Communication and Intersection between Human Mind and Skin

914 WordsFeb 26, 20184 Pages
One of the most complex and multifaceted interactions in the human body is the communication and intersection between the human mind and skin. Psychodermatology focuses on these interactions and attempts to bridge the two entities into a cohesive model. One of the dermatologic manifestations of psychiatric disease is observed in trichotillomania. Tricotillomania remains one of the lesser researched areas in psychiatry. Many theories and potential treatments exist, yet conclusive and well-constructed studies are still lacking. Much of the core understanding of trichotillomania stems from very few studies and anecdotal evidence. The mind and skin are connected in a multitude of ways. The most obvious is that they both originate from the same ectodermal origin. As such, they both are often affected by similar hormones and neurotransmitters . This concept helps explain the 30% to 60% incidence of psychiatric disorders in dermatological patients . Physiologically, the skin and mind are intertwined by the combined actions of the neural, endocrine, immune, and cutaneous systems. Studies have shown that many dermatological pathologies may stem from psychological stress causing a disruption in the epidermal permeability barrier homeostasis . Yet, many dermatological patients are hesitant to pursue dual treatment for psychocutaneous disorders. In fact, many dermatologists confirmed to need for psychiatric consultation, especially when treating chronic diseases3. Trichotillomania

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