What Is Psychodermatology?

Atopic dermatitis is a type of eczema that causes dry, itchy, and flaky skin. People with eczema may think of it as a skin condition. But there can be a link between eczema and the mind.¹

Psychodermatology is the study of the connection between the skin and the mind. Understanding the link between atopic dermatitis and mental health may help improve symptoms and quality of life.¹

How are skin conditions and mental health linked?

Psychodermatology is the study of conditions where there is a relationship between skin and mental health. These conditions are called psychodermatological disorders, and there are different types.^1,2

What are the different types of psychodermatological disorders?

There are different types of these disorders. For example, eczema is considered a psychophysiological disorder. This means it is primarily a skin condition (physiological). But eczema is also directly impacted by mental health (psychological).^1,2

Another type of psychodermatological disorder are mental conditions that cause skin symptoms. For example, someone with schizophrenia may compulsively scratch at and harm their skin.^1,2

Yet another type happens when skin conditions cause problems with mental health. For example, someone with acne may experience depression because of their looks changing.^1,2

How is atopic dermatitis related to psychodermatology?

With eczema, the link between mental health and skin symptoms goes both ways. Having eczema can make you more likely to develop mental health problems. And problems with your mental health can worsen eczema symptoms.^1-3

There is a lot that we do not understand about the link between mental health and atopic dermatitis. But studies show that stress can be a significant trigger for eczema. One cause for this link may be that stress causes a reaction in the brain that triggers the immune system.^1-4

Eczema has also been linked with anxiety and depression. This may be because it causes changes like lower self-esteem, frustration, uncertainty, and loss of interest in activities. Those who have had eczema for a long time or struggle to manage their eczema treatment are also more likely to have problems with their mental health.^1-4

People with eczema may also be more likely to have less healthy coping habits for taking care of their mental health. This can make managing their mental and physical health harder.^3,4

How can both be treated?

Studying the link between mental health and eczema can identify new ways to manage symptoms. Possible options may include:^1-4

• Talk therapy – In talk therapy a therapist may be able to help you process your feelings around eczema. This may help you feel better and identify emotional triggers.
• Medicines for mental health – Some people may benefit from drugs like antidepressants. These can help you feel better and may reduce an urge to itch.
• Habit reversal therapy – This type of therapy is focused on breaking the habit of itching. This involves redirecting your energy or identifying triggers.
• Healthy coping habits – This is managing your mental health in a healthy way. Examples can include trying to solve problems or reaching out for social support.

Learning to cope with stress in your life may help you manage your eczema symptoms and even reduce them. If you have questions about your mental health and eczema, talk with your doctor. There may be solutions that can help you feel better physically and mentally.^2,3