioural therapy -- Future research -- References -- CHAPTER 16: Pickers, pokers, and pullers: obsessive-compulsive and related disorders in dermatology -- Defining features -- Obsessive-compulsive disorder -- Body dysmorphic disorder -- Trichotillomania (also known as hair pulling disorder -- see Chapter 10) -- Excoriation (skin picking) disorder (also known as pathological skin picking) -- Pathogenesis -- Contamination-related OCD -- Hair pulling and skin picking disorders -- Assessment -- Contamination-related OCD -- Trichotillomania -- Excoriation (skin picking) disorder -- Treatment (Box 16.3) -- Obsessive-compulsive disorder -- Hair pulling and skin picking disorders -- Discussing treatment and providing referral information -- Future research -- References -- CHAPTER 17: Factitious skin disorder (dermatitis artefacta) -- Defining features.

Pathogenesis and common co-morbid illnesses -- Adjustment disorders -- Depressive disorders -- Personality disorders -- Other psychiatric illnesses and factitious skin disorder -- Clinical assessment -- Investigations -- Treatment -- Future research -- References -- SECTION 5: Cutaneous sensory (pain) disorders -- CHAPTER 18: Medically unexplained symptoms and health anxieties: somatic symptom and related disorders -- Defining features -- Pathogenesis -- Assessment (Box 18.4) -- Treatment -- Specific disorders that may present in dermatology clinics -- Factitious disorders and malingering -- Persistent delusional disorders - somatic type -- Disorders related to smell and body odour -- Investigations -- Dissociative form of pseudoangioedema or undifferentiated somatoform idiopathic anaphylaxis -- Acknowledgement -- References -- CHAPTER 19: Dysesthetic syndromes -- Sensory mononeuropathies -- Notalgia paresthetica -- Meralgia paresthetica -- Trigeminal syndromes -- Trigeminal neuralgia -- Trigeminal trophic syndrome -- Erythromelalgia -- References -- CHAPTER 20: Chronic idiopathic mucocutaneous pain syndromes: vulvodynia, penodynia, and scrotodynia -- Vulvodynia -- Defining features and assessment -- Pathogenesis -- Psychological, social, and sexual aspects -- Treatment -- Penodynia and scrotodynia -- Defining features and assessment -- Pathogenesis -- Psychological, social, and sexual aspects -- Treatment and prognosis -- References -- CHAPTER 21: Burning mouth syndrome -- Defining features -- Pathogenesis -- Assessment -- Treatment -- References -- CHAPTER 22: Nodular prurigo -- Clinical features -- Pathogenesis -- Clinical assessment -- Differential diagnosis -- Clinical and laboratory investigations -- Management -- First-line treatment options -- Second-line treatment options -- Newer/third-line treatment options.

Psychological and behavioural therapy.