Psychological interventions

Abstract

The established link between the states of mind and skin conditions is well known, as well as the high prevalence of psychological distress in patients with skin disorders. Therefore, it is imperative to recognise both physical and mental health when treating patients. There are many options to consider when managing psychological distress. This is dependent on the severity of the patient's skin and psychological condition, whilst taking into account the individual's goals, the skill set of the clinician and the resources available within the service. The gold standard psychodermatology service is to embed psychologists within dermatology. As this is not always possible referral to psychological services (such as "Increasing Access to Psychological Therapies" in England), counsellors and/or psychologists is encouraged. In dermatology the main approaches that have been researched are Cognitive Behavioural Therapy (CBT), habit reversal therapy, Acceptance and Commitment Therapy (ACT), mindfulness, systemic family therapy and schema therapy. This chapter aims to highlight different psychological approaches within the stepped care model and make recommendations for clinicians.