What Does It Aim to Fix? Dr. Amy Wechsler, M.D., is one of two doctors in the country board-certified in both dermatology and psychiatry. She lays out a common situation she sees in patients: People experiencing a skin condition are usually stressed, sleep-deprived or maxed-out in some other unhealthy way. When psoriasis or acne flares up as a result, the person gets even more stressed about the shame and embarrassment of having a rash, says Wechsler. As a dermatologist, Wechsler can prescribe over-the-counter treatments, but she also spends 30 minutes to an hour with each patient talking about what might be causing the condition from a mental perspective. Psychodermatology addresses underlying mental issues that might be causing acne, as well as issues that come to the surface (no pun intended) as a result of acne.
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