Psychodermatological Diseases
The brain, which centrally manages other organs of the body and is the most complex organ, and the skin, which is the largest organ of the body with a weight of approximately 2 kg, acts as a barrier against external factors in the body. It develops from ectoderm during the embryonic period. This association, which begins in the embryonic period, continues throughout life, influencing each other. While psychiatry focuses more on internal, invisible disorders, dermatology focuses on external, visible events. There is a complex interaction between these 2 disciplines and the neuroendocrine and immune systems. Therefore, it is defined as the neuro-immune-cutaneous system (NICS). The interaction between the nervous system, skin and immunity occurs through mediators released from NICS. When NICS is destabilized, various inflammatory skin diseases and psychiatric conditions occur. However, in some diseases, the border between psychiatry and dermatology begins to disappear. At this point, "Psychodermatology", as a common field of study based on the relationship and interaction between psychiatry and dermatology, emerges as a new discipline within psychosomatic medicine. In this article, we tried to draw attention to the subject and summarize psychodermatological diseases with the "Classification of Psychodermatological Disorders". For more than a third of skin patients, relevant psychological factors must be taken into account for effective treatment. Dermatologists believe that emotional-psychological factors; They see that it is important in the formation, course and treatment of diseases. Patients with psychocutaneous disorders often resist referral to the psychiatry department. Therefore, communication between primary care physicians, psychiatrists and dermatologists is important. Dermatological disorders, which are not just cosmetic problems, are associated with various psychological factors that affect the patient himself, his family and his environment. Psychiatry and dermatology are new and subspecialties. Psychodermatology emerged as a field. Until recently, the relationship between skin diseases and the psyche has been completely ignored. As psychodermatology is understood; Biopsychosocial approaches and increased contact between primary care physicians, dermatologists, and psychiatrists will be much more beneficial.
Anxiety Disorders
General group These are the most common psychiatric disorders in diabetes. Anxiety; It is a psychiatric condition in which emotional symptoms such as anxiety and fear are accompanied by increased physical findings such as tachycardia, hypertension, tachypnea and tremor. The same findings can be observed in normal fears. But normal fears arise in response to a real external danger, and the emotional response is appropriate. In anxiety disorders, there is no obvious external threat and the response given in the presence of threat is excessive.
Psychiatric disease is at a rate of 5% in all dermatological diseases. 44% of these patients are diagnosed with depression and 35% with anxiety disorder. Anxiety disorders are more common in dermatology patients than in the general population. Anxiety disorder is seen in 48% of psoriasis patients and 39% of atopic dermatitis patients
Social Phobia
It is characterized by a significant fear and anxiety in social environments where the person may be evaluated by others. . The person is afraid of behaving in a way that could be evaluated negatively and showing signs of anxiety. Therefore, these social environments are avoided.
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